Treatment of Functional Dyspepsia with Liver-stomach Disharmony by Chaihu Shugan Power based on the theory of "brain-gut axis"
DOI:
https://doi.org/10.53469/jcmp.2024.06(11).29Keywords:
Brain-gut axis, Functional dyspepsia, Brain-gut interaction, Liver and stomach disharmony, Chaihu Shugan PowerAbstract
Functional dyspepsia (FD) is a common digestive disorder. The brain-gut axis (BGA) is a bidirectional regulatory channel between the brain and the gastrointestinal tract. "Brain-gut interaction" is the core of FD pathogenesis, which echoes the theory of liver-spleen. Traditional Chinese medicine has an improve effect on BGA, by regulating the liver qi, strengthening the spleen and stomach, the internal organs and qi are reached. The functional activities of the spleen manifesting in normal transformation and transportation, and Shui Gu subtlety can be digested and transmitted. At the same time, the five internal organs are unimpeded, the qi and blood are harmonized, the heart and veins are smooth, and the emotions are also relaxed. Chaihu Shugan Power is an effective prescription for the treatment of FD with liver and stomach disharmony. Based on the BGA theory, this paper summarizes the clinical evidence-based medicine evidence and action targets of Chaihu Shugan Powder in regulating "brain-gut interaction", and provides a scientific basis for its clinical application.
References
DROSSMAN D A. Functional Gastrointestinal Disorders: History, Pathophysiology, Clinical Features and Rome IV [J]. Gastroenterology, 2016.
LIANG Gu, LIANG Leixin, QIN Jiang. Research progress on the prevalence of functional gastrointestinal diseases and its influencing factors in different populations in China [J]. Chinese Family Medicine, 2011, 14(11): 1275-1278.
ZHANG Shengsheng, ZHAO Luqing. Expert consensus opinion on functional dyspepsia diagnosis and treatment in traditional Chinese medicine (2017) [J]. Chinese Journal of Traditional Chinese Medicine, 2017, 32(06): 2595-2598.
Westfall, S., et al., Microbiome, probiotics and neurodegenerative diseases: deciphering the gut brain axis. Cell Mol Life Sci, 2017. 74(20): p. 3769-3787.
Wiley, J. W. and L. Chang, Functional Bowel Disorders. Gastroenterology, 2018. 155(1): p. 1-4.
ZHAO Rona, YANG Yuanfeng, LAI Yuchuan, et al. Regulation of colonic VIP/cAMP/PKA/AQP pathway by Radix et Rhizoma Polygoni Multiflori and Rhizoma Cinnamomum Cassiae improves slow-transmitting constipation of Yang-deficient type in rats [J]. Chinese Journal of Experimental Formulas, 2023, 29(21): 103-113.
AN Pengpeng, LAN Yawen, LIU Huanhuan, et al. Clinical efficacy of Huanglian Xieyu Tang in the adjuvant treatment of gastric dyskinesia in the acute stage of cerebral infarction [J]. Chinese Journal of Experimental Formulas, 2023, 29(20): 81-87.
Riezzo, G., et al., Effects of long-term administration of Lactobacillus reuteri DSM-17938 on circulating levels of 5-HT and BDNF in adults with functional constipation. Benef Microbes, 2019. 10(2): p. 137-147.
LI Xue, GENG Xuesi, CHENG Yixian, et al. Expression of CGRP and AchE in a rat model of functional defecation disorder [J]. Tianjin Medicine, 2020, 48(12): 1169-1174.
GUO Yunping, LIAN Haifeng, LI Qiongyu, et al. Role of leptin and BDNF in DSS-induced colitis in mice and its mechanism [J]. Gastroenterology, 2022, 27(05): 270-277.
Cui Guangrui, Yang Weizhong, Qiu Jian, et al. Effects of gastrin-regulated Wnt/β-catenin signaling pathway on proliferation, invasion and migration of gastric cancer cells [J]. Chinese Journal of Gerontology, 2024, 44(05): 1193-1197.
Lv Lin, Wang Fengyun, Ma Xiangxue, et al. Study on the treatment of postprandial discomfort syndrome of functional dyspepsia by Spleen Deficiency Formula No. 1 [J]. Chinese Journal of Traditional Chinese Medicine, 2022, 37(10): 6159-6162.
Ford, A. C., et al., Functional dyspepsia. Lancet, 2020. 396(10263): p. 1689-1702.
Simren, M. and J. Tack, Functional dyspepsia: evaluation and treatment. Gastroenterol Clin North Am, 2003. 32(2): p. 577-99.
YU Minmin, XI Bin. Progress of Chinese and Western medicine research on emotion and functional dyspepsia [J]. Chinese Ethnic and Folk Medicine, 2017, 26(11): 71-73.
Masuy, I., L. Van Oudenhove and J. Tack, Review article: treatment options for functional dyspepsia. Aliment Pharmacol Ther, 2019. 49(9): p. 1134-1172.
Madisch, A., et al., The Diagnosis and Treatment of Functional Dyspepsia. Dtsch Arztebl Int, 2018. 115(13): p. 222-232.
Addula, M., et al., Immunopathological and molecular basis of functional dyspepsia and current therapeutic approaches. Expert Rev Clin Immunol, 2018. 14(10): p. 831-840.
Ho, L., et al., Herbal medicine for functional dyspepsia: Network meta-analysis of placebo-controlled randomised trials. J Ethnopharmacol, 2022. 283: p. 114665.
