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活血化瘀类中药在硬皮病中的应用及机制研究进展

Progression of mechanism research and application of traditional Chinese medicine for promoting blood circulation and removing blood stasis in the treatment of scleroderma

  • 摘要: 硬皮病是一种复杂的多器官累及的自身免疫性疾病,以皮肤和内脏器官结缔组织发生进行性纤维化为特征。中医认为硬皮病属于“痹症”范畴,具有血瘀证征象,故活血化瘀治疗贯穿全程;而西医则认为,硬皮病是由血管病变、胶原合成异常、免疫紊乱等导致的结缔组织细胞外基质过度沉积。近年来,越来越多的学者发现活血化瘀类中药成功改善硬皮病动物模型的炎症、纤维化、血管病变等,并逐渐将这类中药应用于临床患者。这类动物试验结果符合西医对硬皮病发病机制的认识,也为活血化瘀类中药的应用提供了客观实验证据。

     

    Abstract: Scleroderma is a complex, multiorgan, autoimmune disease that is characterized by the progressive fibrosis mainly involving the connective tissue of the skin and internal organs. Based on the traditional Chinese medicine, scleroderma belongs to the category of "Bi Zheng" with blood stasis symptom, which leads to a throughout treatment of promoting blood circulation and removing blood stasis. However, Western medicine believes that scleroderma is excessive deposition of extracellular matrix (ECM) of connective tissue caused mainly by vasculopathy, abnormal collagen synthesis and autoimmune disorder. In recent years, an increasing number of researchers have found that some of traditional Chinese herbs for promoting blood circulation and removing blood stasis can successfully improve the inflammation, fibrosis and vasculopathy in the animal models of scleroderma, and these herbs have been gradually applied to scleroderma patients. These results from animal trials accord with Western medicine's understanding of the pathogenesis of scleroderma and provide objective experimental evidence for application of traditional Chinese herbs for promoting blood circulation and removing blood stasis in the treatment of scleroderma.

     

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