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玉津散对大肠湿热证大鼠模型的治疗作用及机制。

Treatment effects and mechanisms of Yujin Powder on rat model of large intestine dampness-heat syndrome.

机构信息

College of Veterinary Medicine, Gansu Agricultural University, Lanzhou 730070, PR China.

出版信息

J Ethnopharmacol. 2017 Apr 18;202:265-280. doi: 10.1016/j.jep.2017.03.030. Epub 2017 Mar 19.

Abstract

ETHNOPHARMACOLOGICAL RELEVANCE

Yujin Powder (YJP), an old prescription, is one of the most classical prescription for treating the large intestine dampness-heat syndrome (LIDHS). However, its potential modern pharmacological mechanisms remain unclear.

AIM OF THE STUDY

The present study was designed to explore the essence of LIDHS and treatment mechanisms of the YJP on the LIDHS.

METHODS

The rat model of LIDHS was established by such complex factors as high-sugar and high-fat diet, improper diet, high temperature and humidity environment (HTHE), drinking and intraperitoneal injection of Escherichia coli., which imitated the inducing conditions of LIDHS. Then the clinical symptoms and signs, blood routine, blood biochemistry, whole blood viscosity (WBV), serum inflammatory cytokines levels and the histopathological changes of main organs were detected and observed, respectively.

RESULTS

The results showed that the clinical symptoms and signs of the model rats were consistent with the diagnostic criteria of LIDHS, moreover, there were obvious systemic inflammatory response and extensive congestion. And after treatment with YJP in different dosages, the clinical symptoms and signs of the rats with LIDHS were improved; the indexes of blood routine and blood biochemistry and inflammatory cytokines levels tended to be normal; the WBV decreased and histopathological changes of major organs were alleviated or returned to normal. There was an obvious dose-effect relationship, and the high dose of YJP (HD-YJP) had the best treatment effects.

CONCLUSIONS

These results suggested that in LIDHS, diarrhea was the major clinical manifestation; the large intestine was the main lesion area; mucosa injury, inflammation and congestion of the large intestine with systemic inflammatory response and congestion were the most typical pathological characteristics. Meanwhile, YJP exhibited the comprehensive effects of anti-diarrhea, anti-inflammation, lowering blood lipid, relieving blood stasis, repairing intestinal mucosa and regulation and protection of multiple organs on LIDHS. These findings provided not only important information for understanding the essence of LIDHS but also the theoretical basis for developing new-drugs for treating dampness-heat type of diarrheal diseases.

摘要

民族药理学相关性

玉津散(YJP)是一种古老的处方,是治疗大肠湿热证(LIDHS)的最经典处方之一。然而,其潜在的现代药理机制尚不清楚。

研究目的

本研究旨在探讨 LIDHS 的本质和 YJP 对 LIDHS 的治疗机制。

方法

通过高糖高脂饮食、饮食不当、高温高湿环境(HTHE)、饮用和腹腔注射大肠杆菌等多种因素建立 LIDHS 大鼠模型,模拟 LIDHS 的诱导条件。然后分别检测和观察临床症状和体征、血常规、血液生化、全血黏度(WBV)、血清炎症细胞因子水平以及主要器官的组织病理学变化。

结果

结果表明,模型大鼠的临床症状和体征符合 LIDHS 的诊断标准,且全身炎症反应明显,广泛充血。经不同剂量 YJP 治疗后,LIDHS 大鼠的临床症状和体征得到改善;血常规和血液生化指标及炎症细胞因子水平趋于正常;WBV 降低,主要器官组织病理学变化减轻或恢复正常。存在明显的量效关系,高剂量 YJP(HD-YJP)治疗效果最佳。

结论

这些结果表明,在 LIDHS 中,腹泻是主要的临床症状;大肠是主要病变部位;大肠黏膜损伤、炎症和充血伴全身炎症反应和充血是最典型的病理特征。同时,YJP 对 LIDHS 表现出综合的抗腹泻、抗炎、降血脂、活血化瘀、修复肠黏膜以及对多个器官的调节和保护作用。这些发现不仅为了解 LIDHS 的本质提供了重要信息,也为开发治疗湿热型腹泻病的新药提供了理论依据。

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