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当归补血汤在预防和治疗心血管及肺部疾病中的作用。

Role of Danggui Buxue Decoction for the prevention and treatment of cardiovascular and pulmonary diseases.

作者信息

Jiang Lin, Chen Liping, Li Wenbin, Wang Rong

机构信息

Department of Pharmacy, 940th Hospital of Joint Logistics Support Force of Chinese People's Liberation Army, Lanzhou 730050.

School of Pharmacy, Gansu University of Chinese Medicine, Lanzhou 730050.

出版信息

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2023 Oct 28;48(10):1479-1493. doi: 10.11817/j.issn.1672-7347.2023.230198.

Abstract

Cardiovascular and pulmonary diseases have become the major disease endangering people's physical and mental health because of its high morbidity and mortality. Danggui Buxue Decoction, a noteworthy classical prescription, is composed of astragali radix and angelicae sinensis radix at a ratio of 5꞉1. It is a prescription for tonifying both vital energy and blood and has the effect of dredging collaterals. Its main active components, such as polysaccharides, saponins, flavonoids and volatile oils, have good effects on antioxidation, inflammation regulation, immune regulation and promotion of blood circulation. Danggui Buxue Decoction can improve myocardial ischemia-reperfusion injury and heart failure, relieve the symptoms of diabetic cardiomyopathy, inhibit pulmonary fibrosis, protect lung injury and fight against lung cancer and other cardiopulmonary diseases. Preclinical studies have showed that this prescription can inhibit inflammation and oxidative stress, regulate autophagy and enhance immune function through multi-target pathways. Reviewing the main effective components, pharmacological action and mechanism, and clinical application of Danggui Buxue Decoction are helpful to provide comprehensive information for the clinical application of Danggui Buxue Decoction in prevention and treatment of cardiovascular and pulmonary diseases.

摘要

心血管疾病和肺部疾病因其高发病率和高死亡率已成为危害人们身心健康的主要疾病。当归补血汤是一个值得关注的经典方剂,由黄芪和当归以5∶1的比例组成。它是一个气血双补且具有通络作用的方剂。其主要活性成分,如多糖、皂苷、黄酮类化合物和挥发油,在抗氧化、炎症调节、免疫调节和促进血液循环方面具有良好作用。当归补血汤可改善心肌缺血再灌注损伤和心力衰竭,缓解糖尿病心肌病症状,抑制肺纤维化,保护肺损伤并对抗肺癌等心肺疾病。临床前研究表明,该方剂可通过多靶点途径抑制炎症和氧化应激,调节自噬并增强免疫功能。综述当归补血汤的主要有效成分、药理作用及机制以及临床应用,有助于为当归补血汤在防治心血管疾病和肺部疾病中的临床应用提供全面信息。

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