基于"土壅木郁"探讨胆汁酸-肠道菌群轴对肝内胆汁淤积症的影响OA
Exploration on Effect of Bile Acid-Intestinal Microbiota Axis on Intrahepatic Cholestasis Based on"Earth Congestion and Wood Stagnation"
肝内胆汁淤积症是常见的肝脏系统疾病.胆汁酸-肠道菌群轴失衡与肝内胆汁淤积症的发生发展密切相关."土壅木郁"是脾土壅滞、反侮肝木而致使肝木郁滞的病理过程,在肝内胆汁淤积症的发病过程中起着重要作用.肠道微生态紊乱与胆汁酸代谢障碍是"土壅木郁"的重要体现.本文通过探讨"土壅木郁"、胆汁酸-肠道菌群轴失衡、肝内胆汁淤积症三者之间的关系,提出可依据"土壅木郁"干预胆汁酸-肠道菌群轴防治肝内胆汁淤积症,为中西医结合防治肝内胆汁淤积症提供新的思路.
Intrahepatic cholestasis is a common liver system disease.The imbalance of the bile acid-intestinal microbiota axis is closely related to the occurrence and development of intrahepatic cholestasis."Earth congestion and wood stagnation"is a pathological process in which the spleen earth is obstructed and counterattacks the liver wood,leading to the stagnation of liver wood.It plays a significant role in the pathogenesis of intrahepatic cholestasis.Intestinal microecological disorder and bile acid metabolism disorder are important manifestations of"earth congestion and wood stagnation".This article explores the relationship among"earth congestion and wood stagnation",bile acid-intestinal microbiota axis imbalance,and intrahepatic cholestasis,and proposes that the bile acid-intestinal microbiota axis can be intervened based on the"earth congestion and wood stagnation"theory to prevent and treat intrahepatic cholestasis,which provides a new idea for the integrated prevention and treatment of intrahepatic cholestasis with traditional Chinese and Western medicine.
王文秀;王玉娟;王继衡;于丽丽;段晓东
山东中医药大学第一临床医学院,山东济南 250014中国中医科学院广安门医院济南医院/济南市中医医院,山东济南 250012中国中医科学院广安门医院济南医院/济南市中医医院,山东济南 250012中国中医科学院广安门医院济南医院/济南市中医医院,山东济南 250012中国中医科学院广安门医院济南医院/济南市中医医院,山东济南 250012
医药卫生
土壅木郁胆汁酸代谢肠道菌群肝内胆汁淤积症
earth congestion and wood stagnationbile acid metabolismintestinal microfloraintrahe-patic cholestasis
《山东中医杂志》 2026 (1)
27-31,5
山东省中医药科技面上项目(编号:2020M098)济南市卫生健康委员会中医药科技计划专项(编号:2022-中-02)
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