|
|
Advances in the pharmacological action and clinical application of Kunxian Capsules in the treatment of immunological kidney diseases |
DENG Yi1* ZHU Dekang1,2* TAO Xia1 ZHANG Feng1 CHEN Wansheng1,3 |
1.Department of Pharmacy, Changzheng Hospital, the Second Military Medical University, Shanghai 200003, China;
2.Academic Affairs Office of Naval Medical University, Shanghai 200433, China;
3.Institute of Chinese Materia Medica, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China |
|
|
Abstract Kunxian Capsules is composed of tripterygium hypoglaucum, epimedium herb, barbary wolfberry fruit and dodder seed, has the effect of tonifying kidney and dredging channels, dispelling wind and eliminating dampness, and also has anti-inflammatory, immunosuppressive and improving kidney function. It is a commonly used drug in clinical treatment of rheumatoid arthritis and other immune diseases. The study of Kunxian Capsules in immunological kidney diseases has attracted increasing attention, focusing on the combination of Kunxian Capsules with hormones and immunosuppressive/cytotoxic drugs to protect kidney function and reduce adverse reactions. In this paper, the pharmacological action and clinical research progress of Kunxian Capsules in the treatment of immunological kidney diseases are reviewed in order to provide references for rational clinical use of drugs.
|
|
|
|
|
[1] 曾佳丽,姜雪,余瑾,等.昆仙胶囊对IgA肾病大鼠的肾保护作用及系膜细胞增殖的影响[J].中国现代医生,2019,57(31):38-42,封3.
[2] 陈洪宇,曾佳丽.昆仙胶囊对IgAN大鼠肾系膜细胞增殖及Mfn2表达的影响[C].中国中西医结合学会肾脏疾病专业委员会.2016年中国中西医结合学会肾脏疾病专业委员会学术年会论文摘要汇编.中国中西医结合学会肾脏疾病专业委员会:中国中西医结合学会,2016:57.
[3] 鲁莹,丁朝霞,杨少锋,等.昆仙胶囊对MRL/Ipr小鼠狼疮性肾炎的代谢组学研究[J].中药药理与临床,2011,27(1):78-81.
[4] 严美花,张浩军,王康,等.昆仙胶囊对阿霉素诱导的肾病综合征大鼠的治疗作用[J].中药药理与临床,2011,27(2):100-104.
[5] 吴潮清,熊礼佳,贺红光,等.异甘草酸镁治疗难治性肾病综合征患者环磷酰胺所致肝损伤的疗效观察[J].广西医学,2014,36(4):432-435.
[6] 高明利,李晓晨,齐庆.昆仙胶囊降低狼疮性肾炎尿蛋白的临床观察[J].中药材,2010,33(4):651-652.
[7] 曾又佳,孔慧霞,李顺民,等.昆仙胶囊治疗慢性肾脏病蛋白尿的临床疗效及其安全性观察[J].新中医,2014,46(7):74-76.
[8] 张菊.昆仙胶囊治疗肾病综合征疗效及对患者血清IFN-γ和IL-21水平的影响[J].陕西医学杂志,2020,49(3):345-348.
[9] 李媛,王辉,方辉,等.昆仙胶囊联合小剂量激素治疗肾病综合征的效果观察[J].海峡药学,2019,31(12):197-198.
[10] 吕艳,于为民,任小军.昆仙胶囊联合小剂量激素治疗肾病综合征疗效观察[J].中国药物与临床,2018,18(11):1934-1935.
[11] 高建华,张剑勇,黄华,等.昆仙胶囊联合和他克莫司治疗狼疮性肾炎的临床观察[C].中国中西医结合学会风湿病专业委员会.全国第十届中西医结合风湿病学术会议论文汇编.中国中西医结合学会风湿病专业委员会:中国中西医结合学会,2012:96-98.
[12] 陈婷,李海坚,麦伟民.昆仙胶囊联合强的松治疗难治性肾病综合征的临床观察[J].中药药理与临床,2011, 27(6):97-99.
[13] 马一旻,卜建宏.狼疮性肾炎的治疗进展[J].医学综述,2018,24(7):1334-1338,1343.
[14] 周君,杨侦.环磷酰胺代谢酶基因多态性与中国汉族难治性狼疮肾炎的相关性[J].中华肾病研究电子杂志,2019,8(3):109-113.
[15] 费允云,吴庆军,张文,等.他克莫司治疗难治性狼疮肾炎的疗效和安全性[J].中华风湿病学杂志,2012,16(1):9-12.
[16] 项协隆,邵思思,黄蔚霞,等.昆仙胶囊治疗狼疮肾炎伴肾病综合征表现患者的肾功能及血清IgE IgG水平改善研究[J].中国药物与临床,2019,19(15):710-713.
[17] 李慧,刘枚,潘文友,等.昆仙胶囊治疗狼疮性肾炎的疗效和安全性研究[J].中国中西医结合杂志,2019,39(9):1061-1064.
[18] 刘晓霞,王琳.特发性膜性肾病发生的免疫机制及免疫抑制剂治疗研究进展[J].山东医药,2018,58(14):94-97.
[19] 鲁冰,任东升.昆仙胶囊对原发性膜性肾病患者内皮细胞功能及血清TGF-β1的影响[J].新中医,2019,51(8):144-147.
[20] 黎明阳.昆仙胶囊治疗115例慢性肾脏病的临床疗效观察[D].南京:中国药科大学,2018.
[21] Li Q,Li L,Bi L,et al. Kunxian capsules in the treatment of patients with ankylosing spondylitis:a randomized placebo-controlled clinical trial [J]. Trials,2016,17(1):337.
[22] 周荣伟,穆冰瑶,赵丽珂,等.昆仙胶囊对博来霉素诱导的肺间质纤维化小鼠病理及血清细胞因子的影响[J].中国药物与临床,2017,17(10):1427-1430.
[23] 刘艳梅,雷易萌,张贝,等.昆仙胶囊治疗类风湿关节炎的临床研究[J].解剖学进展,2019,25(1):17-20.
[24] 许强,林昌松,王笑丹.昆仙胶囊对胶原诱导型关节炎大鼠滑膜及血清白细胞介素-8的影响[J].广州中医药大学,2012,29(4):415-419,490.
[25] 陈瑶,刘涵.昆仙胶囊联合中医辨证治疗小儿过敏性紫癜性肾炎50例临床疗效观察[J].中医临床研究,2018, 10(16):58-59.
[26] 刘小宝.昆仙胶囊不同服药时间对RA患者消化道安全性的临床观察[D].广州:广州中医药大学,2019.
[27] 徐强,魏赈权,谢晗,等.昆仙胶囊不同服药方法对类风湿关节炎患者胃肠道安全性的影响[J].广州中医药大学学报,2018,35(3):411-414.
[28] 张晋,李栋.《中国中成药真实世界研究技术指导原则》征求意见稿发布[EB/OL].http://health.people.com.cn/n1/2019/1018/c14739-31408222.html,2019-10-18.
[29] 赵岩,章轶立,谢雁鸣,等.仙灵骨葆胶囊真实世界临床应用特征分析[J].世界中西医结合杂志,2019,14(4):455-459.
[30] 王辉,胡海毅,季昭臣,等.基于临床试验注册信息分析中医药真实世界研究现状[J].世界中医药,2019,14(12):3127-3134. |
|
|
|