首页|柴胡疏肝散治疗功能性胃肠病的研究进展

柴胡疏肝散治疗功能性胃肠病的研究进展

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柴胡疏肝散源于明代医家张景岳,是疏肝解郁、行气止痛的代表方,主治肝郁气滞之腹痛、胁痛等疾病.该方在各种内伤杂病中使用广泛,尤其是应用在无器质性病变的功能性疾病中疗效显著.近年来,随着人们生活及饮食习惯的改变,功能性胃肠病发病率逐年增高,严重影响患者的生活质量.相关文献资料表明柴胡疏肝散治疗功能性胃肠疾病具有良好疗效,且临床及相关机制研究取得较大进展.笔者从理论研究、临床研究及相关机制研究等方面整理了近年来柴胡疏肝散治疗功能性胃肠疾病的相关报道,回顾文献发现柴胡疏肝散具有促进胃肠动力、调节信号通路、修复胃肠道黏膜屏障、改善胃肠道低度炎症状态、降低内脏敏感性和调节肠道菌群等作用,在治疗功能性胃肠病,如功能性消化不良、肠易激综合征、功能性腹痛、功能性便秘等,具有改善疾病症状、减少不良反应等多种优势.
Research Progress of Chaihu Shugan Powder in the Treatment of Functional Gastrointestinal Diseases
Chaihu Shugan Powder,created by the Ming dynasty physician Zhang Jingyue,is a representative formula for soothing the liver,relieving depression,regulating qi,and alleviating pain.It is primarily used to treat abdominal pain and hypochondriac pain caused by liver qi stagnation.This formula is widely applied in various internal injuries and miscellaneous diseases,particularly showing significant efficacy in functional disorders without organic lesions.In recent years,with changes in lifestyle and dietary habits,the incidence of functional gastrointestinal disorders has been increasing annually,severely impacting patients' quality of life.Literature indicates that Chaihu Shugan Powder is effective in treating functional gastrointestinal disorders,and clinical and mechanism-based research has shown considerable progress.This article reviews recent reports on the treatment of functional gastrointestinal disorders with Chaihu Shugan Powder,summarizing theoretical,clinical,and mechanistic studies.Literature review findings suggest that Chaihu Shugan Powder enhances gastrointestinal motility,regulates signaling pathways,repairs the gastrointestinal mucosal barrier,alleviates low-grade inflammation in the gastrointestinal tract,reduces visceral sensitivity,and modulates gut microbiota.It offers multiple advantages in treating functional gastrointestinal disorders such as functional dyspepsia,irritable bowel syndrome,functional abdominal pain,and functional constipation,including symptom improvement and reduction of adverse reactions.

Chaihu Shugan PowderFunctional gastrointestinal disordersAbdominal painReview

杨泽鹏、方震、蒋钰杰、丁永刚、徐陆周

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南京中医药大学附属医院,江苏 南京 210029

南京中医药大学,江苏 南京 210023

柴胡疏肝散 功能性胃肠病 腹痛 综述

2024

中医药信息
中华中医药学会,黑龙江中医药大学

中医药信息

影响因子:1.219
ISSN:1002-2406
年,卷(期):2024.41(12)