桃仁-红花药对药理作用及临床应用研究OA
Research on Pharmacological Effects and Clinical Applications of the Taoren(Persicae Semen)-Honghua(Carthami Flos)Herb Pair
桃仁-红花是临床治疗血证的经典药对,二者临床上相须为用,归心、肝经且具活血化瘀功效,是桃红四物汤等经典活血方的核心组成.活性成分方面,桃仁以脂肪酸类、苦杏仁苷为核心,红花含羟基红花黄色素A等特征性成分;二者共煎可生成特有亲油型相态,还能提升其口服生物利用度.药理研究表明,该药对核心作用为抗凝抗血栓,可通过抑制血小板活化、改善血液流变学指标等发挥效应;同时兼具抗炎、降糖降脂、抗肿瘤作用,涉及调控多条信号通路.临床应用上,该药对广泛用于心血管、脑血管、妇科、骨科、肾脏、内分泌、皮肤等多系统血瘀相关疾病,如冠心病、缺血性脑卒中、痛经、骨折术后深静脉血栓、慢性肾脏病、糖尿病周围神经病变、白癜风等,且配伍使用疗效优于单药.桃仁-红花药对临床应用广泛,疗效明显,安全性高,因此作者综合近年来有关研究文献,从药对的成分、药理作用及临床上的应用等角度综述其研究现状,为其在临床上更广泛的应用提供借鉴.
Taoren(Persicae Semen)and Honghua(Carthami Flos)are classic medicinal pairs for the clinical treatment of blood syndromes.The two have complementary clinical uses.They return to the heart and liver meridian and have the effect of activating blood circulation and removing blood stasis.They are the core components of classic blood-activating prescriptions such as Taohong Siwu Decoction(桃红四物汤).In terms of active ingredients,Taoren(Persicae Semen)contain fatty acids and amygdalin as the core,while Honghua(Carthami Flos)contains hydroxysafflor yellow A and other characteristic ingredients.Decoction of the two can produce a unique lipophilic phase and improve its oral bioavailability.Pharmacological studies have shown that the core effect of this drug is anticoagulation and antithrombosis,which can exert effects by inhibiting platelet activation and improving blood rheology indicators.It also has anti-inflammatory,hypoglycemic and lipid-lowering,and anti-tumor effects,involving the regulation of multiple signaling pathways.In terms of clinical application,the drug is widely used for cardiovascular,cerebrovascular,gynecological,orthopedic,renal,endocrine,skin and other multi-system blood stasis-related diseases,such as coronary heart disease,ischemic stroke,dysmenorrhea,deep vein thrombosis after fracture,chronic kidney disease,diabetic peripheral neuropathy,vitiligo,etc.,and the combined use is more effective than a single drug.Taoren(Persicae Semen)-Honghua(Carthami Flos)herb pair is widely used in clinical applications,with obvious curative effect and high safety.Therefore,the author summarizes the relevant research literature in recent years and reviews its research status from the perspectives of the composition,pharmacological effects and clinical application of the medicinal pair,so as to provide reference for its wider clinical application.
王建;雷根平;王冰严
陕西中医药大学,陕西 咸阳 712046陕西中医药大学附属医院,陕西 咸阳 712000陕西中医药大学,陕西 咸阳 712046
医药卫生
桃仁-红花药对活血化瘀药理桃红四物汤
Taoren(Persicae Semen)-Honghua(Carthami Flos)herb pairactivating blood circulation and removing blood stasispharmacologyTaohong Siwu Decoction(桃红四物汤)
《辽宁中医药大学学报》 2026 (9)
61-65,5
国家自然科学基金面上项目(82174335)陕西省高校黄大年式教师团队(陕教函[2023]668号)
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