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马钱子治疗类风湿关节炎的作用机制及减毒方法。

Mechanism of Action of Strychni Semen for Treating Rheumatoid Arthritis and Methods for Attenuating the Toxicity.

机构信息

College of traditional Chinese medicine, Shandong University of Traditional Chinese Medicine, Jinan, Shandong 250355,China.

Beijing Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700,China.

出版信息

Comb Chem High Throughput Screen. 2022;25(4):587-606. doi: 10.2174/1386207324666210504095523.

Abstract

BACKGROUND

Rheumatoid arthritis (RA) is a chronic autoimmune disease, which affects the joints and causes significant pain, impairing patient's quality of life. Strychni semen showed promising results to treat RA. However, there are increasing safety concerns in using strychni semen due to its severe toxicity.

AIM AND OBJECTIVE

The purpose of this review is to provide insight into using Strychni semen as an alternative medicine to treat RA, as well as to offer a method for the safe application of Strychni semen through processing and compatibility studies.

METHODS

Publications were retrieved and surveyed from CNKI and PubMed relevant to Strychni semen for a literature review.

RESULTS

This article summarized the mechanism of function of strychni semen in treating RA with its anti-inflammatory, analgesic, and immunomodulatory effect. Commonly used methods to attenuate the toxicity of Strychni semen were also discussed in this article.

CONCLUSION

Strychni semen has a good therapeutic effect on RA, mainly by the modulation of immunity with anti-inflammatory and analgesic effects. Also, the reported toxicity of strychni semen can be effectively reduced by processing and compatibility methods. Hence, as an alternative medicine for RA treatment, strychni semen has a broad prospect.

摘要

背景

类风湿性关节炎(RA)是一种慢性自身免疫性疾病,影响关节并导致严重疼痛,降低患者的生活质量。马钱子具有治疗 RA 的潜力。然而,由于其严重的毒性,马钱子的使用安全性引起了越来越多的关注。

目的和目标

本综述的目的是提供马钱子作为治疗 RA 的替代药物的深入了解,并通过炮制和配伍研究提供安全应用马钱子的方法。

方法

从中国知网和 PubMed 检索并调查了与马钱子相关的出版物,进行文献综述。

结果

本文总结了马钱子治疗 RA 的作用机制,具有抗炎、镇痛和免疫调节作用。本文还讨论了减轻马钱子毒性的常用方法。

结论

马钱子对 RA 具有良好的治疗效果,主要通过抗炎和镇痛作用调节免疫。此外,炮制和配伍方法可有效降低马钱子的毒性。因此,马钱子作为 RA 治疗的替代药物具有广阔的前景。

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