Liang Ai-Hua, Timothy M Chan
Macau University of Science and Technology, Macau, China.
Zhongguo Zhong Yao Za Zhi. 2008 Feb;33(4):476-81.
The pathogeny and the pathogenesis of thrombosis-related diseases are complicated, and family heredity, hypertension, hyperlipoidaemia diabetes and smoking are traditionally considered to be the risky factors. In recent years, various evidences have indicated that infection and inflammation which are defined as virulent heat-evils in traditional Chinese medicine (TCM) are also the risky factors for thrombosis-related diseases. This article analyzed the clinical relativity between virulent heat-evils and thrombosis-related diseases from epidemiology and clinical evidences and the therapeutical practices of TCM on the treatment of thrombosis by using clear away heat-evil and toxic materials principle. Based on the analysis, it can be concluded that dispelling of virulent heat-evils is important for the treatment thrombosis-related diseases. Now the essential of virulent heat-evils associated with thrombosis-related diseases and the nosogenesis of virulent heat-evils are still difficult to be rationally elucidated, and the anti-thrombosis activity of Chinese medicine which functioned as clearing away heat-evil and toxic materials can not be objectively screened and evaluated because no proper thrombosis animal model with virulent heat-evils basis is available at present. Thus, it is necessary to establish a suitable virulent heat-evil-induced thrombosis animal model.
血栓形成相关疾病的病因和发病机制复杂,传统上认为家族遗传、高血压、高脂血症、糖尿病和吸烟是危险因素。近年来,各种证据表明,感染和炎症在中医中被定义为热毒,也是血栓形成相关疾病的危险因素。本文从流行病学和临床证据以及中医运用清热解毒原则治疗血栓的实践等方面,分析了热毒与血栓形成相关疾病之间的临床相关性。基于分析得出,清除热毒对治疗血栓形成相关疾病具有重要意义。目前,热毒与血栓形成相关疾病的本质以及热毒的发病机制仍难以得到合理阐释,且由于目前尚无合适的基于热毒的血栓动物模型,无法客观筛选和评价具有清热解毒作用的中药的抗血栓活性。因此,有必要建立一种合适的热毒诱导血栓形成动物模型。