首页|柴胡疏肝散在胃肠疾病中的研究进展

柴胡疏肝散在胃肠疾病中的研究进展

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柴胡疏肝散源于《医学统旨》一书,由北柴胡、芍药、川芎、枳壳、橘皮、香附、炙甘草7味药组成,具有疏肝解郁、理气和胃止痛的功用,常施用于肝郁气滞证引起的相关证候如胃脘胀闷不舒、胁肋闷痛、口干口苦、食欲不振、大便干稀不调及脉弦或缓等,该方善于调畅气机,在治疗脾胃病常可出奇效.现代药理学研究发现,该方药内含多种有效的化合物成分,如柴胡皂苷、芍药苷、阿魏酸、陈皮素、辛弗林、甘草苷等,主要分为皂苷类、黄酮类、酚酸类、萜类4类.这些成分具有抵御炎症、抗氧化、促胃肠动力、抗癌等多种药理作用,被广泛用于治疗多种胃肠道疾病,如功能性消化不良、慢性胃炎、慢性消化性溃疡、胃食管反流病、肠易激综合征等,并能显著改善中医证候积分,降低疾病复发率,减少药物不良反应.此外,还可在心脑血管疾病、心身疾病、肝胆疾病及代谢类疾病中发挥积极作用.本研究对近10年有关柴胡疏肝散在胃肠道疾病中的临床应用成果的文献资料进行深入探讨和总结,以期为临床应用柴胡疏肝散治疗胃肠类疾病提供参考.
Research progress of Chaihu Shugan powder in gastrointestinal diseases
Chaihu Shugan powder(柴胡疏肝散)is derived from the book of Medical Fundamentals.It is composed of seven Chinese herbs:Beichaihu(bupleurum),Shaoyao(Radix paeoniae alba),Chuanxiong(Ligusticum chuanxiong),Zhike(Fructus aurantii),Jupi(Pericarpium citri reticulatae),Xiangfu(Rhizoma cyperi),and Zhigancao(Glycyrrhiza uralensis Fisch).It has the functions of soothing liver depression,regulating Qi(气)and relieving stomach pain.It is often used for the related symptoms caused by the syndrome of liver-Qi stagnation,such as stomach distention and discomfort,hypochthonic pain,dry mouth and bitter mouth,loss of appetite,dry and irregular stool,and string or slow pulse,etc.Because the prescription is good at regulating Qi and the spleen and stomach are the hub of the Qi,the prescription often has a miraculous effect on the treatment of spleen and stomach diseases.Modern pharmaco-logical studies have found that the prescription contains a variety of effective compounds,such as saikosaponin,paeoniflorin,ferulic acid,tangerine,synephrine,liquiritigenin,etc.,which are mainly divided into four categories,namely saponins,flavonoids,phenolic acids,terpenoids,which have various pharmacological effects such as resisting inflammation,anti-oxidation,promoting gastrointestinal moto-genesis,anti-cancer,etc.Therefore,it is widely used in the treatment of a variety of gastrointestinal diseases,such as functional dyspepsia,chronic gastritis,chronic peptic ulcer,gastroesophageal reflux disease,irritable bowel syndrome,etc.,and can significantly improve TCM syndrome scores,reduce disease recurrence rate,and reduce adverse drug reactions.In addition,it can also play a positive role in cardio-vascular and cerebrovascular diseases,psychosomatic diseases,liver and bile diseases and metabolic diseases.This paper will discuss and summarize the latest research results of the clinical application and literature data of Buaihu Shugan powder in gastrointestinal diseases from the recent decade,in order to provide reference for the clinical application of Buaihu Shugan powder in the treatment of gastrointesti-nal diseases,and spark new inspiration in the clinical application and research.

Chaihu Shugan powderPharmacological effectsGastrointestinal diseases

刘淳、甘淳、曹书宇

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江西中医药大学,江西 南昌,330004

江西中医药大学第二附属医院,江西 南昌,330012

柴胡疏肝散 药理作用 胃肠疾病

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(27)