

浏览全部资源
扫码关注微信
1.广州中医药大学第一附属医院,广东省广州市机场路16号,510405
2.深圳市中医院
3.广东省中医院/广州中医药大学第二附属医院
4.中国中医科学院西苑医院脾胃病研究所
Received:19 June 2025,
Revised:2025-10-23,
Published:17 January 2026
移动端阅览
黄绍刚,郭绍举,吴皓萌等.中医脾胃病学消化道微生态研究现状与展望[J].中医杂志,2026,67(02):159-165.
HUANG Shaogang,GUO Shaoju,WU Haomeng,et al.Current Status and Prospects of Gastrointestinal Microecology Research in Spleen-Stomach Disorders of Traditional Chinese Medicine[J].Journal of Traditional Chinese Medicine,2026,67(02):159-165.
黄绍刚,郭绍举,吴皓萌等.中医脾胃病学消化道微生态研究现状与展望[J].中医杂志,2026,67(02):159-165. DOI: 10.13288/j.11-2166/r.2026.02.008.
HUANG Shaogang,GUO Shaoju,WU Haomeng,et al.Current Status and Prospects of Gastrointestinal Microecology Research in Spleen-Stomach Disorders of Traditional Chinese Medicine[J].Journal of Traditional Chinese Medicine,2026,67(02):159-165. DOI: 10.13288/j.11-2166/r.2026.02.008.
消化道微生态是揭示脾胃理论的重要生物学基础,对中医脾胃病的诊断、治疗具有重要价值。调节消化道微生态亦是治疗中医脾胃病的重要手段。消化系统“口-肠”轴,消化道微生态与代谢紊乱、免疫失调、生物节律紊乱的关系,以及中医证候中消化道微生态的变化均是目前研究的前沿及热点。但是,相关研究也常存在研究设计、研究技术、数据分析、结果解析等方面的不足。因此,提出未来研究应该基于队列研究设计、多组学技术等方法,阐释中医脾胃理论的内涵,开展基于消化道微生态的脾胃病治疗药物研发,从而推动脾胃病的中医临床诊疗与中医脾胃病学的学科发展
。
Gastrointestinal microecology serves as an important biological basis for elucidating the spleen-stomach theory, and exerts significant value in the diagnosis and treatment of spleen-stomach disorders in traditional Chinese medicine (TCM). Regulating gastrointestinal microecology is also a crucial approach for treating TCM spleen-stomach disorders. Currently, the research frontiers and hotspots focus on the oral-intestinal axis, the correlations between gastrointestinal microecology and metabolic disorders, immune imbalance, biological rhythm disorders, as well as the changes of gastrointestinal microecology in TCM syndromes. However, related studies still exist limitations in research design, research techniques, data analysis and result interpretation. Therefore, it is proposed that future research should rely on cohort study design and multi-omics technologies to clarify the connotation of TCM spleen-stomach theory, and carry out research and development of medication for spleen-stomach disorders based on gastrointestinal microecology, so as to promote the clinical diagnosis and treatment of spleen-stomach diseases in TCM and the disciplinary development of TCM spleen-stomach disorders.
杨云生 , 彭丽华 . 胃肠微生态40年研究回顾和展望 [J]. 中华消化杂志 , 2021 , 41 ( 11 ): 721 - 725 .
段学清 , 金小莲 , 朱晨 , 等 . 从肠道菌群视角探讨脾胃功能的科学内涵 [J]. 贵州中医药大学学报 , 2024 , 46 ( 6 ): 6 - 11 .
何云山 , 惠华英 , 谭周进 . 中医脾胃病的特征肠道菌群在中医诊疗中的作用 [J]. 世界华人消化杂志 , 2019 , 27 ( 10 ): 605 - 610 .
吴佳佳 , 李晓娟 , 陈家旭 . 肠道微生态与中医证候的相关性研究概况 [J]. 中医杂志 , 2018 , 59 ( 14 ): 1247 - 1251 .
唐圆 , 谭周进 . 中医药对肠道微生态的影响 [J]. 世界华人消化杂志 , 2020 , 28 ( 15 ): 719 - 724 .
彭丽华 , 杨云生 . 消化微生态近十年研究进展和热点问题 [J]. 中华内科杂志 , 2024 , 63 ( 7 ): 633 - 640 .
