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四君子汤治疗胃肠道疾病的潜力:综述

The potential of Sijunzi decoction in the fight against gastrointestinal disorders: a review.

作者信息

Yang Liangjun, Fang Zheng, Zhu Jiajie, Li Xiaofang, Yang Bo, Liu Haiyan, Lou Feiyan

机构信息

Department of Gastroenterology, Tongde Hospital of Zhejiang Province (Zhejiang Academy of Traditional Chinese Medicine), Hangzhou, China.

Science and Technology Innovation Center, Guangzhou University of Chinese Medicine, Guangzhou, China.

出版信息

Front Pharmacol. 2025 Mar 4;16:1464498. doi: 10.3389/fphar.2025.1464498. eCollection 2025.

DOI:10.3389/fphar.2025.1464498
PMID:40103588
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11913818/
Abstract

Sijunzi Decoction (SJZD) is a traditional Chinese medicine formula widely used in the treatment of gastrointestinal disorders. Clinical studies have substantiated the efficacy of SJZD in managing conditions such as functional dyspepsia, chronic gastritis, gastric cancer, irritable bowel syndrome, colorectal cancer, and ulcerative colitis. Despite its proven effectiveness, the precise mechanisms by which SJZD operates remain incompletely understood. In this study, we undertake a systematic review of both the clinical applications and the mechanistic underpinnings of SJZD in the context of gastrointestinal disease treatment. Research indicates that SJZD functions through a spectrum of mechanisms including the regulation of intestinal flora, alleviation of inflammation, modulation of immune responses, and facilitation of mucosal repair in the treatment of gastrointestinal ailments. This comprehensive analysis aims to provide a clearer understanding of how SJZD benefits patients with gastrointestinal disorders.

摘要

四君子汤是一种广泛用于治疗胃肠道疾病的中药方剂。临床研究已证实四君子汤在治疗功能性消化不良、慢性胃炎、胃癌、肠易激综合征、结直肠癌和溃疡性结肠炎等病症方面的疗效。尽管其有效性已得到证实,但其确切作用机制仍未完全明确。在本研究中,我们对四君子汤在胃肠道疾病治疗中的临床应用和作用机制进行了系统综述。研究表明,四君子汤通过一系列机制发挥作用,包括调节肠道菌群、减轻炎症、调节免疫反应以及促进胃肠道疾病治疗中的黏膜修复。这一综合分析旨在更清楚地了解四君子汤如何使胃肠道疾病患者受益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ff5/11913818/a2c0eb9488f9/fphar-16-1464498-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ff5/11913818/a2c0eb9488f9/fphar-16-1464498-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ff5/11913818/a2c0eb9488f9/fphar-16-1464498-g001.jpg

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Curr Issues Mol Biol. 2024 Oct 30;46(11):12260-12278. doi: 10.3390/cimb46110728.
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Cancer incidence and mortality in China, 2022.2022年中国癌症发病率与死亡率
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Koidz Alleviates Symptoms in Zymosan-Induced Irritable Bowel Syndrome Mouse Model through TRPV1, NaV1.5, and NaV1.7 Channel Modulation.Koidz 通过调节 TRPV1、NaV1.5 和 NaV1.7 通道缓解酵母聚糖诱导的肠易激综合征小鼠模型的症状。
Nutrients. 2024 May 29;16(11):1683. doi: 10.3390/nu16111683.
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Pharmacological effects of ginseng and ginsenosides on intestinal inflammation and the immune system.人参及人参皂苷对肠道炎症和免疫系统的药理作用。
Front Immunol. 2024 Apr 18;15:1353614. doi: 10.3389/fimmu.2024.1353614. eCollection 2024.
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Research on the signaling pathway and the related mechanism of traditional Chinese medicine intervention in chronic gastritis of the "inflammation-cancer transformation".中医药干预慢性胃炎“炎癌转化”信号通路及相关机制的研究
Front Pharmacol. 2024 Apr 18;15:1338471. doi: 10.3389/fphar.2024.1338471. eCollection 2024.
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J Ethnopharmacol. 2024 Sep 15;331:118276. doi: 10.1016/j.jep.2024.118276. Epub 2024 May 1.
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Medicine (Baltimore). 2024 Apr 26;103(17):e37648. doi: 10.1097/MD.0000000000037648.
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Sijunzi decoction alleviates inflammation and intestinal epithelial barrier damage and modulates the gut microbiota in ulcerative colitis mice.四君子汤减轻溃疡性结肠炎小鼠的炎症和肠上皮屏障损伤并调节肠道微生物群。
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