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基于“丹参-冰片”与“丹参-红花”药代动力学的经典丹参药对配伍及协同效应的药代动力学研究策略

[Pharmacokinetic research strategies of compatibilities and synergistic effects of classical Danshen herb pairs based on pharmacokinetics of "Danshen-Bingpian" and "Danshen-Honghua"].

作者信息

Zhang Cui-Ying, Ren Wei-Guang

机构信息

Guang'anmen Hospital, China Academy of Chinese Medicinal Sciences, Beijing 100053, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2017 Jun;42(12):2413-2419. doi: 10.19540/j.cnki.cjcmm.20170307.005.

Abstract

Herb pairs are usual clinical compatibility forms and one of compound prescription sources in Chinese medicine. Pharmacokinetic research in vivo is one of the important items in elucidating the mechanism for synergistic and attenuated mechanisms of herb pairs. The paper comprehensively summarized and systemized the pharmacokinetic researches of marker-ingredients about Danshen-Honghua and Danshen-Bingpian in order to elucidate the rationality and scientificity of herb pairs and provide some feasible suggestions on the pharmacokinetics of drugs in the future. In view of complicated system of Traditional Chinese medicines and a chemical system that is not separated from its natural state, comparative pharmacokinetic researches on marker-ingredients from the herb pairs are reasonable to elucidate the synergistic and attenuated mechanisms of monarch-subjects compatible herbs and monarch-guide compatible herbs. Such pharmacokinetic research can better explain the mechanism of drug compatibility, while the pharmacokinetic researches based on the monomer chemical compositions and marker-ingredients that have been separated from complex chemical environment of traditional Chinese Medicine are still unreasonable and should be discussed deeply.

摘要

药对是中医临床常用的配伍形式和复方来源之一。体内药代动力学研究是阐明药对协同和减毒机制的重要项目之一。本文对丹参-红花、丹参-冰片药对中指标成分的药代动力学研究进行了全面总结和系统化,以阐明药对的合理性和科学性,并为今后药物药代动力学研究提供一些可行的建议。鉴于中药体系复杂且处于未脱离自然状态的化学体系,对药对中指标成分进行比较药代动力学研究,对于阐明君-臣配伍和君-佐配伍的协同和减毒机制是合理的。这样的药代动力学研究能更好地解释药物配伍机制,而基于从中药复杂化学环境中分离出的单体化学成分和指标成分的药代动力学研究仍不合理,值得深入探讨。

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