首页|期刊导航|中医药临床杂志|基于微生物-肠-脑轴从"胃主神明"论治缺血性脑卒中

基于微生物-肠-脑轴从"胃主神明"论治缺血性脑卒中OA

Treatment of Ischemic Stroke based on the Gut-microbe Axis and the Concept of"the Stomach Governs the Mind"

中文摘要英文摘要

随着微生物-肠-脑(Microbe-Gut-Brain,MGB)轴理论体系的不断完善及其在缺血性脑卒中(Ischemic Stroke,IS)病理机制中的深入研究,MGB 轴已被证实参与调控 IS 发生发展的全过程,并对疾病预后产生重要影响."胃主神明"理论认为,胃作为"水谷之海",主司受纳腐熟水谷,化生精微以濡养脑窍,其与心脑通过经络相连,在功能上相互为用,共同调节五脏六腑及神志活动.现代研究表明,肠道微生态环境、微生物代谢产物与中枢神经系统之间存在着复杂的双向调控机制.该研究立足于"胃主神明"理论内涵,结合 MGB 轴最新研究进展,系统探讨 IS 发病过程中胃与脑的交互作用机制,旨在从现代科学角度阐释中医药基于"胃主神明"理论防治 IS 的作用靶点,为拓展中医药在 IS 治疗中的临床应用提供理论支撑.

With the continuous improvement of the gut-brain(MGB)axis theory and its in-depth research on the pathological mechanisms of ischemic stroke(IS),the MGB axis has been confirmed to participate in regulating the entire process of IS development and progression,and has a significant impact on disease prognosis.The theory of"the stom-ach governs the mind"posits that the stomach,as the"sea of water and grain,"is responsible for receiving and digesting food,transforming it into essential nutrients to nourish the brain.It is connected to the heart and brain through merid-ians,functionally interacting and jointly regulating the activities of the five internal organs and the mind.Modern research shows that there is a complex bidirectional regulatory mechanism between the gut micro-ecological environment,micro-bial metabolites,and the central nervous system.This study,based on the connotation of the"stomach governs the mind"theory and combined with the latest research progress on the MGB axis,systematically explores the interaction mechanism between the stomach and brain during the pathogenesis of IS.The aim is to elucidate the target of traditional Chinese medicine(TCM)in preventing and treating IS based on the"stomach governs the mind"theory from a modern scientific perspective,providing theoretical support for expanding the clinical application of TCM in IS treatment.

陈芳艳;刘普一;林佩怡;叶海敏;吴清明;张鹏

湖南中医药大学第二附属医院 湖南 长沙 410005湖南中医药大学第二附属医院 湖南 长沙 410005湖南中医药大学第二附属医院 湖南 长沙 410005湖南中医药大学第二附属医院 湖南 长沙 410005湖南中医药大学第二附属医院 湖南 长沙 410005湖南中医药大学第二附属医院 湖南 长沙 410005

医药卫生

缺血性脑卒中胃主神明微生物-肠-脑轴短链脂肪酸

Ischemic strokeStomach governs the mindMicrobiome-Gut-Brain AxisShort-chain fatty acids

《中医药临床杂志》 2026 (6)

1094-1100,7

湖南省普惠性政策与创新环境建设计划项目(2021SK51304)湖南省自然科学基金项目(2022JJ30450)湖南省教育厅资助重点科研项目(24A0255)

10.16448/j.cjtcm.2026.0604

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