Clinical research progress on treatment of liver cirrhosis with traditional Chinese medicine.
10.19540/j.cnki.cjcmm.20250512.501
- Author:
Zhi-Min ZHAO
1
;
Cheng-Hai LIU
1
Author Information
1. Institute of Liver Diseases, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine Shanghai 201203, China Shanghai Key Laboratory of Traditional Chinese Clinical Medicine Shanghai 201203, China Key Laboratory of Liver and Kidney Diseases, Ministry of Education Shanghai 201203, China.
- Publication Type:English Abstract
- Keywords:
clinical efficacy;
combination of disease and syndrome;
decompensated cirrhosis;
liver cirrhosis;
liver fibrosis
- MeSH:
Humans;
Liver Cirrhosis/complications*;
Drugs, Chinese Herbal/therapeutic use*;
Animals;
Medicine, Chinese Traditional
- From:
China Journal of Chinese Materia Medica
2025;50(15):4178-4189
- CountryChina
- Language:Chinese
-
Abstract:
Liver cirrhosis is the pathological outcome of chronic liver diseases due to a variety of causes. Liver cirrhosis at different stages differs greatly in patients' conditions, which can seriously affect the prognosis of patients. Elimination of the causes and symptomatic treatments are the main ways to treat liver cirrhosis at present. However, the curative effect cannot meet the clinical needs. There is a long-term experience accumulation of traditional Chinese medicine(TCM) in the treatment of liver cirrhosis and its complications. This review focuses on the clinical research progress on the treatment of liver cirrhosis with TCM from the perspectives of histological regression of liver fibrosis and prevention and treatment of decompensated cirrhosis and its complications. The aim is to provide reference for clinical treatment and explore future research directions. The commonly used proprietary Chinese medicines and experience prescriptions with the anti-liver fibrosis effect not only effectively facilitate histological regression but also prevent variceal bleeding and reduce the incidence of hepatocellular carcinoma. The combined therapy integrating traditional Chinese and western medicine plays a crucial role in preventing and treating complications of liver cirrhosis. Its mechanisms are related to inhibiting stellate cell activation, protecting hepatocytes from injury, promoting hepatocyte regeneration, inhibiting hepatic sinusoidal capillarization, regulating renin-angiotensin-aldosterone system, improving gastrointestinal motility, and so on. Aiming at the main pathological processes including liver fibrosis, liver regeneration, and liver cancer, efforts should be made to realize combination of disease and syndrome and further strengthen TCM clinical research, which are of great significance for improving clinical efficacy of liver cirrhosis and its complications.