蔡子微 . 中国中医药微生态学研究30年进展回顾与展望 [J]. 中国微生态学杂志 , 2019 , 31 ( 10 ): 1164 - 1166, 1210 .
骆云丰 , 陈锦团 , 杨正宁 , 等 . 国医大师杨春波“脾胃湿热理论体系”构建撮要 [J]. 中国中西医结合消化杂志 , 2024 , 32 ( 7 ): 556 - 559 .
廖桂彬 , 唐舒婷 , 廖晓意 , 等 . Hp相关性胃病脾胃湿热证、脾气虚证的胃黏膜菌群特征及炎症水平分析 [J]. 南京中医药大学学报 , 2022 , 38 ( 7 ): 576 - 583, 650 .
曹阳 . 慢性萎缩性胃炎脾胃湿热证舌苔菌群特征研究 [D]. 上海 : 上海中医药大学 , 2024 .
王婷 , 郑锋玲 , 骆欢欢 . 岭南温病湿热证小鼠模型的建立及肠道菌群的研究分析 [J]. 中华中医药学刊 , 2017 , 35 ( 6 ): 1361 - 1365 .
LLOYD-PRICE J , ARZE C , ANANTHAKRISHNAN AN , et al . Multi-omics of the gut microbial ecosystem in infla-mmatory bowel diseases [J]. Nature , 2019 , 569 ( 7758 ): 655 - 662 .
FENG Q , LIANG S , JIA H , et al . Gut microbiome development along the colorectal adenoma-carcinoma sequence [J]. Nat Commun , 2015 , 6 : 6528 . doi: 10.1038/ncomms7528 http://dx.doi.org/10.1038/ncomms7528 .
PITTAYANON R , LAU JT , YUAN Y , et al . Gut microbiota in patients with irritable bowel syndrome: a syste-matic review [J]. Gastroenterology , 2019 , 157 ( 1 ): 97 - 108 .
于子真 , 吴仪 , 谭周进 . 特征肠道菌群在中医方证中的研究现状及意义 [J]. 中国微生态学杂志 , 2023 , 35 ( 4 ): 489 - 493 .
MARKOWIAK P , ŚLIŻEWSKA K . Effects of probiotics, prebiotics, and synbiotics on human health [J]. Nutrients , 2017 , 9 ( 9 ): 1021 .
FORD AC , HARRIS LA , LACY BE , et al . Systematic review with meta-analysis: the efficacy of prebiotics, probiotics, synbiotics and antibiotics in irritable bowel syndrome [J]. Aliment Pharmacol Ther , 2018 , 48 ( 10 ): 1044 - 1060 .
FEDORAK RN , MADSEN KL . Probiotics and prebiotics in gastrointestinal disorders [J]. Curr Opin Gastroenterol , 2004 , 20 ( 2 ): 146 - 155 .
PORCARI S , BENECH N , VALLES-COLOMER M , et al . Key determinants of success in fecal microbiota transplantation: from microbiome to clinic [J]. Cell Host Microbe , 2023 , 31 ( 5 ): 712 - 733 .
DING X , LI Q , LI P , et al . Long-term safety and efficacy of fecal microbiota transplant in active ulcerative colitis [J]. Drug Saf , 2019 , 42( 7 ) 869 - 880 .
JOHNSEN PH , HILPÜSCH F , CAVANAGH JP , et al . Faecal microbiota transplantation versus placebo for moderate-to-severe irritable bowel syndrome: a double-blind, randomised, placebo-controlled, parallel-group, single-centre trial [J]. Lancet Gastroenterol Hepatol , 2018 , 3 ( 1 ): 17 - 24 .
白义德 , 王佳佳 , 迟莉 , 等 . 参苓白术散治疗溃疡性结肠炎的现代研究进展 [J]. 世界中西医结合杂志 , 2020 , 15 ( 12 ): 2336 - 2338 .
林晓玲 , 欧柱雄 . 参苓白术颗粒联合西药治疗腹泻型肠易激综合征51例临床观察 [J]. 中国民族民间医药 , 2019 , 28 ( 12 ): 111 - 113 .
