Exploring the mechanism of action and efficacy of Shi-Pi-San in the treatment of ascites in cirrhosis based on intestinal microbiota

M. Dou, Zixuan Wang, Shih-Hao Wang, Meng Dong, Fei Wang, Yu Gou, Sheng-jun Sun, Yong-Qi Kang
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Abstract

Objective: To investigate the mechanism of action and efficacy of Shi-Pi-San (SPS) in the treatment of cirrhotic ascites based on intestinal flora and to provide new ideas for clinical research. Methods: We searched PubMed, CNKI, Wanfang and Wipu Chinese journal databases to collect randomized controlled trials of SPS in the treatment of cirrhotic ascites, extracted relevant data, and summarized them to analyze the relationship between intestinal flora and cirrhotic ascites. Results: The disorder of intestinal flora can lead to cirrhotic ascites, and the treatment of cirrhotic ascites with SPS has good efficacy, and SPS has positive effects in improving the status of intestinal flora, increasing the abundance of flora and inhibiting the growth of pathogenic bacteria. Conclusion: SPS has good long-term efficacy in the treatment of cirrhotic ascites, but the side effects and dosage criteria have not been extensively studied in clinical practice.
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从肠道菌群的角度探讨湿脾散治疗肝硬化腹水的作用机制及疗效
目的:从肠道菌群的角度探讨石痹散治疗肝硬化腹水的作用机制和疗效,为临床研究提供新思路。方法:检索PubMed、CNKI、万方、Wipu中文期刊数据库,收集SPS治疗肝硬化腹水的随机对照试验,提取相关数据,汇总分析肠道菌群与肝硬化腹水的关系。结果:肠道菌群紊乱可导致肝硬化腹水,应用SPS治疗肝硬化腹水疗效良好,且SPS在改善肠道菌群状态、增加菌群丰度、抑制致病菌生长等方面具有积极作用。结论:SPS治疗肝硬化腹水具有良好的远期疗效,但其副作用及给药标准在临床实践中尚未得到广泛研究。
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