首页|枳术郁李方对脾-肠气机升降失调便秘小鼠的通便机制研究

枳术郁李方对脾-肠气机升降失调便秘小鼠的通便机制研究

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目的:基于气机升降理论研究枳术郁李方对脾-肠气机升降失调便秘小鼠的通便作用机制,为其临床应用提供实验依据.方法:将雄性昆明小鼠随机分为空白组、模型组、阳性药组、枳术郁李方组,每组10只,阳性药组给予麻仁软胶囊混悬液0.1 g/kg、枳术郁李方组给予枳术郁李方溶液0.483 g/kg,空白组与模型组给予同体积溶剂.连续给药14 d后,采用灌胃给予造模药物盐酸洛哌丁胺(剂量为4 mg/kg),建立小鼠脾-肠气机升降失调便秘模型.测定小肠墨汁推进率,首粒黑便时间,小鼠6 h内黑便粒数及重量,血清血管活性肠肽(VIP)、5-羟色胺(5-HT)、P物质(SP)、一氧化氮(NO)、胃动素(MTL)、胆囊收缩素(CCK)、酪酪肽(PYY)、降钙素基因相关肽(CGRP)的含量.结果:与模型组比较,枳术郁李方组小鼠小肠墨汁推进率明显升高(P<0.01),首便时间明显缩短(P<0.01),6 h内粪便粒数,重量及含水量明显增加(P<0.01),血清中VIP、NO、CCK、PYY水平明显降低(P<0.01)、SP、CGRP、MTL水平明显升高(P<0.01).结论:枳术郁李方具有明显的缓解便秘的作用,其作用机制可能与调节脾-肠气机的升降失常,恢复胃肠神经递质和激素的动态平衡,调节气机升降,维持气机畅达相关.
Laxative Mechanism of Zhizhu Yuli Formula on Constipation Mice with Spleen-intestine Qi Dysfunction in Ascending and Descending
Objective:To investigate the laxative mechanism of Zhizhu Yuli Formula on constipation mice with spleen-intestine qi dysfunction in ascending and descending based on the theory of qi movement,providing experimental evidence for its clinical appli-cation.Methods:Male Kunming mice were randomly divided into a blank group,a model group,a positive drug group,and a Zhizhu Yuli Formula group,with 10 mice in each group.The positive drug group received Maren soft capsule suspension at 0.1 g/kg,the Zhizhu Yuli Formula group received Zhizhu Yuli Formula solution at 0.483 g/kg,and the blank and model groups received an e-quivalent volume of solvent.After 14 days of continuous administration,the mice were given the modeling drug loperamide hydro-chloride(4 mg/kg)via gavage to establish a constipation model with spleen-intestine qi dysfunction in ascending and descending.The small intestine ink propulsion rate,the time to the first black stool,the number and weight of black stools within 6 hours,and the levels of serum vasoactive intestinal peptide(VIP),5-hydroxytryptamine(5-HT),substance P(SP),nitric oxide(NO),motilin(MTL),cholecystokinin(CCK),peptide YY(PYY),and calcitonin gene-related peptide(CGRP)were measured.Results:Com-pared with the model group,the Zhizhu Yuli Formula group showed a significant increase in small intestine ink propulsion rate(P<0.01),a significant reduction in the time to the first stool(P<0.01),and a significant increase in the number,weight,and water content of fecal pellets within 6 hours(P<0.01).Moreover,the serum levels of VIP,NO,CCK,and PYY were significantly reduced(P<0.01),while the levels of SP,CGRP,and MTL were significantly increased(P<0.01).Conclusion:Zhizhu Yuli Formula has a significant laxative effect,and its mechanism may be related to regulating the spleen-intestine qi dysfunction in ascending and de-scending,restoring the dynamic balance of gastrointestinal neurotransmitters and hormones,regulating qi movement,and maintaining smooth qi flow.

Zhizhu Yuli FormulaConstipationQi movementGastrointestinal hormonesNeurotransmitterVasoactive intestinal peptideMotilinMice

贾岚、刘佳琪、扈觐玺、冯颖童、刘双巧、姜斯佳、冯广旭、王景霞

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北京中医药大学,北京,100029

枳术郁李方 便秘 气机升降 胃肠激素 神经递质 活性肠肽 胃动素 小鼠

国家重点研发计划中医药现代化研究重点专项

2018YFC1706803

2024

世界中医药
世界中医药学会联合会

世界中医药

CSTPCDCHSSCD北大核心
影响因子:1.266
ISSN:1673-7202
年,卷(期):2024.19(15)