茯苓治疗高尿酸血症及痛风的药理作用与机制研究OA
Research on the Pharmacological Effects and Mechanisms of Fuling(Poria)in the Treatment of Hyperuricemia and Gout
高尿酸血症与痛风作为常见的代谢性疾病,其全球发病率逐年攀升,严重威胁人类健康.西医治疗虽能有效控制症状,但长期应用常伴随肝肾损伤、胃肠道反应等不良反应,且患者用药依从性较差.茯苓作为我国传统中药,具有利水渗湿、健脾和胃、宁心安神等功效.近年药理学研究表明,茯苓在治疗高尿酸血症及痛风方面展现出多成分、多靶点、多通路的特点.该文系统梳理了茯苓在治疗高尿酸血症及痛风方面的现代药理作用及机制研究进展,重点阐述其在抑制尿酸生成、促进尿酸排泄、抗炎镇痛、肾脏保护以及调节肠道菌群等方面的作用机制.同时,该文也从中医理论角度深入探讨了茯苓治疗高尿酸血症及痛风的理论基础,为其临床应用提供更为充分的理论依据.该文旨在整合现有研究成果,突出茯苓作为多靶点整合调节剂的独特优势,为茯苓在高尿酸血症及痛风治疗中的深入研究和临床应用提供参考.
Hyperuricemia and gout,as prevalent metabolic disorders,are increasingly affecting global populations and posing significant threats to human health.While Western medicine offers effective symptomatic control,long-term use is often accompanied by adverse effects such as hepatorenal impairment and gastrointestinal reactions,along with poor patient compliance.Fuling(Poria),a traditional Chinese medicine,is renowned for its diuretic,dampness-eliminating,spleen-invigorating,and mind-calming properties.Recent pharmacological studies have revealed that Fuling(Poria)exhibits multi-component,multi-target,and multi-pathway characteristics in the treatment of hyperuricemia and gout.This article systematically reviews the research progress on the modern pharmacological effects and underlying mechanisms of Fuling(Poria)in treating hyperuricemia and gout,with emphasis on its roles in inhibiting uric acid production,promoting uric acid excretion,exerting anti-inflammatory and analgesic effects,protecting renal function,and regulating gut microbiota.Furthermore,this review delves into the theoretical basis of Fuling(Poria)in treating hyperuricemia and gout from the perspective of traditional Chinese medicine theory,providing a more comprehensive theoretical foundation for its clinical application.This article aims to integrate existing research findings to highlight the unique advantages of Fuling(Poria)as a multi-target integrative regulator,thereby offering valuable references for its further investigation and clinical use in the management of hyperuricemia and gout.
梁翠;王振刚;肖琪琳;蓝锦绣;刘光诺;刘诗娟
广西中医药大学,广西 南宁 530000广西中医药大学第一附属医院,广西 南宁 530000广西中医药大学,广西 南宁 530000广西中医药大学,广西 南宁 530000广西中医药大学,广西 南宁 530000广西中医药大学,广西 南宁 530000
医药卫生
茯苓高尿酸血症痛风作用机制现代药理中医理论
Fuling(Poria)hyperuricemiagoutmechanism of actionmodern pharmacologytraditional Chinese medicine theory
《辽宁中医药大学学报》 2026 (8)
55-59,5
国家自然科学基金项目(82060804)广西自然科学基金项目(2024GXNSFAA010285,2025GXNSFAA069339)广西中医药适宜技术开发与推广项目(GZSY23-23)
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