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桃红四物汤治疗缺血性脑卒中机制研究OA

Study on the Mechanism of Taohong Siwu Decoction(桃红四物汤)in the Treatment of Ischemic Stroke

中文摘要英文摘要

缺血性脑卒中主要是指因脑部供血动脉急性闭塞或严重狭窄导致局部脑组织缺血、缺氧,从而引发神经细胞坏死的一类脑血管疾病.该病发病机制复杂,病情迁延难愈,复发率、致残率和致死率极高,给个人及家庭带来了沉重的心理负担和经济压力.目前,缺血性脑卒中的治疗手段在不断丰富和优化,但仍存在不良反应明显、治疗时间窗短暂、后遗症多等缺点.大量研究发现,中医药治疗该病具有显著优势.桃红四物汤首载于《医宗金鉴》,具有养血不留瘀、活血不伤正的特点.研究表明,桃红四物汤能够通过减轻炎症反应、抗氧化应激、抑制细胞凋亡、调节自噬功能、修复损伤神经、改善血流循环等产生抗缺血性脑卒中作用,且复方与单药作用具有一致性.因此该文就桃红四物汤复方,以及桃仁、红花、生地黄、白芍、当归、川芎单味药治疗缺血性脑卒中展开综述,以期为今后中医药治疗缺血性卒中的研究提供方向和思路.

Ischemic stroke mainly refers to a type of cerebrovascular disease where the local brain tissue suffers from ischemia and hypoxia due to acute occlusion or severe stenosis of the blood supply arteries in the brain,leading to the necrosis of nerve cells.Its pathogenesis is extremely complex,with a prolonged and difficult-to-recover condition,high recurrence rate,disability rate,and mortality rate,causing heavy psychological burdens and economic pressure on individuals and families.Currently,the treatment methods for ischemic stroke are constantly expanding and optimizing,but still have disadvantages such as obvious adverse reactions,short treatment time window,and numerous sequelae.A large number of studies have found that traditional Chinese medicine treatment for this disease has significant advantages.Taohong Siwu Decoction(桃红四物汤)was first recorded in Medical Canon of the Master of Medicine,and it has the characteristics of nourishing blood without leaving stasis and activating blood without harming the body.Studies have shown that Taohong Siwu Decoction can produce anti-ischemic stroke effects by reducing inflammatory responses,anti-oxidative stress,inhibiting cell apoptosis,regulating autophagy function,repairing damaged nerves,and improving blood circulation,and the effects of the compound formula are consistent with those of single drugs.Therefore,this article reviews the Taohong Siwu Decoction formula,as well as the single herbs of Taoren(Persicae Semen),Honghua(Carthami Flos),Shengdihuang(Rehmanniae Radix Recens),Baishao(Paeoniae Radix Alba),Danggui(Angelicae Sinensis Radix),Chuanxiong(Chuanxiong Rhizoma)for the treatment of ischemic stroke,in order to provide directions and ideas for future research on the treatment of ischemic stroke with traditional Chinese medicine.

孟丽;张金培;秦梦歌

陕西中医药大学,陕西 咸阳 712000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 712000

医药卫生

缺血性脑卒中桃红四物汤炎症反应氧化应激细胞凋亡自噬

cerebral ischemic strokeTaohong Siwu Decoction(桃红四物汤)inflammatory responseoxidative stresscellular apoptosisautophagy

《辽宁中医药大学学报》 2026 (9)

108-113,6

国家自然科学基金项目(82374236)陕西中医药大学附属医院院士专家工作站资助项目(陕组通字2019-49号)咸阳市自然科学基金项目(2018k02-89)

10.13194/j.issn.1673-842X.2026.09.018

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