School of Pharmacy, Shanghai University of Traditional Chinese Medicine, No. 1200, Cai-lun Road, Pudong District, Shanghai 201203, China.
School of Pharmacy, Shanghai University of Traditional Chinese Medicine, No. 1200, Cai-lun Road, Pudong District, Shanghai 201203, China.
Biomed Pharmacother. 2017 Dec;96:854-864. doi: 10.1016/j.biopha.2017.09.135. Epub 2017 Nov 6.
Amyotrophic lateral sclerosis (ALS) is a chronic, fatal neurodegenerative disease which leads to progressive muscle atrophy and paralysis. In order to summarize the characteristics of Traditional Chinese Medicine compounds and their preparations in the prevention and treatment of ALS through analyzing the mechanism, action site, and symptoms according to effective clinical research.
We searched ALS, motor neuron disease, chemical drugs, herbal medicine, Chinese medicine, Traditional Chinese Medicine (TCM), and various combinations of these terms in databases including the PudMed, Springer, Ovid, Google, China National Knowledge Infrastructure, and Wanfang databases.
It was found that the chemical drugs almost had not sufficient evidence to show their effectiveness in the treatment of ALS, except RILUZOLE. According to the characteristics of clinical symptoms of ALS, Chinese medicine practitioners believe that this disease belongs to the category of "atrophic disease". In clinical research, many Chinese herbal formulas had good clinical efficacies in the treatment of ALS with multiple targets, multiple links, and few side effects. And four kinds of dialectical treatment had been developed based on Clinical data analysis and the use of dialectical therapy: Benefiting the kidney; Declaring the lungs; Enhancing the Qi; and Dredging the meridian.
In this review, we provide an overview of chemical drugs and Traditional Chinese Medicine compound and its preparations in therapy of ALS as well as how they may contribute to the ALS pathogenesis, thereby offering some clues for further studies.
肌萎缩侧索硬化症(ALS)是一种慢性、致命的神经退行性疾病,导致进行性肌肉萎缩和瘫痪。为了通过分析有效的临床研究中的机制、作用部位和症状,总结中药化合物及其制剂在预防和治疗 ALS 中的特点。
我们在包括 PubMed、Springer、Ovid、Google、中国知网和万方数据库在内的数据库中,使用 ALS、运动神经元疾病、化学药物、草药、中药、中医(TCM)和这些术语的各种组合进行搜索。
除利鲁唑外,化学药物几乎没有足够的证据表明其在治疗 ALS 方面的有效性。根据 ALS 的临床症状特点,中医从业者认为该病属于“萎症”范畴。在临床研究中,许多中药方剂在治疗 ALS 方面具有多靶点、多环节、副作用少的良好临床疗效。并根据临床数据分析和辨证论治的应用,开发出了四种辨证治疗方法:补肾、宣肺、益气、通络。
在本综述中,我们概述了化学药物和中药化合物及其制剂在 ALS 治疗中的作用,以及它们可能对 ALS 发病机制的贡献,从而为进一步的研究提供了一些线索。