Department of Dermatology, State Key Laboratory of Dampness Syndrome of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangdong Provincial Key Laboratory of Chinese Medicine for Prevention and Treatment of Refractory Chronic Diseases, Guangzhou, Guangdong, PR China.
Department of Dermatology, State Key Laboratory of Dampness Syndrome of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangdong Provincial Key Laboratory of Chinese Medicine for Prevention and Treatment of Refractory Chronic Diseases, Guangzhou, Guangdong, PR China.
Biomed Pharmacother. 2020 Jul;127:110142. doi: 10.1016/j.biopha.2020.110142. Epub 2020 Apr 21.
Atopic dermatitis (AD) is a common relapsing inflammatory skin disease characterized by severe pruritus that seriously affects the quality of patients' life. There is an increasingly large amount of research demonstrating that traditional Chinese medicine (TCM) including herbal formulae and bioactive ingredients exerts pharmacological effects on atopic dermatitis. It has been a long history of TCM being used to treat atopic dermatitis, especially in preventing disease recurrence, maintaining long-term remission, and reducing disease burden. Nowadays, both of TCM monomer preparations and traditional formulae are still widely used. This review focuses on TCM as well as its bioactive ingredients for the treatment of AD, from the perspectives of animal model construction, pharmacodynamic mechanisms and clinical studies of formulae. To be more specific, the regulation and molecular mechanisms of the herbal formulae and bioactive ingredients of TCM are investigated, and the latest clinical research on TCM formulae is discussed. Furthermore, it provides a summary of the strengths and utilities of TCM, and will be useful for doctors who use Chinese medicine for treatment or researchers who select candidates for clinical treatments or further high-quality clinical studies.
特应性皮炎(AD)是一种常见的复发性炎症性皮肤病,其特征为严重瘙痒,严重影响患者的生活质量。越来越多的研究表明,包括中草药方剂和生物活性成分在内的中医药对特应性皮炎具有药理作用。中医药治疗特应性皮炎已有很长的历史,特别是在预防疾病复发、维持长期缓解和减轻疾病负担方面。如今,中医药单体制剂和传统方剂仍被广泛应用。本综述从动物模型构建、方剂药效机制和临床研究等方面,重点介绍了中医药及其生物活性成分治疗 AD 的作用。具体而言,探讨了中草药方剂和中医药生物活性成分的调节和分子机制,并讨论了中医药方剂的最新临床研究。此外,还总结了中医药的优势和实用性,将有助于使用中药进行治疗的医生或选择临床治疗或进一步进行高质量临床研究的研究人员。