Patavino T, Brady D M
Altern Med Rev. 2001 Oct;6(5):460-71.
Systemic lupus erythematosus (SLE) is a multisystem autoimmune disorder without a known cure. Conventional medicine typically approaches the disease with a treatment plan that includes the use of corticosteroids, non-steroidal anti-inflammatory drugs (NSAIDs), antimalarial drugs, and chemotherapeutic agents. The results vary and safety is questionable. Conservative treatment methods, such as the use of vitamins, minerals, and fatty acids, have been shown to have an impact on the activity of the disease. Alternative medicine treatments, including the use of dehydroepiandrosterone (DHEA) and Chinese medicines, such as Tripterygium wilfordii Hook F (TwHF), have gained a growing interest recently and may prove to be viable treatment options in the future. The elimination of possible associated factors, such as food allergens and SLE-symptom eliciting foods like alfalfa seeds, have also been shown to affect disease activity. Conservative alternative medicine approaches have been shown to provide some benefit in SLE studies; however, the evidence is limited, and the overall effectiveness and long-term safety have not been established. More research must be conducted in this area to further establish firm treatment protocols which provide maximum therapeutic benefit and minimum treatment-related side effects.
系统性红斑狼疮(SLE)是一种多系统自身免疫性疾病,目前尚无已知的治愈方法。传统医学通常采用包括使用皮质类固醇、非甾体抗炎药(NSAIDs)、抗疟药和化疗药物的治疗方案来治疗该疾病。其治疗结果各异,安全性也存在疑问。保守治疗方法,如使用维生素、矿物质和脂肪酸,已被证明对疾病活动有影响。替代医学疗法,包括使用脱氢表雄酮(DHEA)和中药,如雷公藤(TwHF),最近越来越受到关注,未来可能被证明是可行的治疗选择。消除可能的相关因素,如食物过敏原和能引发SLE症状的食物,如苜蓿籽,也已被证明会影响疾病活动。保守的替代医学方法在SLE研究中已显示出一些益处;然而,证据有限,其总体有效性和长期安全性尚未确立。必须在该领域进行更多研究,以进一步建立能提供最大治疗益处和最小治疗相关副作用的稳固治疗方案。