山西大学 中医药现代研究中心,山西 太原 030006
[ "李震宇,男,教授,博士,博士生导师。国家青年岐黄学者,山西省高等学校青年学术带头人,山西省优秀硕士论文指导教师。担任中华中医药学会中药分析委员会常务委员、中国医药生物技术协会药物分析技术分会委员、世界中医药学会联合会中药分析专业委员会理事、中国民族医药学会青年委员会委员、中国药理学会中药与天然药物专业委员会委员、《中国实验方剂学杂志》编委、《世界中医药》中英文刊青年编委。目前主要从事中药材活性成分和质量标准研究。主持国家自然科学基金项目3项,国家重点研发课题1项,国家中药标准化项目子课题1项等多项科研项目;发表研究论文100余篇,授权发明专利12项,出版专著1部,参编专著3部,获山西省科技进步二等奖2项。" ]
收稿:2025-10-15,
修回:2025-12-30,
纸质出版:2026-03-25
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王雅容,赵琳,李震宇.活血化瘀理论指导下的中医药防治尘肺纤维化新思路探讨[J].新兴科学和技术趋势,2026,5(1):7-14.
WANG Yarong,ZHAO Lin,LI Zhenyu.Treatment of pneumoconiosis fibrosis guided by the traditional Chinese medicine of huoxue huayu theory (promoting blood circulation and removing blood stasis)[J].Emerging Science and Technology,2026,5(1):7-14.
王雅容,赵琳,李震宇.活血化瘀理论指导下的中医药防治尘肺纤维化新思路探讨[J].新兴科学和技术趋势,2026,5(1):7-14. DOI: 10.12405/j.issn.2097-1486.2026.01.002.
WANG Yarong,ZHAO Lin,LI Zhenyu.Treatment of pneumoconiosis fibrosis guided by the traditional Chinese medicine of huoxue huayu theory (promoting blood circulation and removing blood stasis)[J].Emerging Science and Technology,2026,5(1):7-14. DOI: 10.12405/j.issn.2097-1486.2026.01.002.
本文对中医药活血化瘀理论在尘肺治疗中的应用及研究现状进行了分析。虽然活血化瘀理论在临床实践显示出积极疗效,但活血化瘀药物抑制尘肺纤维化作用机制和物质基础尚不完全清楚。血管微环境与肺纤维化的现代研究进展表明,血管内皮细胞及血管分泌因子构成的血管微环境可调控肺纤维化进程,为研究活血化瘀药物抑制尘肺纤维化的作用机制提供了新的视角和未来研究方向。对这些问题的深入研究,不仅有助于深入阐释中医药治疗尘肺病的科学内涵,也有望为开发新型抗尘肺纤维化药物提供新的作用靶点和候选药物,从而为全球尘肺病的防治贡献中国智慧与中国方案。
This article analyzes the application of the theory of traditional Chinese medicine to promoting blood circulation and removing blood stasis in the treatment of pneumoconiosis and its current research. Although this theory has demonstrated positive therapeutic effects in clinical practice, the mechanisms and material basis by which these herbs and formulas inhibit pneumoconiosis fibrosis are not yet fully understood.Modern research progress on the relationship between the vascular microenvironment and pulmonary fibrosis suggest that the vascular microenvironment, composed of vascular endothelial cells and vascular secretory factors, regulates the process of pulmonary fibrosis. It provides new perspectives and future research directions for the study of the mechanisms by which blood-activating and stasis-removing herbs inhibit pneumoconiotic fibrosis. In-depth research on these issues helps elucidate the scientific connotation of traditional Chinese medicine in treating pneumoconiosis. It is also expected to provide new targets and candidate drugs for the development of novel anti-pneumoconiotic fibrosis therapies, thereby contributing Chinese wisdom and solutions to the global prevention and treatment of pneumoconiosis.
毛翎 , 彭莉君 , 王焕强 , 等 . 尘肺病治疗中国专家共识(2024年版) [J]. 环境与职业医学 , 2024 , 41 ( 01 ): 1 - 21 . DOI: 10.11836/JEOM23379 http://dx.doi.org/10.11836/JEOM23379 .
