许铃, 姬茗心, 张嘉瑞, 王毅, 赵璐. 治疗炎症性肠病的中药药效物质及作用机制研究进展J. 药学学报, 2025, 60(10): 2944-2962. DOI: 10.16438/j.0513-4870.2025-0362
引用本文: 许铃, 姬茗心, 张嘉瑞, 王毅, 赵璐. 治疗炎症性肠病的中药药效物质及作用机制研究进展J. 药学学报, 2025, 60(10): 2944-2962. DOI: 10.16438/j.0513-4870.2025-0362
XU Ling, JI Ming-xin, ZHANG Jia-rui, WANG Yi, ZHAO Lu. Research progress of the active substances and functional mechanism of traditional Chinese medicine in the treatment of inflammatory bowel diseaseJ. Acta Pharmaceutica Sinica, 2025, 60(10): 2944-2962. DOI: 10.16438/j.0513-4870.2025-0362
Citation: XU Ling, JI Ming-xin, ZHANG Jia-rui, WANG Yi, ZHAO Lu. Research progress of the active substances and functional mechanism of traditional Chinese medicine in the treatment of inflammatory bowel diseaseJ. Acta Pharmaceutica Sinica, 2025, 60(10): 2944-2962. DOI: 10.16438/j.0513-4870.2025-0362

治疗炎症性肠病的中药药效物质及作用机制研究进展

Research progress of the active substances and functional mechanism of traditional Chinese medicine in the treatment of inflammatory bowel disease

  • 摘要: 炎症性肠病(inflammatory bowel disease, IBD) 主要包括克罗恩病和溃疡性结肠炎, 是一种病因尚未完全明确的慢性肠道炎症性疾病。在全球范围内IBD的发病率持续上升, 其临床治疗面临诸多挑战, 包括不良反应、耐药性, 以及高昂的医疗成本等问题, 促使医学界积极寻找更加安全且高效的替代/补充疗法。在这一背景下, 中医药凭借整体观及辨证施治的理论优势, 发挥多成分、多靶点特性, 在调节机体免疫反应、发挥抗炎作用及修复受损肠道屏障等方面显示出了不可忽视的应用潜力。本文旨在综述近年来中药复方(如乌梅丸、理中汤、四神丸等)、天然产物中的活性单体(如厚朴酚、阿魏酸、绿原酸等) 在IBD治疗领域的应用进展, 并深入探讨其可能的作用机制, 以期为IBD治疗提供更多有效选择, 推动传统医学与现代科学的深度融合。

     

    Abstract: Inflammatory bowel disease (IBD), which mainly includes Crohn's disease and ulcerative colitis, is a chronic intestinal inflammatory disease whose etiology is not fully understood. As its global incidence increased, the clinical management of IBD still face multiple challenges, such as side effects, drug resistance, and high healthcare costs, prompting the medical community to actively search for safer and more effective alternative/complementary treatments. In this context, traditional Chinese medicine (TCM), with its holistic view and the theory of syndrome differentiation-based treatment, demonstrates significant potential in regulating immune responses, exerting anti-inflammatory effects, and repairing the damaged intestinal barrier through its multi-component and multi-target characteristics. Here we reviewed the recent progresses in the application of TCM formulae (e.g., Wumei pills, Lizhong decoction, Sishen pills, etc.) and active monomers (e.g., magnolol, ferulic acid, chlorogenic acid, etc.) in the treatment of IBD, as well as their possible mechanisms of action, in order to provide new therapeutic strategies for the clinical management of IBD and promote the integration between TCM and modern science.

     

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