Xiao, Z., et al., Zhizhu Kuanzhong, a traditional Chinese medicine, alleviates gastric hypersensitivity and motor dysfunction on a rat model of functional dyspepsia. Front Pharmacol, 2022. 13: p. 1026660.
Zhu, J., et al., The Effects of Low-Dose and High-Dose Decoctions of Fructus aurantii in a Rat Model of Functional Dyspepsia. Med Sci Monit, 2020. 26: p. e919815.
Tang, L., et al., Electroacupuncture Upregulated Ghrelin in Rats with Functional Dyspepsia via AMPK/TSC2/Rheb-Mediated mTOR Inhibition. Dig Dis Sci, 2020. 65(6): p. 1689-1699.
Mao Yixin, Hu Yuxing, Mei Si, et al. Discussion on the treatment of hepatocellular carcinoma by Siwei San from the perspective of emotion [J]. World Science and Technology - Modernization of Traditional Chinese Medicine, 2023, 25(05): 1548-1553.
FU Xuyan. Clinical study on the treatment of functional dyspepsia of liver-stomach disharmony type with the addition and subtraction of Chaihu Shugan Power [J]. Shaanxi Traditional Chinese Medicine, 2016, 37(07): 866-867.
ZHANG Meiying, LIU Peng, DU Mei. Clinical efficacy and mechanism of Chaihu Shugan Power plus reduction in treating patients with chronic superficial gastritis of liver-stomach disharmony type [J]. World TCM, 2019, 14(11): 2978-2982.
PENG Shuling, DOU Chenhui, Dai Jingna. Observation on the efficacy of Chaihu Shugan Power plus flavor in treating functional dyspepsia of liver-stomach disharmony type [J]. Shanxi Traditional Chinese Medicine, 2019, 35(04): 13-15.
Lv Ran, Wang Wei, Liu Lijuan, et al. Effects of adding and subtracting Chaihu Shugan Power on symptoms, anxiety and depression, and nucleus pulposus gastric emptying in functional dyspepsia of liver-stomach qi stagnation type [J]. Chinese Journal of Traditional Chinese Medicine, 2022, 37(03): 1815-1818.
Wang, Y., et al., Effect of Chaihu-Shugan-San on functional dyspepsia and gut microbiota: A randomized, double-blind, placebo-controlled trial. J Ethnopharmacol, 2024. 322: p. 117659.
YANG Keming, JIA Yuebo, YELIYA Yelta, et al. Effects of Chaihu Shugan Power on duodenal mucosal barrier and intestinal flora in rats with functional dyspepsia model [J]. Journal of Traditional Chinese Medicine, 2023, 64(23): 2443-2453.
LIN Jiejun, DUAN Yang, LONG Miaoqing, et al. Progress on the pharmacodynamic substances and mechanism of action of Chaihu Shugan Power in antidepressant treatment [J]. Chinese Journal of Experimental Formulas, 2024.
LI Yanfeng, LIU Yashu, LI Yansheng. Progress in the study of chemical composition and pharmacological effects of Chai Hu [J]. Northwest Journal of Pharmacy, 2022, 37(05): 186-192.
JIANG Feng, ZHANG Juan, YAO Yu, et al. Clinical observation of Chaihu Shugan Power with acupuncture in the treatment of liver-qi stagnation type post-stroke depression [J]. Journal of Liaoning University of Traditional Chinese Medicine, 2024.
Li H, Mu H. Efficacy of Chaihu Shugan Power combined with western medicine in the treatment of functional dyspepsia of liver-stomach disharmony type and its effect on patients' serum gastrointestinal hormone levels [J]. Shaanxi Traditional Chinese Medicine, 2020, 41(07): 904-906.
HOU Wen, XU Jian. Progress on the pharmacological effects of Chinese medicine Xiangshu in different physiological systems of human body [J]. Sichuan Traditional Chinese Medicine, 2022, 40(01): 213-216.
YU Junbao, ZHU Jiayuan, MEI Wenya, et al. Progress on the mechanism of regulating gastrointestinal motility of Citrus aurantium and its active ingredients [J]. Chinese Journal of Experimental Formulas, 2024.
LUO Chunhua, MOS Rui, HUANG Jielian, et al. Advances in pharmacological effects and product development of Chen Pi [J]. Asia-Pacific Traditional Medicine, 2023, 19(09): 229-234.
Dang Li, Zhang Hong. Pharmacological effects of peony and licorice soup in the treatment of peptic ulcer [J]. Journal of Shanxi Workers' Medical College, 2012, 22(01): 57-58.
LIU Pei, WANG Shengchao, ZHANG Zhenling, et al. Study on quality control of five chemical components in Paeonia lactiflora based on one-test-multiple-assessment method [J]. Journal of Chinese Medicine, 2019, 34(08): 1723-1729.
CHEN Qi, HE Xiangyu, ZHOU Manjia, et al. Progress of chemical composition, pharmacological effect and clinical application of Paeonia lactiflora [J]. Clinical Medicine Research and Practice, 2021, 6(11): 187-189.
LI Yunhui, ZHANG Chunhu, WANG Su'e, et al. Effects of Chaihu Shugan Power on behavior and plasma adrenocorticotropic hormone-releasing hormone and adrenocorticotropic hormone in a rat model of chronic stress and depression [J]. Journal of Integrative Medicine, 2009, 7(11): 1073-1077.
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