柳彤彤 , 韩燕星 , 蒋建东 , 等 . 矽肺药物治疗的研究进展 [J]. 药学学报 , 2023 , 58 ( 05 ): 1196 - 1203 . DOI: 10.16438/j.0513-4870.2022-1412 http://dx.doi.org/10.16438/j.0513-4870.2022-1412 .
中华人民共和国国家卫生健康委员会 . 推进卫生健康事业高质量发展,护佑人民群众生命健康有关情况 [DB/OL].( 2024-4-25 )[ 2025-12-30 ]. https://www.nhc.gov.cn/wjw/c100365/hdjl_xwfbh_detail.shtml?id=f9fbf577fe244c2a83dda790bdff72a1 https://www.nhc.gov.cn/wjw/c100365/hdjl_xwfbh_detail.shtml?id=f9fbf577fe244c2a83dda790bdff72a1 .
LI R , KANG H , CHEN S . From Basic Research to Clinical Practice: Considerations for Treatment Drugs for Silicosis [J]. Int J Mol Sci , 2023 , 24 ( 9 ): 8333 . DOI: 10.3390/ijms24098333 http://dx.doi.org/10.3390/ijms24098333 .
李爱勇 . 黄帝内经 [M]. 北京 : 民主与建设出版社 , 2021 .
李乐 . 尘肺病的中医治疗研究进展 [J]. 中国民间疗法 , 2021 , 29 ( 24 ): 131 - 134 . DOI: 10.19621/j.cnki.11-3555/r.2021.2451 http://dx.doi.org/10.19621/j.cnki.11-3555/r.2021.2451 .
萧伯章 . 遁园医案 [M]. 北京 : 学苑出版社 , 2012 : 125 .
梅凤 , 凌瑞杰 , 尹琴 , 等 . 中医药治疗矽肺进展 [J]. 中国工业医学杂志 , 2022 , 35 ( 03 ): 233 - 237 . DOI: 10.13631/j.cnki.zggyyx.2022.03.014 http://dx.doi.org/10.13631/j.cnki.zggyyx.2022.03.014 .
李建生 . 尘肺病中医辨证治疗概要 [J]. 中医学报 , 2019 , 34 ( 11 ): 2261 - 2264 . DOI: 10.16368/j.issn.1674-8999.2019.11.522 http://dx.doi.org/10.16368/j.issn.1674-8999.2019.11.522 .
束明慧 , 左万里 , 唐品升 , 等 . 从“瘀”探讨尘肺病中医诊治思路 [J]. 中医药临床杂志 , 2020 , 32 ( 06 ): 1023 - 1026 . DOI: 10.16448/j.cjtcm.2020.0608 http://dx.doi.org/10.16448/j.cjtcm.2020.0608 .
李桐贺 , 高洁 . 养阴益气活血法治疗尘肺思路探讨 [J]. 国医论坛 , 2015 , 30 ( 02 ): 17 - 18 . DOI: 10.13913/j.cnki.41-1110/r.2015.02.010 http://dx.doi.org/10.13913/j.cnki.41-1110/r.2015.02.010 .
张帆 , 尹正海 , 李震 . 补阳还五汤联合汉防己甲素片改善矽肺肺纤维化的效果 [J]. 哈尔滨医药 , 2019 , 39 ( 01 ): 70 - 71 .
熊如泰 . 血府逐瘀汤治疗矽肺10例三年小结 [J]. 云南中医学院学报 , 1981 ( 03 ): 28 - 31 . DOI: 10.19288/j.cnki.issn.1000-2723.1981.03.009 http://dx.doi.org/10.19288/j.cnki.issn.1000-2723.1981.03.009 .
汤吴以诺 . 大黄䗪虫丸治疗矽肺有效性和安全性的临床研究 [D]. 成都 : 成都中医药大学 , 2022 .
黎晓莉 , 何亦龙 , 陈利玲 , 等 . 丹参多酚酸盐在矽肺合并肺心病急性发作期的疗效观察 [J]. 世界中医药 , 2014 , 9 ( 04 ): 446 - 448 . DOI: 10.3969/j.issn.1673-7202.2014.04.015 http://dx.doi.org/10.3969/j.issn.1673-7202.2014.04.015 .
