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综上所述,痛泻要方能通过改变肠道菌群物种组                               Tongxie yaofang in treating IBS-D rats with syndrome of
          成,降低血清LPS浓度和抑制ENS过表达CSF1蛋白,减                            stagnation  of  liver  qi  and  spleen  deficiency[J].  China  J
          轻肠道炎症,从而恢复 MM 中 BMP2 蛋白的正常表达,                           Tradit Chin Med Pharm,2018,33(10):4341-4346.
          减轻结肠运动功能亢进,即通过调节肠道菌群来调控肠                           [ 8 ]  赵迎盼,唐旭东,卞兆祥,等 . IBS-D 肝郁脾虚型病证症
          道菌群-ENS-MM串扰关键蛋白BMP2、CSF1的表达,从                          结合大鼠模型的建立与评价的初步研究[J]. 中国中西医
          而发挥减轻 IBS-D 大鼠结肠运动亢进的作用。但肠道                             结合杂志,2013,33(11):1507-1514.
          菌群-ENS-MM 串扰受许多因素影响,需进一步探讨                              ZHAO Y  P,TANG  X  D,BIAN  Z  X,et  al.  Preliminary
                                                                  study  of  establishing  and  assessing  IBS-D  model  rats  of
          MM的表型变化、肠道菌群其他代谢物的动态变化以及
                                                                  gan stagnation and pi deficiency syndrome[J]. Chin J In‐
          肠神经元兴奋性改变等机制在痛泻要方治疗 IBS-D 中
                                                                  tegr Tradit West Med,2013,33(11):1507-1514.
          的作用。                                               [ 9 ]  AL-CHAER  E  D,KAWASAKI  M,PASRICHA  P  J.  A
          参考文献                                                    new  model  of  chronic  visceral  hypersensitivity  in  adult
          [ 1 ]  SPERBER A  D,DUMITRASCU  D,FUKUDO  S,et  al.     rats induced by colon irritation during postnatal develop‐
              The  global  prevalence  of  IBS  in  adults  remains  elusive   ment[J]. Gastroenterology,2000,119(5):1276-1285.
              due  to  the  heterogeneity  of  studies:a  Rome  foundation   [10]  LI Y F,GONG X L,CHEN S X,et al. Deviations in the
              working  team  literature  review[J].  Gut,2017,66(6):  gut microbiota of neonates affected by maternal group B
              1075-1082.                                          Streptococcus  colonization[J].  BMC  Microbiol,2021,21
          [ 2 ]  熊理守,陈旻湖,陈惠新,等. 社区人群中肠易激综合征                      (1):140.
              的症状学特征[J]. 胃肠病学,2004,9(5):277-279.             [11]  程健,余莹,何君君. 腹泻型肠易激综合征中医“肝郁脾
              XIONG L S,CHEN M H,CHEN H X,et al. Symptomato‐      虚” 本质的探讨与思考[J]. 中华中医药杂志,2020,35
              logic characteristics of irritable bowel syndrome in com‐  (11):5698-5703.
              munity population[J]. Chin J Gastroenterol,2004,9(5):  CHENG  J,YU Y,HE  J  J.  Discussion  and  consideration
              277-279.                                            on the essence of ‘stagnation of liver qi and spleen defi‐
          [ 3 ]  中华医学会消化病学分会胃肠功能性疾病协作组,中华                         ciency’ in diarrhea-predominant irritable bowel syndrome
              医学会消化病学分会胃肠动力学组 . 2020 年中国肠易                        [J]. China J Tradit Chin Med Pharm,2020,35(11):5698-
              激综合征专家共识意见[J]. 中华消化杂志,2020,40                       5703.
              (12):803-818.                                  [12]  STAUDACHER H M,WHELAN K. Altered gastrointesti‐
              Collaborative  Group  of  Gastrointestinal  Functional  Di-   nal microbiota in irritable bowel syndrome and its modifi‐
              seases,Chinese Society of Gastroenterology, Gastrointes‐  cation  by  diet:probiotics,prebiotics  and  the  low
              tinal  Dynamics  Group,Chinese  Society  of  Gastroentero-   FODMAP diet[J]. Proc Nutr Soc,2016,75(3):306-318.
              logy.  Chinese  expert  consensus  of  irritable  bowel  syn‐  [13]  FURNESS J B. The enteric nervous system and neuroga-
              drome in 2020[J]. Chin J Dig,2020,6(12):803-818.    stroenterology[J]. Nat Rev Gastroenterol Hepatol,2012,9
          [ 4 ]  MULLER P A,KOSCSÓ B,RAJANI G M,et al. Cross‐    (5):286-294.
              talk between muscularis macrophages and enteric neurons   [14]  REGO S L,RAGHAVAN S,ZAKHEM E,et al. Enteric
              regulates gastrointestinal motility[J]. Cell,2014,158(5):  neural differentiation in innervated,physiologically func‐
              1210.                                               tional,smooth  muscle  constructs  is  modulated  by  bone
          [ 5 ]  张声生,魏玮,杨俭勤. 肠易激综合征中医诊疗专家共识                       morphogenic  protein  2  secreted  by  sphincteric  smooth
              意见:2017[J]. 中医杂志,2017,58(18):1614-1620.             muscle cells[J]. J Tissue Eng Regen Med,2017,11(4):
              ZHANG S S,WEI W,YANG J Q. Consensus opinion of      1251-1261.
              Chinese medicine diagnosis and treatment experts on irri‐  [15]  SCHNEIDER K M,BLANK N,ALVAREZ Y,et al. The
              table bowel syndrome:2017[J]. J Tradit Chin Med,2017,  enteric nervous system relays psychological stress to intes‐
              58(18):1614-1620.                                   tinal  inflammation[J].  Cell,2023,186(13):2823-2838.
          [ 6 ]  李夏,王凤云,吴皓萌,等. 基于脑-肠互动功能探讨痛泻                      e20.
              要方治疗腹泻性肠易激综合征机制的研究进展[J]. 中国                    [16]  XIAO  L,LIU  Q,LUO  M,et  al.  Gut  microbiota-derived
              实验方剂学杂志,2020,26(20):229-234.                        metabolites in irritable bowel syndrome[J]. Front Cell In‐
              LI X,WANG F Y,WU H M,et al. Research progress on    fect Microbiol,2021,11:729346.
              mechanism  of  Tongxie  yaofang  in  treating  diarrhea-  [17]  MOSSER  D  M,HAMIDZADEH  K,GONCALVES  R.
              predominate irritable bowel syndrome based on brain-gut   Macrophages and the maintenance of homeostasis[J]. Cell
              interaction function[J]. Chin J Exp Tradit Med Formulae,  Mol Immunol,2021,18(3):579-587.
              2020,26(20):229-234.                           [18]  ZHAO Y,WU J F,LI J V,et al. Gut microbiota composi‐
          [ 7 ]  张北华,王微,王凤云,等. 痛泻要方干预腹泻型肠易激                       tion  modifies  fecal  metabolic  profiles  in  mice[J].  J  Pro‐
              综合征肝郁脾虚证模型大鼠的效应评价[J]. 中华中医药                         teome Res,2013,12(6):2987-2999.
              杂志,2018,33(10):4341-4346.                                     (收稿日期:2023-12-04  修回日期:2024-04-24)
              ZHANG  B  H,WANG W,WANG  F Y,et  al.  Effects  of                                   (编辑:张元媛)


          中国药房  2024年第35卷第13期                                              China Pharmacy  2024 Vol. 35  No. 13    · 1611 ·
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