Sasaki T, Ohta S, Kamogawa A, Shinoda M
Yakugaku Zasshi. 1989 Jul;109(7):487-95. doi: 10.1248/yakushi1947.109.7_487.
Choleretic effects of 60 kinds of Chinese traditional medicine frequently used in clinical practice were investigated. Consequently, significant effects of choleretics were found in the methanol extracts of Ko-so-san, Intinko-to, Saiko-seikan-to, Hange-koboku-to, Antyu-san, Syo-kankyo-to, Keisi-syakuyaku-timo-to, Senkan-meimoku-to, Bohu-tusyo-san, Juzen-taiho-to, Jumi-haidoku-to Kami-syoyo-san and Hange-syasin-to. Water extracts of these Chinese traditional medicine had no such effect. Alteration of excretion of various biliary components after administration of the methanol extracts with the choleretic effect was examined, and with all medicines, bile acid excretion decreased and sodium and potassium excretions increased. Therefore, a medicine inducing choleresis involves some selective increases in the bile acid-independent fraction of bile flow. And after administration of methanol extracts of Keisi-syakuyaku-timo-to and Bohu-tusyo-san, lithogenic index, an index of saturation level of cholesterol, decreased significantly. Therefore, with these medicines, a dissolving effect on cholesterol gallstone is expected.
对临床常用的60种中药的利胆作用进行了研究。结果发现,柴胡散、茵陈蒿汤、小柴胡汤、半夏厚朴汤、安中散、小建中汤、桂枝芍药知母汤、清肝明目汤、防风通圣散、十全大补汤、十味败毒汤、加味逍遥散和半夏泻心汤的甲醇提取物具有显著的利胆作用。这些中药的水提取物没有这种作用。研究了具有利胆作用的甲醇提取物给药后各种胆汁成分排泄的变化,所有药物均使胆汁酸排泄减少,钠和钾排泄增加。因此,一种诱导胆汁分泌的药物涉及胆汁流中不依赖胆汁酸部分的一些选择性增加。并且在给予桂枝芍药知母汤和防风通圣散的甲醇提取物后,胆固醇饱和水平指标——成石指数显著降低。因此,使用这些药物有望对胆固醇胆结石产生溶解作用。