宗阳, 姚卫峰, 居文政. 基于细胞因子风暴和中医“湿毒犯肺”理论挖掘抗新型冠状病毒肺炎中药J. 药学学报, 2020,55(6): 1091-1097. doi: 10.16438/j.0513-4870.2020-0265
引用本文: 宗阳, 姚卫峰, 居文政. 基于细胞因子风暴和中医“湿毒犯肺”理论挖掘抗新型冠状病毒肺炎中药J. 药学学报, 2020,55(6): 1091-1097. doi: 10.16438/j.0513-4870.2020-0265
ZONG Yang, YAO Wei-feng, JU Wen-zheng. Exploring the antiviral traditional Chinese medicine for the treatment of Coronavirus Disease 2019 based on the cytokine storm and Chinese medicine theory “damp toxin invading the lung”J. Acta Pharmaceutica Sinica, 2020,55(6): 1091-1097. doi: 10.16438/j.0513-4870.2020-0265
Citation: ZONG Yang, YAO Wei-feng, JU Wen-zheng. Exploring the antiviral traditional Chinese medicine for the treatment of Coronavirus Disease 2019 based on the cytokine storm and Chinese medicine theory “damp toxin invading the lung”J. Acta Pharmaceutica Sinica, 2020,55(6): 1091-1097. doi: 10.16438/j.0513-4870.2020-0265

基于细胞因子风暴和中医“湿毒犯肺”理论挖掘抗新型冠状病毒肺炎中药

Exploring the antiviral traditional Chinese medicine for the treatment of Coronavirus Disease 2019 based on the cytokine storm and Chinese medicine theory “damp toxin invading the lung”

  • 摘要: 越来越多的临床证据表明,新型冠状病毒肺炎(COVID-19)患者后期由于病情加重,出现急性呼吸窘迫综合征和多器官衰竭等严重并发症而导致死亡,而加重病情的原因主要是细胞因子风暴。针对COVID-19重症患者的治疗目前尚无特效药,西药虽然可以改善部分症状但后遗症较大,而中药在此次疫情中发挥了重要的作用。本文就临床报道的与细胞因子风暴相关的指标,基于“湿毒犯肺”的中医理论通过中药系统药理学数据库和分析平台(TCMSP)挖掘并筛选作用于这些细胞因子的中药。结果发现,主要包括白介素-6(IL-6)、肿瘤坏死因子α(TNFα)和粒细胞-巨噬细胞集落刺激因子(GM-CSF)等19个细胞因子与COVID-19密切相关,麻黄、甘草和金银花等22种中药作用于这些细胞因子,为中医临床治疗中后期COVID-19患者合理的选择处方以及加减用药提供一定的参考。

     

    Abstract: More and more clinical evidence shows that patients with Coronavirus Disease 2019 (COVID-19) died due to severe complications such as acute respiratory distress syndrome and multiple organ failure due to the aggravation of the disease in the later period, and the main cause of the aggravation is "cytokine storm". There is no specific drug for the treatment of severe COVID-19 patients. Although western medicine can improve some symptoms, it leaves a large sequela, while traditional Chinese medicine plays an important role in this outbreak. In this paper, based on the clinical reported cytokines storm-related indicators, the traditional Chinese medicine systems pharmacology database and analysis platform (TCMSP) was used to mine and screen the traditional Chinese medicines acting on these cytokines based on the theory of "damp toxin invading the lung". It was found that 19 cytokines, including interleukin-6 (IL-6), tumor necrosis factor α (TNFα), granulocyte-macrophage colony stimulating factor (GM-CSF) and so on, were closely related to COVID-19, and 22 traditional Chinese medicines such as Ephedrae Herba, Glycyrrhizae Radix Et Rhizoma and Lonicerae Japonicae Flos acted on these cytokines, so as to provide certain reference for the reasonable choice of prescription and addition or modification of drugs for COVID-19 patients in the middle and late stage of Chinese medicine clinical treatment.

     

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