李军婷 , 张美琳 , 李卓 . 参苓白术散联合双歧三联活菌胶囊治疗抗生素相关腹泻疗效分析 [J]. 云南中医学院学报 , 2018 , 41 ( 2 ): 41 - 43 .
史俪婧 , 鲁海 , 徐慧 , 等 . 白头翁汤辨证加减对溃疡性结肠炎(热毒炽盛证)患者的疗效及炎症因子、肠道菌群的影响 [J]. 四川中医 , 2024 , 42 ( 10 ): 124 - 127 .
李相臣 , 吕九娣 , 刘芳芳 , 等 . 济川煎加减联合乳果糖口服液对脾肾阳虚型老年便秘的影响 [J]. 中医研究 , 2024 , 37 ( 5 ): 45 - 49 .
陈滔彬 , 姚宏亮 , 严曾豪 , 等 . 肠道微生态对疾病的影响及其与中药的相互作用研究进展 [J]. 中南药学 , 2018 , 16 ( 3 ): 382 - 388 .
NEWMAN KL , KAMADA N . Pathogenic associations between oral and gastrointestinal diseases [J]. Trends Mol Med , 2022 , 28 ( 12 ): 1030 - 1039 .
MOLINERO N , TALADRID D , ZORRAQUÍN-PEÑA I , et al . Ulcerative colitis seems to imply oral microbiome dysbiosis [J]. Curr Iss Mol Biol , 2022 , 44 ( 4 ): 1513 - 1527 .
李丹 , 姚颖梬 , 戴彦成 , 等 . 溃疡性结肠炎薄白苔和黄腻苔患者的肠道菌群特征分析 [J]. 上海中医药杂志 , 2020 , 54 ( 12 ): 15 - 20, 58 .
READ E , CURTIS MA , NEVES JF . The role of oral bacteria in inflammatory bowel disease [J]. Nat Rev Gastroenterol Hepatol , 2021 , 18 ( 10 ): 731 - 742 .
张志民 , 程博群 . 口腔微生物与消化系统癌症关系的研究进展 [J]. 口腔医学研究 , 2020 , 36 ( 2 ): 93 - 97 .
王春敏 , 韩桂华 , 马淑霞 . 短链脂肪酸对肠黏膜屏障的影响 [J]. 中国微生态学杂志 , 2022 , 34 ( 12 ): 1471 - 1475 .
ILJAZOVIC A , ROY U , GÁLVEZ EJC , et al . Perturbation of the gut microbiome by prevotella spp. enhances host susceptibility to mucosal inflammation [J]. Mucosal Immunol , 2021 , 14 ( 1 ): 113 - 124 .
张远哲 , 黎豫川 , 杨元凤 , 等 . 香砂六君子汤对脾虚型IBS-D大鼠肠道菌群及其代谢产物SCFAs的调节作用 [J]. 中成药 , 2024 , 46 ( 1 ): 272 - 277 .
XIE LW , CAI S , LU HY , et al . Microbiota-derived I3A protects the intestine against radiation injury by activating AhR/IL-10/wnt signaling and enhancing the abundance of probiotics [J]. Gut Microbes , 2024 , 16 ( 1 ): 2347722 .
MARS RAT , YANG Y , WARD T , et al . Longitudinal multi-omics reveals subset-specific mechanisms underlying irritable bowel syndrome [J]. Cell , 2020 , 182 ( 6 ): 1460 - 1473 .
AGUILERA-LIZARRAGA J , FLORENS MV , VIOLA MF , et al . Local immune response to food antigens drives meal-induced abdominal pain [J]. Nature , 2021 , 590 ( 7844 ): 151 - 156 .
ZHENG H , ZHANG C , ZHANG J , et al . “sentinel or accomplice”: gut microbiota and microglia crosstalk in disorders of gut-brain interaction [J]. Protein Cell , 2023 , 14 ( 10 ): 726 - 742 .
GUTIERREZ LOPEZ DE , LASHINGER LM , WEINSTOCK GM , et al . Circadian rhythms and the gut microbiome synchronize the host's metabolic response to diet [J]. Cell Metabol , 2021 , 33 ( 5 ): 873 - 887 .
