Center for Traditional Chinese Medicine and Systems Biology, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China.
Evid Based Complement Alternat Med. 2013;2013:793820. doi: 10.1155/2013/793820. Epub 2013 Apr 8.
The phenomenon that the same syndrome turns up in different diseases appears in the sight of people around the world, which raises the thought for possibility of "Same Treatment for Different Diseases." Actually, treatment based on ZHENG classification in Traditional Chinese Medicine could bring revelation for the former finding. The dampness-heat syndrome in chronic hepatitis B and nonalcoholic fatty liver is regarded as the breakthrough point. We discussed the molecular mechanism of similar connotation that exists in chronic hepatitis B and nonalcoholic fatty liver by metabonomics to give the modern understanding of dampness-heat syndrome. Both urine and serum metabolic profiling revealed that obvious differences existed between dampness-heat syndrome and non-dampness-heat syndrome but the commonality was proved to appear in chronic hepatitis B and nonalcoholic fatty liver patients with dampness-heat syndrome. Furthermore, disorder of body fluid metabolism, decline in digestive capacity, and imbalance of intestinal flora were found to be the new guiding for treatment, with the hope to provide the basis for Chinese personalized medicine.
世界各国的人们都注意到,同一病症出现在不同疾病中的现象,这引发了“同病异治”的可能性的思考。实际上,中医的辨证论治可以为这一发现带来启示。慢性乙型肝炎和非酒精性脂肪肝中的湿热证就是一个突破点。我们通过代谢组学探讨了慢性乙型肝炎和非酒精性脂肪肝中具有相似内涵的分子机制,从而对湿热证有了现代的认识。尿液和血清代谢组学分析表明,湿热证与非湿热证之间存在明显差异,但在慢性乙型肝炎和非酒精性脂肪肝湿热证患者中则证明存在共性。此外,还发现体液代谢紊乱、消化能力下降和肠道菌群失衡,为治疗提供了新的指导方向,有望为中医个体化医学提供依据。