瓜蒌及其配伍在糖尿病心血管病防治中的应用OA
Application of Gualou(Fructus Trichosanthis)and Its Compatibility in Prevention and Treatment of Cardiovascular Disease in Diabetes
瓜蒌具有清热化痰、宽胸散结的功效.现代药理学显示,瓜蒌具有抗氧化应激、调节糖脂代谢、抗血小板凝聚、实现血糖调控与心血管的系统保护作用.瓜蒌单药使用即可对糖尿病心血管病变起到良好的治疗效果,与薤白、黄连、半夏、桂枝等相伍成药对,展现出多样化的治疗效果.其类方小陷胸汤、瓜蒌薤白半夏汤、枳实薤白桂枝汤可通过调节血脂代谢、抑制炎症反应、改善血管内皮功能、降低血糖水平发挥作用.通过系统性地梳理与分析中医古典文献、现代临床研究成果及实验数据,对瓜蒌及其配伍应用和瓜蒌类方的最新研究进展进行梳理.旨在为糖尿病心血管病变的中医辨证治疗策略提供新的理论支撑与实践参考,进一步挖掘并发挥瓜蒌及其配伍在临床治疗中的独特优势与价值.
Gualou(Fructus Trichosanthis)has the effects of clearing heat,resolving phlegm,widening the chest and disper-sing nodules.Modern pharmacology shows that Gualou(Fructus Trichosanthis)has antioxidant stress,regulates glucose and lipid metabolism,inhibits platelet aggregation and achieves systemic protection of blood glucose regulation and cardiovascular system.It has a good therapeutic effect on cardiovascular disease of diabetes when used alone.It can be used in combination with Xiebai(Allii Macrostemonis Bulbus),Huanglian(Coptidis Rhizoma),Banxia(Pinelliae Rhizoma)and Guizhi(Cinnamomi Ramulus),showing a variety of therapeutic effects.Its related formulae like Xiaoxianxiong Decoction(小陷胸汤),Gualou Xiebai Banxia De-coction(瓜蒌薤白半夏汤)and Zhishi Xiebai Guizhi Decoction(枳实薤白桂枝汤)can regulate blood lipid metabolism,inhibit inflammatory reactions,improve vascular endothelial function and lower blood sugar levels.This article aimed to systematically re-view and analyze classical Chinese medicine literature,modern clinical research results and experimental data to provide a de-tailed overview of the latest research progress on compatibility applications and the related formulae of Gualou(Fructus Trichosan-this),so as to provide new theoretical support and practical reference for TCM syndrome differentiation treatment strategy of dia-betes and cardiovascular disease,and further excavate and play the unique advantages and value of tri-chosanthes and its com-patibility in clinical treatment.
李开民;张珊珊;李晓
山东中医药大学第一临床医学院,山东济南 250355山东中医药大学第一临床医学院,山东济南 250355山东中医药大学附属医院,山东济南 250014
医药卫生
瓜蒌糖尿病心血管疾病配伍类方
Gualou(Fructus Trichosanthis)diabetescardiovascular diseasecompatibilityrelated formulae
《中华中医药学刊》 2026 (4)
149-152,4
国家自然科学基金项目(82074388)济南市科技局临床医学科技创新计划项目(202328083)山东中医药大学附属医院第二批院级青年名中医项目(depyjqnmzy-08)
评论