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印度草药在肝脏疾病治疗中的应用:问题与前景。

Indian herbal medicines in the treatment of liver diseases: problems and promises.

机构信息

Department of Pharmacology, Pondicherry Institute of Medical Sciences, Pondicherry 605 014, India.

出版信息

Fundam Clin Pharmacol. 2012 Apr;26(2):180-9. doi: 10.1111/j.1472-8206.2011.01011.x. Epub 2011 Dec 5.

Abstract

Plant drugs are known to play a major role in the management of liver diseases. There are many plants and their extracts that have been shown to possess hepatoprotective activities. There are more than 300 preparations in Indian system of medicine for the treatment of jaundice and chronic liver diseases. About 600 commercial herbal formulations with claimed hepatoprotective activity are being sold all over the globe. The active phytochemical fraction that imparts hepatoprotective activity has been identified in many plants. These phytochemicals can be isolated and developed as single-ingredient drugs, with quality and standards of modern medicine. The major problem faced with herbal products is their standardization and their quality assurance. There can be batch-to-batch variations in their efficacies as a result of natural and genetic alterations, seasonal changes, differences in soil and climatic conditions, and nutritional status of the medicinal plant. Pharmacological validation of each hepatoprotective plant should include efficacy evaluation against liver diseases induced by various agents. The most effective drugs for each kind of liver disease have to be selected by separate efficacy evaluations. To treat liver disease of known, unknown, or multiple causes, a combination of different herbs with active fractions (or purified compounds) has to be developed. They may prove to be useful in the treatment of infective, toxic, and degenerative diseases of the liver.

摘要

植物药在肝脏疾病的治疗中起着重要作用。有许多植物及其提取物已被证明具有保肝活性。印度医学中有 300 多种制剂用于治疗黄疸和慢性肝病。在全球范围内,有 600 多种声称具有保肝活性的商业草药配方在销售。许多植物中已鉴定出赋予保肝活性的活性植物化学物质。这些植物化学物质可以被分离出来并开发成具有现代医学质量和标准的单一成分药物。草药产品面临的主要问题是其标准化和质量保证。由于自然和遗传变化、季节性变化、土壤和气候条件以及药用植物的营养状况的差异,其疗效可能会在批次之间发生变化。每种保肝植物的药理学验证都应包括针对各种药物引起的肝病的疗效评估。必须通过单独的疗效评估来选择每种肝病的最有效药物。为了治疗已知、未知或多种原因引起的肝脏疾病,必须开发具有活性成分(或纯化化合物)的不同草药组合。它们可能对治疗感染、中毒和退行性肝脏疾病有用。

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