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乌头类药材抗类风湿关节炎作用机制研究进展OA

Research Progress of Anti-Rheumatoid Arthritis Mechanism of Aconite Herbs

中文摘要英文摘要

类风湿关节炎(rheumatoid arthritis,RA)是一种全身性慢性自身免疫性疾病,其发生过程复杂,具体发病机制至今尚未完全阐明,阻碍了新型抗RA药物的研发,对人体健康和社会经济带来重负.目前认为RA的发生主要与环境因素、遗传因素、免疫紊乱等有关.当前治疗RA药物多为改善病情抗风湿药(disease-modifying anti-rheumatic drugs,DMARDs)、非甾体抗炎药、糖皮质激素和生物制剂等,虽具有一定疗效但存在治疗费用昂贵、不良反应较多等缺点.而传统中药乌头类药材,具有祛风除湿、温经止痛等功效,在临床上常被用于治疗RA,在RA治疗中体现出显著优势.因此,从乌头类药材及其活性成分、药对、复方等多个层面,系统梳理乌头类药材抗RA作用机制研究进展,旨在为乌头类药材治疗RA的临床应用和现代化研究提供科学依据.

Rheumatoid arthritis(RA)is a systemic chronic autoimmune disease with a complex pathogenesis that has not been fully elucidated to date,hindering the development of new anti-RA drugs and imposing a heavy burden on human health and socioeconomics.It is currently believed that the occurrence of RA is mainly related to environmental factors,genetic factors,immune disorders and so on.Currently,the main drugs used in the treatment of RA are disease-modifying anti-rheumatic drugs(DMARDs),non-steroidal anti-inflammatory drugs,glucocorticosteroids and biologics,which have certain efficacy,but suffer from the disadvantages of expensive treatment costs and more adverse reactions.In contrast,traditional Chinese medicinal herbs of the aconite group,which have the efficacy of dispelling wind and removing dampness,warming meridians and relieving pain,are often used in clinical compounding for the treatment of RA,and have demonstrated significant advantages in the treat-ment of RA.Therefore,this paper systematically investigated the progress of the anti-RA mechanism of aconite herbs from aco-nite herbs,the active ingredients,medicinal pairs and compound formulas,aiming to provide a scientific basis for the clinical ap-plication and modernization of aconite herbs in the treatment of RA.

林欣悦;秦懿慧;赵翡翠

新疆医科大学第四临床医学院,新疆乌鲁木齐 830000新疆医科大学第四临床医学院,新疆乌鲁木齐 830000新疆医科大学附属中医医院,新疆乌鲁木齐 830000||新疆维吾尔自治区中药炮制研究重点实验室,新疆乌鲁木齐 830000||新疆维吾尔自治区名老中医药专家传承工作室,新疆乌鲁木齐 830000

医药卫生

乌头类药材类风湿性关节炎(RA)作用机制

aconite herbsrheumatoid arthritis(RA)mechanism of action

《中华中医药学刊》 2026 (4)

158-163,6

国家自然科学基金项目(82260766)新疆维吾尔自治区自然科学基金重点项目(2022D01D24)

10.13193/j.issn.1673-7717.2026.04.033

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