卢致婷 , 许德昌 , 许军连 , 等 . 彩色多普勒超声评价血塞通对尘肺肺心病患者心脏肺动脉压力的影响 [J]. 实用临床医药杂志 , 2019 , 23 ( 23 ): 17 - 19 . DOI: 10.7619/jcmp.201923005 http://dx.doi.org/10.7619/jcmp.201923005 .
陈丽萍 , 韩明明 , 于功昌 , 等 . 清燥救肺汤对二氧化硅致大鼠肺损伤的抗炎作用研究 [J]. 职业卫生与应急救援 , 2020 , 38 ( 05 ): 437 - 442 . DOI: 10.16369/j.oher.issn.1007-1326.2020.05.001 http://dx.doi.org/10.16369/j.oher.issn.1007-1326.2020.05.001 .
王海舰 , 马桂琴 . 马桂琴教授辨治职业性尘肺病经验简介 [J]. 中国中药杂志 , 2019 , 44 ( 13 ): 2871 - 2874 . DOI: 10.19540/j.cnki.cjcmm.20190419.502 http://dx.doi.org/10.19540/j.cnki.cjcmm.20190419.502 .
范华东 , 蒋国锋 , 孙素平 , 等 . 养阴清肺汤对稳定期尘肺病患者肺功能的影响及改善肺纤维化的作用机制 [J]. 新中医 , 2022 , 54 : 46 - 50 . DOI: 10.13457/j.cnki.jncm.2022.01.009 http://dx.doi.org/10.13457/j.cnki.jncm.2022.01.009 .
王慧娟 , 赵虎雷 , 牛玉格 . 李建生从“尘痹肺络、积损伤正”论治尘肺病经验 [J]. 河南中医 , 2025 , 45 : 700 - 705 . DOI: 10.16367/j.issn.1003-5028.2025.05.0114 http://dx.doi.org/10.16367/j.issn.1003-5028.2025.05.0114 .
李莉 , 吴军 , 黄力强 . 宣肺降浊汤辅助治疗早期尘肺病的效果研究 [J]. 中国药物滥用防治杂志 , 2022 , 28 ( 11 ): 1688 - 1691 . DOI: 10.15900/j.cnki.zylf1995.2022.11.036 http://dx.doi.org/10.15900/j.cnki.zylf1995.2022.11.036 .
王媛 , 沈小芳 , 王诚喜 , 等 . 黄芪益肺汤治疗煤工尘肺叁期25例 [J]. 光明中医 , 2021 , 36 ( 07 ): 1090 - 1092 . DOI: 10.3969/j.issn.1003-8914.2021.07.027 http://dx.doi.org/10.3969/j.issn.1003-8914.2021.07.027 .
李亚侗 . 固本益肺汤治疗尘肺病肺肾气虚证的临床观察 [D]. 济南 : 山东中医药大学 , 2019 .
王璟璠 , 金莉华 . 芪苈强心胶囊治疗尘肺并肺心病慢性心衰76例分析 [J]. 中国医药科学 , 2014 , 4 ( 18 ): 73 - 75 . DOI: 10.3969/j.issn.2095-0616.2014.18.024 http://dx.doi.org/10.3969/j.issn.2095-0616.2014.18.024 .
李娜 , 孙瑞玲 , 闫瑢玓 , 等 . 参芪益肺汤对尘肺患者运动试验及肺功能的影响 [J]. 上海中医药杂志 , 2010 , 44 ( 01 ): 48 - 50 . DOI: 10.16305/j.1007-1334.2010.01.010 http://dx.doi.org/10.16305/j.1007-1334.2010.01.010 .
张骁 , 马超亚 , 廖锡庆 . 活血化瘀类中药及其提取物防治矽肺研究进展 [J]. 中国职业医学 , 2023 , 50 ( 02 ): 223 - 229 .
YANG J , WANG T , LI Y , et al . Earthworm extract attenuates silica-induced pulmonary fibrosis through Nrf2-dependent mechanisms [J]. Lab Invest , 2016 , 96 ( 12 ): 1279 - 1300 . DOI: 10.1038/labinvest.2016.101 http://dx.doi.org/10.1038/labinvest.2016.101 .
