Fan Qi-Rui, Chen Mei, Dong Xiao-Yi, Tao Rui, Wang Jing-Rui, Xia Shun-Li, Han Tao
Gansu University of Chinese Medicine Lanzhou 730000, China.
Gansu University of Chinese Medicine Lanzhou 730000, China Key Laboratory of Pharmacology and Toxicology of TCM of Gansu Province Lanzhou 730000, China.
Zhongguo Zhong Yao Za Zhi. 2023 Jan;48(2):292-299. doi: 10.19540/j.cnki.cjcmm.20220928.601.
Caused by endocrine disorder, hyperplasia of mammary glands(HMG) tends to occur in the young with increasing incidence, putting patients at the risk of cancer and threatening the health of women. Therefore, the prevention and treatment of HMG is attracting more and more attention. Amid the modernization of traditional Chinese medicine(TCM), many scholars have found that Chinese patent medicine has unique advantages and huge potential in treatment of endocrine disorder. Particularly, Chinese patent medicine with the function of blood-activating and mass-dissipating, such as Xiaojin Pills and Xiaozheng Pills, has been commonly used in clinical treatment of HMG, which features multiple targets, obvious efficacy, small side effect, and ease of taking and carrying around. Clinical studies have found that the combination of Chinese patent medicine with other medicine can not only improve the efficacy and relieve symptoms such as hyperplasia and pain but also reduce the toxic and side effects of western medicine. Therefore, based on precious pharmacological research and clinical research, this study reviewed the mechanisms of blood-activating mass-dissipating Chinese patent medicine alone and in combination with other medicine, such as regulating levels of in vivo hormones and receptors, promoting apoptosis, inhibiting angiogenesis, improving hemorheology indexes, enhancing immunity, and boosting antioxidant ability. In addition, limitations and problems were summarized. Thereby, this study is expected to lay a theoretical basis for the further study and clinical application of blood-activating mass-dissipating Chinese patent medicine alone or in combination with other medicine against HMG.
乳腺增生症(HMG)由内分泌失调引起,好发于青年女性,且发病率呈上升趋势,使患者面临癌症风险,威胁女性健康。因此,HMG的防治越来越受到关注。在中医现代化进程中,许多学者发现中成药在治疗内分泌失调方面具有独特优势和巨大潜力。特别是具有活血化瘀功能的中成药,如小金丸、消症丸等,已广泛应用于HMG的临床治疗,具有多靶点、疗效显著、副作用小、便于服用和携带等特点。临床研究发现,中成药与其他药物联合使用,不仅能提高疗效,缓解增生、疼痛等症状,还能降低西药的毒副作用。因此,本研究基于珍贵的药理研究和临床研究,综述了活血化瘀类中成药单用及与其他药物联用的作用机制,如调节体内激素和受体水平、促进细胞凋亡、抑制血管生成、改善血液流变学指标、增强免疫力和提高抗氧化能力等。此外,还总结了其局限性和问题。从而,本研究有望为活血化瘀类中成药单用或与其他药物联用防治HMG的进一步研究和临床应用奠定理论基础。