首页|基于"肠-肾轴"理论的慢性肾脏病中医药临床研究进展

基于"肠-肾轴"理论的慢性肾脏病中医药临床研究进展

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随着我国慢性肾脏病的患病率逐年增加,针对慢性肾脏病发病的影响及预后因素是目前该领域的研究重点。肠源性尿毒症毒素是导致慢性肾脏病进展到终末期肾脏病的重要因素。随着"肠-肾轴"理论的提出,肠道菌群与慢性肾脏病之间的关系成为研究热点。目前已知研究发现肠源性尿毒症毒素的蓄积,激活机体免疫应答,进而诱导全身微炎反应,最终加重肾脏微症状。这为"肠-肾轴"的研究奠定了理论基础。中医医家发现中药治疗慢性肾脏病具有多靶点、多通路等优势。临床通过扶正祛邪、补虚泻实等方法延缓肾脏衰竭。因此强调脾肾之间的关系,重视从脾治肾,表现在通过调节肠道微生态而减少肠源性尿毒症毒素以延缓慢性肾脏病的进展。本文综述"肠-肾轴"理论在慢性肾脏病的中医药理论及临床应用,为中医治疗慢性肾脏病提供新思路。
Advances in clinical research on traditional Chinese medicine for chronic kidney disease based on the theory of "gut-kidney axis"
With the prevalence of chronic kidney disease increasing year by year in China,targeting the impact of the onset of chronic kidney disease and its prognostic factors is currently the focus of research in this field.Gut-derived uremic toxins play an important role in the progression of chronic kidney disease to end-stage renal disease.With the introduction of the"gut-kidney axis"theory,the relationship between intestinal flora and chronic kidney disease has become a research hotspot.It is now known that the accumulation of gut-derived uremic toxins activates the body's immune response,which in turn induces systemic microinflammatory reactions and ultimately exacerbates mild renal symptoms.This lays a theoretical foundation for the study of the"gut-kidney axis".Traditional Chinese physicians have found that Chinese medicine has the advantages of multi-targets and multi-pathways in treating chronic kidney disease.Clinically,it can slow down the kidney failure by strengthening the body resistance to eliminate pathogenic factors,reinforcing insufficiency and reducing excessiveness,and other methods.Therefore,the relationship between the spleen and kidney is emphasized,and importance is attached to treating the kidney from the spleen,as demonstrated by the reduction of gut-derived uremic toxins by regulating the intestinal microecology to slow down the progression of chronic kidney disease.This paper reviews the theory of traditional Chinese medicine in the treatment of chronic kidney disease and clinical application of the"gut-kidney axis"theory,which can provide new ideas for the treatment of chronic kidney disease with traditional Chinese medicine.

Gut-kidney axisChronic kidney diseaseIntestinal floraTraditional Chinese medicine

叶乃菁、罗璎

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成都中医药大学附属医院肾病二科,四川成都 610036

四川省中医药科学院中医研究所 四川省第二中医医院肾病科,四川成都 610031

肠-肾轴 慢性肾脏病 肠道菌群 中医药

国家自然科学基金青年科学基金项目四川省中医药科学院中医研究所科研课题四川省科学技术厅重点研发项目

821048302022-4-7152022YFS0398

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(13)