中医药研究论丛

281.1 当归补血汤水萃物对PHZ诱导贫血大鼠的疗效

TJ TCM.28(1) : 1-12, 2025

DOI : 10.6516/TJTCM.202503_28(1).0001

当归补血汤水萃物对PHZ诱导贫血大鼠的疗效

Effects of aqueous Danggui Buxue Tang extracts on Phenylhydrazine induced anemia in rats

徐靖翔1林煜程1林宜铮2蔡金川3,*

1义大癌治疗医院中医科,高雄,台湾

2常生中医诊所,台北,台湾

3义大大昌医院,高雄,台湾

【摘要】
贫血,是一个在不管是已开发或是开发中国家常见的疾病,全世界人口中大约1.96亿人都有着这种疾病,而溶血性贫血也是其中一种,溶血的病因通常分为後天性或遗传性,溶血性贫血的常见後天原因是自体免疫、微血管病变和感染。由抗红血球抗体引起的免疫反应的溶血可能被恶性肿瘤、自体免疫疾病、药物和输血反应等所引发;当归补血汤,出自西元1247,李杲所着的内外伤辨惑论,是由当归、黄耆以1:5的比例混合煎煮而成,其组成简单,药物比例明确无争议,是中医在治疗血虚证型患者的一个指标性方剂,此外,因其特殊的比例,体现了中医在气血上面的思考,中医在面对气血时常有『血为气之母,气为血之帅。』的说法,所以在一个以补血为主的方剂中却是以传统上补气为主的药物占了较大的比例。在过去十年的研究中指出,当归补血汤因其简单组成的特性,有许多针对贫血的研究,其中部分贫血动物模型中可以发现有促进红血球生成素的分泌、血小板的降低与免疫力改善的效果,然而,针对由苯肼诱发溶血性贫血的动物模型,当归补血汤的整合性研究是缺乏的。因此,本研究的目标为探讨当归补血汤水萃液对於贫血的保护作用,评估对红血细胞计数(RBC)及血红蛋白(Hemoglobin)的影响。在经过2天的诱导溶血性贫血之後,实验组再分为经由计算得出的一般剂量组与双倍剂量组与使用支持疗法的标准治疗组,在经过喂食5天当归补血汤水萃物後,得出在双倍剂量组中Hemoglobin与RBC相比起对照组均有明显的上升效果。本研究是较为广泛的溶血性贫血的治疗效果的探讨,目前的成果对对临床上贫血治疗的未来研究可做到奠基的作用,以期在之後当更多更新的动物贫血模型建立後,针对如自体免疫溶血性贫血等在动物研究上有更完整的资料可供叁考,以延伸至更进一步的临床研究。
【关键词】贫血 ; 当归补血汤 ; 苯肼 ; 动物模型
【Summary】
Anemia is a common disease in both developed and developing ries. About 196 million people in the world have this disease, and hemolytic anemia is one of them. The causes of hemolysis are usually divided into acquired or acquired Common acquired causes of hereditary, hemolytic anemia are autoimmunity, microangiopathy, and infection. Hemolysis of the immune response caused by anti-erythrocyte antibodies may be caused by malignant tumors, autoimmune diseases, drugs and transfusion reactions; Danggui Buxue Decoction, from 1247 AD, Li Gao’s Theory of Differentiating Internal and External Injury, is composed of Danggui, Scutellaria baicalensis is mixed and boiled in a ratio of 1:5. Its composition is simple and the drug ratio is clear and uncontroversial. It is an index prescription of traditional Chinese medicine in the treatment of patients with blood deficiency syndrome. In addition, because of its special proportion, it reflects the traditional Chinese medicine. When thinking about qi and blood, Chinese medicine often says that "blood is the mother of qi, and qi is the leader of blood." , so in a prescription that mainly nourishes blood, traditional medicines that mainly nourish qi ac for a larger proportion. Research in the past ten years has pointed out that due to its simple composition, Danggui Buxue Decoction has been studied in many studies on anemia. In some anemia animal models, it can be found that it can promote the secretion of erythropoietin, reduce platelets and improve immunity.However, there are lacking in comprehensive studies of Danggui Buxue Decoction in animal models of hemolytic anemia induced by phenylhydrazine. Therefore, the goal of this study is to explore the protective effect of the water extract of Danggui Buxue Decoction on anemia and evaluate the impact on red blood cell (RBC) and hemoglobin. After 2 days of inducing hemolytic anemia, the experimental group was further divided into the calculated normal dose group, double dose group and standard treatment group using supportive therapy. After 5 days of feeding with the water extract of Danggui Buxue Decoction, It was concluded that both Hemoglobin and RBC in the double-dose group had a significant increasing effect compared with the control group. This study is a relatively extensive discussion of the therapeutic effect of hemolytic anemia. The current results can lay the foundation for future research on clinical anemia treatment. It is hoped that when more updated animal anemia models are established in the future, such as Autoimmune hemolytic anemia, etc., have more complete information on animal studies for reference, which can be extended to further clinical research.
【Keywords】
anemia; Danggui Buxue Tang; phenylhydrazine; animal model