中药单体、药对药组及复方治疗子宫内膜异位症的研究现状

Research status of traditional Chinese medicine monomer,drug-to-drug groups and compound formula in the treatment of endometriosis

子宫内膜异位症(EMs)的干预包括手术切除病灶和激素治疗,通常疗效有限且存在药物不良反应。中药具有多成分、多靶点的特点,通过干预疾病不同环节,帮助患者获得良好的临床效益。本文对三棱、莪术的现代药理学进行简单论述,深入总结中药单体与经典复方提取物及其活性成分通过信号通路在炎症、免疫系统、血管生成、激素调节等方面可能发挥的作用机制,为临床使用中药单体、药对药组及复方治疗EMs提供理论基础。

Interventions for endometriosis(EMs)include surgical excision of lesions and hormonal therapy,which usually have limited efficacy and adverse drug reactions.Traditional Chinese medicine(TCM)has the multi-component and multi-target characteristics,which can help patients achieve good clinical benefits by intervening in different parts of the disease.In this paper,we briefly discuss the modern pharmacology of Sanlang and Curcuma longa,and deeply summarize the possible mechanisms of action of TCM monomer and classical compound extracts and their active ingredients through signal pathways in inflammation,immune system,angiogenesis,hormone regulation,etc.,so as to provide theoretical bases for the clinical use of TCM monomers,drug-to-drug groups and compounds in the treatment of EMs.