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苓桂术甘汤治疗心衰作用机制研究OA

Research Progress on the Mechanism of Linggui Zhugan Decoction(苓桂术甘汤)in Treating Heart Failure

中文摘要英文摘要

心力衰竭是各种病因引起的心脏结构或功能的改变,受限于目前医疗技术而难以完全治愈,临床再住院率高且预后不良,为改善患者心功能指标及维持患者现有生存质量,应用中医药联合治疗逐渐成为临床医生与患者常选的方案,中医药改善心衰症状的相关作用机制也成为近年来学者研究的重要方向,在心衰疾病的治疗中,其症状改善的原因与抑制心肌纤维化、防止炎症反应过度激活、减轻氧化应激反应等作用机制相关.苓桂术甘汤作为张仲景所创经典方剂,在治疗心系疾病中应用广泛,在苓桂术甘汤治疗心衰疾病的相关文献中,关于其治疗有效的相关作用机制可概括为以下几个方面:调节血脂、调控细胞自噬、调控细胞凋亡及焦亡、调控转化生长因子、调控炎症细胞因子等,以上相关作用机制涵盖了多种不同信号通路,通过这些信号通路,苓桂术甘汤中的主要药物有效成分可达到保护心肌细胞进而改善心衰患者心功能指标及临床症状的作用,且苓桂术甘汤治疗心衰的相关研究表明其有效率较高而不良反应发生率较低.

Heart failure is a disease caused by various etiologies,which lead to changes in heart structure or function.Due to the limitations of current technology,it is difficult to completely cure.The clinical readmission rate is high and the prognosis is poor.In order to improve the cardiac function index of patients and maintain current quality of life of patients,the application of combined traditional Chinese medicine treatment has gradually become the preferred option for clinicians and patients.The related mechanism of traditional Chinese medicine in improving symptoms of heart failure has also become an important direction of scholars in recent years.In the treatment of heart failure,the reasons for the improvement of symptoms are related to the inhibition myocardial fibrosis,the prevention of excessive activation of inflammatory response,and the alleviation of oxidative stress response and other mechanisms.As a classic prescription created by ZHANG Zhongjing,Linggui Zhugan Decoction(苓桂术甘汤)is widely used in the treatment of cardiovascular diseases.In the literature of Linggui Zugan Decoction in the treatment of heart failure,the related mechanisms of its therapeutic effect can be summarized into the following aspects:regulating blood lipid,regulating cell autophagy,regulating cell apoptosis and pyroptosis,regulating transforming growth factor,regulating inflammatory cytokines and so on.The above related mechanisms cover a variety of different pathways.Through these signaling pathways,the main active ingredients of Linggui Zhugan Decoction can play a role in protecting myocardial cells,and then the cardiac function index of patients with heart failure and improve the clinical symptoms of patients with heart failure.Moreover,the relevant studies of Linggui Zhugan Decoction in the treatment of heart failure in the past years have shown that its effective rate is high and the incidence of adverse reactions is low.

许诺;刘岩;李晓凤

天津中医药大学,天津 301617天津中医药大学第二附属医院,天津 300250天津中医药大学第二附属医院,天津 300250

医药卫生

心力衰竭苓桂术甘汤温化痰饮作用机制

heart failureLinggui Zhugan Decoction(苓桂术甘汤)warming and transforming phlegm and dampnessaction mechanism

《辽宁中医药大学学报》 2026 (2)

96-100,5

国家自然科学基金项目(82004329)国家中医药管理局第五批全国中医临床优秀人才研修项目(国中医药人教函[2022]1号)

10.13194/j.issn.1673-842X.2026.02.016

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