洪长福 , 娄金萍 , 周华仕 , 等 . 桃仁提取物对大鼠实验性矽肺纤维化的影响 [J]. 劳动医学 , 2000 ( 04 ): 218 - 219 .
樊巍 , 熊震 . 银杏叶提取物761对矽肺大鼠的防护作用 [J]. 中国组织化学与细胞化学杂志 , 2021 , 30 ( 05 ): 419 - 425 .
FENG F , LI N , CHENG P , et al . Tanshinone IIA attenuates silica-induced pulmonary fibrosis via inhibition of TGF-β1-Smad signaling pathway [J]. Biomed Pharmacother , 2020 , 121 : 109586 . DOI: 10.1016/j.biopha.2019.109586 http://dx.doi.org/10.1016/j.biopha.2019.109586 .
FENG F , CHENG P , ZHANG H , et al . The Protective Role of Tanshinone IIA in Silicosis Rat Model via TGF-β1/Smad Signaling Suppression, NOX4 Inhibition and Nrf2/ARE Signaling Activation [J]. Drug Des Devel Ther , 2019 , 13 : 4275 - 4290 . DOI: 10.2147/dddt.S230572 http://dx.doi.org/10.2147/dddt.S230572 .
ZHU Z , LI Q , XU C , et al . Sodium tanshinone IIA sulfonate attenuates silica-induced pulmonary fibrosis in rats via activation of the Nrf2 and thioredoxin system [J]. Environ Toxicol Pharmacol , 2020 , 80 : 103461 . DOI: 10.1016/j.etap.2020.103461 http://dx.doi.org/10.1016/j.etap.2020.103461 .
ZHANG Y , LI C , LI S , et al . Dihydrotanshinone I Alleviates Crystalline Silica-Induced Pulmonary Inflammation by Regulation of the Th Immune Response and Inhibition of STAT1/STAT3 [J]. Mediators Inflamm , 2019 , 2019 : 3427053 . DOI: 10.1155/2019/3427053 http://dx.doi.org/10.1155/2019/3427053 .
HAN J , JIA Y , WANG S , et al . The Improvement Effect of Sodium Ferulate on the Formation of Pulmonary Fibrosis in Silicosis Mice Through the Neutrophil Alkaline Phosphatase 3 (NALP3)/Transforming Growth Factor-β1 (TGF-β1)/α-Smooth Muscle Actin (α-SMA) Pathway [J]. Med Sci Monit , 2021 , 27 : e927978 . DOI: 10.12659/msm.927978 http://dx.doi.org/10.12659/msm.927978 .
KUMARI S , SINGH R . Protective effects of intranasal curcumin on silica-induced lung damage [J]. Cytokine , 2022 , 157 : 155949 . DOI: 10.1016/j.cyto.2022.155949 http://dx.doi.org/10.1016/j.cyto.2022.155949 .
CHENG D , LIAN W , JIA X , et al . LGALS3 regulates endothelial-to-mesenchymal transition via PI3K/AKT signaling pathway in silica-induced pulmonary fibrosis [J]. Toxicology , 2024 , 509 : 153962 . DOI: 10.1016/j.tox.2024.153962 http://dx.doi.org/10.1016/j.tox.2024.153962 .
LI N , LIN Z , ZHOU Q , et al . Metformin alleviates crystalline silica-induced pulmonary fibrosis by remodeling endothelial cells to mesenchymal transition via autophagy signaling [J]. Ecotoxicol Environ Saf , 2022 , 245 : 114100 . DOI: 10.1016/j.ecoenv.2022.114100 http://dx.doi.org/10.1016/j.ecoenv.2022.114100 .
ZHOU X , ZHANG C , YANG S , et al . Macrophage-derived MMP12 promotes fibrosis through sustained damage to endothelial cells [J]. J Hazard Mater , 2024 , 461 : 132733 . DOI: 10.1016/j.jhazmat.2023.132733 http://dx.doi.org/10.1016/j.jhazmat.2023.132733 .
