Chinese Medicine Regulates Intestinal Flora to Treat Ulcerative Colitis in Patients with Syndrome of Large Intestine Dampness-heat: A Review
10.13422/j.cnki.syfjx.20231636
- VernacularTitle:中药调控肠道菌群改善溃疡性结肠炎大肠湿热证的研究进展
- Author:
Jingyi LONG
1
;
Aihua LIANG
2
Author Information
1. School of Traditional Chinese Medicine,Tianjin University of Traditional Chinese Medicine, Tianjin 301617,China
2. Key Laboratory of Beijing for Identification and Safety of Chinese Medicine,Institute of Chinese Materia Medica,China Academy of Chinese Medical Sciences,Beijing 100700,China
- Publication Type:Journal Article
- Keywords:
ulcerative colitis;
intestinal flora;
syndrome of large intestine dampness-heat;
review;
Chinese medicine;
regulation
- From:
Chinese Journal of Experimental Traditional Medical Formulae
2024;30(1):244-254
- CountryChina
- Language:Chinese
-
Abstract:
The clinical changes of ulcerative colitis (UC) with the main syndrome of large intestine dampness-heat and the alterations of intestinal flora in UC were summarized to reveal the underlying mechanism. After review of the treatment methods for UC with the syndrome of large intestine dampness-heat, we identified the representative traditional Chinese medicines and compound prescriptions and explored the treatment mechanisms. Furthermore, we probed into the associations of UC and the treatment methods with the intestinal flora. The related articles were retrieved from China National Knowledge Infrastructure (CNKI). The available studies have shown that Akkermansia muciniphila, Escherichia coli, Enterococcus, and probiotics such as Bifidobacterium and Lactobacillus are closely associated with Chinese medicines in UC patients with the syndrome of large intestine dampness-heat. However, due to the shortcomings in clinical research and the susceptibility of intestinal flora to diverse factors, it is still challenging to accurately characterize the intestinal flora changes associated with diseases. Additionally, the research on the mechanisms of Chinese medicines in regulating intestinal flora in UC patients with the syndrome of large intestine dampness-heat remains to be improved. The feasibility of using Chinese medicines and compound prescriptions for precise regulation of intestinal flora in these patients is still debatable. In this regard, scientific issues such as the biological connotation of UC with the syndrome of large intestine dampness-heat and the correlation between syndrome and intestinal flora have become primary research tasks. Additionally, attention should also be paid to the interactions between the intestinal lumen exposure profile of Chinese medicines and intestinal flora. Finally, the thinking of traditional Chinese medicine (TCM) and the concepts of modern medicine should be combined for the research on the formulation of TCM regimens for regulating intestinal flora in treating UC.