CHOI H , RAO MC , CHANG EB . Gut microbiota as a transducer of dietary cues to regulate host circadian rhythms and metabolism [J]. Nat Rev Gastroenterol Hepatol , 2021 , 18 ( 10 ): 679 - 689 .
BISHEHSARI F , VOIGT RM , KESHAVARZIAN A . Circadian rhythms and the gut microbiota: from the metabolic syndrome to cancer [J]. Nat Rev Endocrinol , 2020 , 16 ( 12 ): 731 - 739 .
SATO T , SASSONE-CORSI P . Nutrition, metabolism, and epigenetics: pathways of circadian reprogramming [J]. EMBO Rep , 2022 , 23 ( 5 ): e52412 .
PARKAR SG , KALSBEEK A , CHEESEMAN JF . Potential role for the gut microbiota in modulating host circadian rhythms and metabolic health [J]. Microorganisms , 2019 , 7 ( 2 ): 41 .
PAN Z , LIU J , LIN S , et al . Ji-Ming-San enhances intestinal circadian rhythms and mitigates colitis in mice: the role of epithelial RORα [J]. Phytomedicine , 2025 , 142 : 156759 . doi: 10.1016/j.phymed.2025.156759 http://dx.doi.org/10.1016/j.phymed.2025.156759 .
于涵川 , 孟杨杨 , 王恩康 , 等 . 补中益气汤经肠道菌群的调控改善脾虚证的作用机制研究 [J]. 中国中药杂志 , 2024 , 49 ( 4 ): 1028 - 1043 .
刘凯文 . 基于高通量测序探讨参苓白术散对脾气亏虚型泄泻肠道菌群的影响 [D]. 北京 : 北京中医药大学 , 2019 .
李晓彤 , 李家立 , 曹志群 , 等 . 基于16S rRNA测序技术探究参苓白术药膳糊对功能性腹泻脾虚证大鼠肠道菌群的影响 [J]. 时珍国医国药 , 2023 , 34 ( 12 ): 3046 - 3051 .
谢秀兰 , 张婕妤 , 赖小金 , 等 . 参苓白术散加减治疗功能性腹泻(脾胃虚弱证)的临床观察 [J]. 实用中西医结合临床 , 2024 , 24 ( 24 ): 106 - 108, 117 .
熊钦 , 李奕霖 , 姚承佼 , 等 . 腹泻型肠易激综合征常见证型粪便肠道菌群宏基因组学横断面研究 [J]. 中医杂志 , 2024 , 65 ( 5 ): 503 - 511 .
尹德菲 , 魏秀楠 , 刘佳卉 , 等 . 理肠饮治疗腹泻型肠易激综合征肝郁脾虚证的临床疗效及机制研究 [J]. 南京中医药大学学报 , 2022 , 38 ( 8 ): 687 - 695 .
WILBERT SA , MARK WELCH JL , BORISY GG . Spatial ecology of the human tongue dorsum microbiome [J]. Cell Rep , 2020 , 30 ( 12 ): 4003 - 4015 .
丁庞华 , 李军祥 , 郭一 , 等 . 基于高通量测序技术的溃疡性结肠炎大肠湿热证患者肠道菌群多样性的研究 [J]. 世界科学技术-中医药现代化 , 2018 , 20 ( 6 ): 967 - 973 .
杨波 , 铁宝霞 , 蔡小玲 , 等 . 肠道微生态研究方法及应用研究进展 [J]. 广西医学 , 2018 , 40 ( 10 ): 1219 - 1221 .
叶雷 , 闫亚丽 , 陈庆森 , 等 . 高通量测序技术在肠道微生物宏基因组学研究中的应用 [J]. 中国食品学报 , 2016 , 16 ( 7 ): 216 - 223 .
PIETZNER M , WHEELER E , CARRASCO-ZANINI J , et al . Mapping the proteo-genomic convergence of human diseases [J]. Science , 2021 , 374 ( 6569 ): eabj1541 .
彭红叶 , 鲁春丽 , 黄晓强 , 等 . 多组学技术在中医药领域中的应用现状与前景分析 [J]. 中医杂志 , 2024 , 65 ( 8 ): 775 - 781 .
0
Views
1
下载量
0
CSCD
Publicity Resources
Related Articles
Related Author
Related Institution
京公网安备11010102007558号