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姜黄素-青黛联合治疗克罗恩病:一例报告

Curcumin-QingDai Combination as Treatment for Crohn's Disease: A Case Report.

作者信息

Krugliak Netanel, Silverberg Mark S

机构信息

Mount Sinai Hospital Inflammatory Bowel Disease Center, Toronto, ON, Canada.

Division of Gastroenterology, Department of Medicine, Mount Sinai Hospital Inflammatory Bowel Disease Center, Toronto, ON, Canada.

出版信息

Case Rep Gastroenterol. 2025 Jun 11;19(1):423-427. doi: 10.1159/000546012. eCollection 2025 Jan-Dec.

DOI:10.1159/000546012
PMID:40503450
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12158414/
Abstract

INTRODUCTION

Curcumin and QingDai (QD, indigo) are two herbal extracts used in traditional medicine. A combination of curcumin with QD (CurQD) was reported to be effective in ulcerative colitis, but its effectiveness in Crohn's disease (CD) is unknown. We report on the use of CurQD for the treatment of CD.

CASE PRESENTATION

The patient was a 35-year-old male with colonic and perianal CD responsive to infliximab therapy, who had to discontinue therapy due to a concomitant cardiomyopathy diagnosis. After cessation of infliximab treatment, he experienced clinical and endoscopic relapse which responded to initiation of CurQD therapy with regained clinical and endoscopic remission.

CONCLUSION

In summary, the present case report describes, for the first time, a possible benefit of CurQD nutraceutical in the induction and maintenance of remission in a Crohn's patient. However, more data, preferably from adequately powered randomized controlled trials, are needed to corroborate these observations.

摘要

引言

姜黄素和青黛是传统医学中使用的两种草药提取物。据报道,姜黄素与青黛的组合(CurQD)对溃疡性结肠炎有效,但其对克罗恩病(CD)的有效性尚不清楚。我们报告了CurQD用于治疗CD的情况。

病例介绍

该患者为一名35岁男性,患有结肠和肛周CD,对英夫利昔单抗治疗有反应,但因同时诊断为心肌病而不得不停止治疗。英夫利昔单抗治疗停止后,他经历了临床和内镜复发,CurQD治疗开始后临床和内镜缓解,病情得到改善。

结论

总之,本病例报告首次描述了CurQD营养保健品在一名克罗恩病患者诱导和维持缓解方面可能具有的益处。然而,需要更多数据,最好是来自充分有力的随机对照试验的数据,来证实这些观察结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1f6/12158414/a2feae2a253e/crg-2025-0019-0001-546012_F02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1f6/12158414/dbad3853ed31/crg-2025-0019-0001-546012_F01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1f6/12158414/a2feae2a253e/crg-2025-0019-0001-546012_F02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1f6/12158414/dbad3853ed31/crg-2025-0019-0001-546012_F01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1f6/12158414/a2feae2a253e/crg-2025-0019-0001-546012_F02.jpg

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本文引用的文献

1
Is it Time for the Alternative to Move to the Mainstream?替代方案是时候走向主流了吗?
Clin Gastroenterol Hepatol. 2024 Feb;22(2):235-236. doi: 10.1016/j.cgh.2023.07.003. Epub 2023 Jul 14.
2
Curcumin-QingDai Combination for Patients With Active Ulcerative Colitis: A Randomized, Double-Blinded, Placebo-Controlled Trial.姜黄素-清黛联合治疗活动期溃疡性结肠炎患者的随机、双盲、安慰剂对照试验。
Clin Gastroenterol Hepatol. 2024 Feb;22(2):347-356.e6. doi: 10.1016/j.cgh.2023.05.023. Epub 2023 Jun 9.
3
Real-world experience with Curcumin-QingDai combination for patients with active ulcerative colitis: A retrospective multicentre cohort study.
姜黄素-清黛联合治疗活动期溃疡性结肠炎的真实世界研究:一项回顾性多中心队列研究。
Aliment Pharmacol Ther. 2023 Jul;58(2):175-181. doi: 10.1111/apt.17538. Epub 2023 May 8.
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Holistic healthcare in inflammatory bowel disease: time for patient-centric approaches?炎症性肠病的整体医疗保健:是时候采用以患者为中心的方法了吗?
Gut. 2023 Jan;72(1):192-204. doi: 10.1136/gutjnl-2022-328221. Epub 2022 Sep 28.
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AGA Clinical Practice Guidelines on the Medical Management of Moderate to Severe Luminal and Perianal Fistulizing Crohn's Disease.美国胃肠病学会中重度管腔及肛周瘘管型克罗恩病医学管理临床实践指南
Gastroenterology. 2021 Jun;160(7):2496-2508. doi: 10.1053/j.gastro.2021.04.022.
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ECCO Guidelines on Therapeutics in Crohn's Disease: Medical Treatment.欧洲克罗恩病治疗指南:药物治疗
J Crohns Colitis. 2020 Jan 1;14(1):4-22. doi: 10.1093/ecco-jcc/jjz180.
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Adverse events in patients with ulcerative colitis treated with indigo naturalis: a Japanese nationwide survey.靛蓝自然物治疗溃疡性结肠炎患者的不良事件:一项日本全国性调查。
J Gastroenterol. 2019 Oct;54(10):891-896. doi: 10.1007/s00535-019-01591-9. Epub 2019 May 17.
8
European Crohn's and Colitis Organisation Topical Review on Complementary Medicine and Psychotherapy in Inflammatory Bowel Disease.欧洲克罗恩病和结肠炎组织炎症性肠病补充医学和心理治疗专题评论。
J Crohns Colitis. 2019 May 27;13(6):673-685e. doi: 10.1093/ecco-jcc/jjz051.
9
Myocarditis associated with infliximab: a case report and review of the literature.英夫利昔单抗相关的心肌炎:一例病例报告及文献综述
Inflamm Bowel Dis. 2011 Jul;17(7):1633-4. doi: 10.1002/ibd.21546. Epub 2010 Oct 25.
10
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