Mu Xiangyu, Luan Ruqiao, Gao Yan, Zhao Bonian, Wang Jieqiong, Ni Xinran, Gao Dongmei
College of Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan, 250355, P. R. China.
Institute of Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan, 250355, P. R. China.
Am J Chin Med. 2024;52(8):2337-2376. doi: 10.1142/S0192415X24500897. Epub 2024 Dec 31.
Paeoniae Radix Alba (PRA, called Baishao in China) is the dried root of Pall. In clinical practice, PRA has been used to treat cardiovascular disease, menstrual disorders, abdominal pain, diarrhea, and liver disease, among other conditions. This review provides a systematic summary of its traditional uses, geographical distribution and current cultivation situation, phytochemistry, pharmacokinetics, pharmacology, quality control, and toxicology. Moreover, this review also serves as an in-depth discussion on the shortcomings of the current research on PRA, a subject not previously discussed in reviews regarding PRA, and puts forward its own views and solutions. So far, more needs to be done to understand the mechanism of action of PRA, as well as the relationships between its chemical components and their potential synergistic and antagonistic effects. Furthermore, a comprehensive evaluation of medicinal quality should be carried out to understand the long-term toxicity and clinical efficacy of PRA and to provide more information for the development of new drugs and treatment methods for various diseases using PRA and its chemical components.
白芍是芍药科植物芍药的干燥根。在临床实践中,白芍已被用于治疗心血管疾病、月经紊乱、腹痛、腹泻和肝病等多种病症。本综述对白芍的传统用途、地理分布和当前种植情况、植物化学、药代动力学、药理学、质量控制和毒理学进行了系统总结。此外,本综述还对白芍当前研究的不足之处进行了深入探讨,这是以往关于白芍的综述中未曾讨论过的主题,并提出了自己的观点和解决方案。到目前为止,在了解白芍的作用机制以及其化学成分之间潜在的协同和拮抗作用关系方面,还有更多工作要做。此外,应进行全面的药用质量评价,以了解白芍的长期毒性和临床疗效,并为利用白芍及其化学成分开发治疗各种疾病的新药和治疗方法提供更多信息。