中醫藥研究論叢

281.1 當歸補血湯水萃物對PHZ誘導貧血大鼠的療效

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

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

當歸補血湯水萃物對PHZ誘導貧血大鼠的療效

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

徐靖翔1林煜程1林宜錚2蔡金川3,*

1義大癌治療醫院中醫科,高雄,台灣

2常生中醫診所,台北,台灣

3義大大昌醫院,高雄,台灣

【摘要】
貧血,是一個在不管是已開發或是開發中國家常見的疾病,全世界人口中大約1.96億人都有著這種疾病,而溶血性貧血也是其中一種,溶血的病因通常分為後天性或遺傳性,溶血性貧血的常見後天原因是自體免疫、微血管病變和感染。由抗紅血球抗體引起的免疫反應的溶血可能被惡性腫瘤、自體免疫疾病、藥物和輸血反應等所引發;當歸補血湯,出自西元1247,李杲所著的內外傷辨惑論,是由當歸、黃耆以1:5的比例混合煎煮而成,其組成簡單,藥物比例明確無爭議,是中醫在治療血虛證型患者的一個指標性方劑,此外,因其特殊的比例,體現了中醫在氣血上面的思考,中醫在面對氣血時常有『血為氣之母,氣為血之帥。』的說法,所以在一個以補血為主的方劑中卻是以傳統上補氣為主的藥物佔了較大的比例。在過去十年的研究中指出,當歸補血湯因其簡單組成的特性,有許多針對貧血的研究,其中部分貧血動物模型中可以發現有促進紅血球生成素的分泌、血小板的降低與免疫力改善的效果,然而,針對由苯肼誘發溶血性貧血的動物模型,當歸補血湯的整合性研究是缺乏的。因此,本研究的目標為探討當歸補血湯水萃液對於貧血的保護作用,評估對紅血細胞計數(RBC)及血紅蛋白(Hemoglobin)的影響。在經過2天的誘導溶血性貧血之後,實驗組再分為經由計算得出的一般劑量組與雙倍劑量組與使用支持療法的標準治療組,在經過餵食5天當歸補血湯水萃物後,得出在雙倍劑量組中Hemoglobin與RBC相比起對照組均有明顯的上升效果。本研究是較為廣泛的溶血性貧血的治療效果的探討,目前的成果對對臨床上貧血治療的未來研究可做到奠基的作用,以期在之後當更多更新的動物貧血模型建立後,針對如自體免疫溶血性貧血等在動物研究上有更完整的資料可供參考,以延伸至更進一步的臨床研究。
【關鍵詞】貧血 ; 當歸補血湯 ; 苯肼 ; 動物模型
【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