DENG Y , HUANG X , HU Y , et al . Deficiency of endothelial FGFR1 signaling via upregulation of ROCK2 activity aggravated ALI/ARDS [J]. Front Immunol , 2023 , 14 : 1041533 . DOI: 10.3389/fimmu.2023.1041533 http://dx.doi.org/10.3389/fimmu.2023.1041533 .
刘博通 , 李泉 , 韩晶岩 . 微血管屏障损伤引起的微血管渗漏及中医固摄理论和方药的机理 [J]. 中国病理生理杂志 , 2021 , 37 ( 09 ): 1679 - 1692 .
陈雨田 , 丁楅森 . 血管分泌因子调控肺再生与纤维化的机制研究进展 [J]. 生物医学转化 , 2023 , 4 ( 03 ): 25 - 31 .
CAO Z , YE T , SUN Y , et al . Targeting the vascular and perivascular niches as a regenerative therapy for lung and liver fibrosis [J]. Science Translational Medicine , 2017 , 9 ( 405 ): eaai8710 . DOI: 10.1126/scitranslmed.aai8710 http://dx.doi.org/10.1126/scitranslmed.aai8710 .
MA J , ZHANG L , ZHANG X , et al . Inhibiting endothelial Rhoj blocks profibrotic vascular intussusception and angiocrine factors to sustain lung regeneration [J]. Sci Transl Med , 2024 , 16 ( 762 ): eado5266 . DOI: 10.1126/scitranslmed.ado5266 http://dx.doi.org/10.1126/scitranslmed.ado5266 .
CHEN Y , PU Q , MA Y , et al . Aging Reprograms the Hematopoietic-Vascular Niche to Impede Regeneration and Promote Fibrosis [J]. Cell Metab , 2021 , 33 ( 2 ): 395 - 410.e394 . DOI: 10.1016/j.cmet.2020.11.019 http://dx.doi.org/10.1016/j.cmet.2020.11.019 .
ZHANG C , MA J , ZHANG X , et al . Processing of angiocrine alarmin IL-1α in endothelial cells promotes lung and liver fibrosis [J]. Int Immunopharmacol , 2024 , 134 : 112176 . DOI: 10.1016/j.intimp.2024.112176 http://dx.doi.org/10.1016/j.intimp.2024.112176 .
唐毅 , 刘兵兵 , 陈琦 , 等 . 补中益气汤对慢性间歇性低氧诱发的小鼠肺间质纤维化的作用 [J]. 中国应用生理学杂志 , 2022 , 38 ( 05 ): 559 - 564 . DOI: 10.12047/j.cjap.6316.2022.104 http://dx.doi.org/10.12047/j.cjap.6316.2022.104 .
YANG L , GILBERTSEN A , XIA H , et al . Hypoxia enhances IPF mesenchymal progenitor cell fibrogenicity via the lactate/GPR81/HIF1α pathway [J]. JCI Insight , 2023 , 8 ( 4 ): e163820 . DOI: 10.1172/jci.insight.163820 http://dx.doi.org/10.1172/jci.insight.163820 .
FURUKAWA S , MATSUDA K , SUGANO M , et al . NLRP3 upregulation in A549 cells co-cultured with THP-1 macrophages under hypoxia via deregulated TGF-β signaling [J]. Exp Cell Res , 2019 , 383 ( 1 ): 111506 . DOI: 10.1016/j.yexcr.2019.111506 http://dx.doi.org/10.1016/j.yexcr.2019.111506 .
WENLU H , LIN W , YUN B O , et al . Bufei Huoxue capsule alleviates silicosis by inhibiting the activation of nucleotide-like receptor containing pyrin domain 3 inflammasome and macrophages polarization based on network pharmacology [J]. J Tradit Chin Med , 2024 , 44 ( 6 ): 1236 - 1246 . DOI: 10.19852/j.cnki.jtcm.20240626.004 http://dx.doi.org/10.19852/j.cnki.jtcm.20240626.004 .
中华人民共和国国务院 . 中共中央国务院关于促进中医药传承创新发展的意见 [N]. 人民日报 , 2019-10-27 (001).
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