Welcome to Francis Academic Press

Frontiers in Medical Science Research, 2023, 5(5); doi: 10.25236/FMSR.2023.050515.

Exploring Spleen-Based Treatment Based on the Correlation between Intestinal Flora and Spleen Polycystic Ovary Syndrome

Author(s)

Xiaofan Li1, Xia Liu2, Xinchun Xiao2

Corresponding Author:
Xia Liu
Affiliation(s)

1Shaanxi University of Chinese Medicine, Xianyang, 712046, Shaanxi, China

2Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang, 712000, Shaanxi, China

Abstract

Modern medicine believes that intestinal flora affects the development of polycystic ovary syndrome through five pathways: brain-gut axis, chronic inflammatory state, intestinal mucosal permeability, short-chain fatty acid metabolism, and bile metabolism. According to TCM, the key pathogenesis of polycystic ovary syndrome is spleen deficiency and phlegm obstruction, and it is mostly treated from the spleen. The intestinal flora and the spleen have many physiopathological correlations, and prescriptions for strengthening the spleen have a regulatory effect on the number and structure of intestinal flora, which provides a basis for treating polycystic ovary syndrome from the spleen and broadens the thinking of clinical treatment of polycystic ovary syndrome.

Keywords

intestinal flora; spleen; polycystic ovary syndrome; correlation

Cite This Paper

Xiaofan Li, Xia Liu, Xinchun Xiao. Exploring Spleen-Based Treatment Based on the Correlation between Intestinal Flora and Spleen Polycystic Ovary Syndrome. Frontiers in Medical Science Research (2023) Vol. 5, Issue 5: 99-104. https://doi.org/10.25236/FMSR.2023.050515.

References

[1] Bruni V, Capozzi A, Lello S. The Role of Genetics, Epigenetics and Lifestyle in Polycystic Ovary Syndrome Development:the State of the Art[J]. Reprod Sci, 2022, 29(3):668-679.

[2] Krentowska A, Kowalska I. Metabolic syndrome and its components in different phenotypes of polycystic ovary syndrome [J]. Diabetes Metab ResRev. 2022, 38(1):3464.

[3] Collée J, Mawet M, Tebache L, et al. Polycystic ovarian syndrome and infertility: overview and insights of the putative treatments [J]. Gynecol Endocrinol,2021,37(10):869-874.

[4] Zhu YH, Deng AL, Deng CH, et al. Study on quantitative diagnosis method of spleen deficiency, phlegm and dampness evidence in polycystic ovary syndrome[J]. Journal of Traditional Chinese Medicine, 2020, 61(12):1080-1084.

[5] Anon. A framework for human microbiome research[J]. Nature,2012,486(7042):215-221.

[6] Tian Y, Mai XD, Ma K, et al. Intestinal flora regulates the occurrence and development of metabolic diseases [J]. Chinese Journal of Science, 2021,66(13):1602-1613.

[7] Lu K-N, Lin H-M. Research progress on the involvement of intestinal flora and inflammatory factors in the pathogenesis of polycystic ovary syndrome and the intervention of traditional Chinese medicine [J]. Chinese Journal of Traditional Chinese Medicine,2022,40(3):186-190.

[8] Yang YL, Zhou WW, Wu S, et al. Intestinal Flora is a Key Factor in Insulin Resistance and Contributes to the Development of Polycystic Ovary Syndrome[J]. Endocrinology, 2021,162(10):118.

[9] Li X, Cheng W, Shang H, et al. The Interplay between Androgen and Gut Microbiota: Is There a Microbiota-Gut-Testis Axis[J]. Reprod Sci,2022,29(6). 1674-1684.

[10] Wang C, Zhou J. Correlation between intestinal flora and metabolic syndrome[J]. Henan TCM, 2021, 41(9):1315-1318.

[11] Liu R, Zhang C, Shi Y, et al. Dysbiosis of gut microbiota associated with clinical parameters in polycystic ovary syndrome [J]. Front Microbiol, 2017, (8):324.

[12] Belani M, Deo A, Shah P, et al. Differential insulin and steroidogenic signaling in insulin resistant and non-insulin resistant human luteinized granulosa cells-a study in PCOS patients[J]. Steroid Biochem Mol Bio, 2018, 178: 283-292.

[13] Zhang D, Zhang L, Yue F,et al. Serum zonulin is elevated in women with polycystic ovary syndrome and correlates with insulin resistance and severity of anovulation[J].Eur J Endocrinol, 2015, 172(1):29-36.

[14] Insenser M, Murri M, Del CR, et al. Gut microbiota and the polycystic ovary syndrome: influence of sex, sex hormones, and obesity [J]. Clin Endocrinol Metab, 2018, 103(7):2552-2562.

[15] Fruzzetti F, Perini D, Russo M,et al. Comparison of two insulin sensitizers, metformin and myo-inositol, in women with polycystic ovary syndrome ( PCOS)[J].Gynecol Endocrinol, 2017, 33(1): 39-42.

[16] Guo J, Shao J, Yang Y,et al. Gut Microbiota in Patients with Polycystic Ovary Syndrome: a Systematic Review[J].Reprod Sci,2022,29(1):69-83.

[17] Feng Hui, Zhu Xinyi, Wang Changsong. Research progress on the mechanism of action of spleen strengthening herbs on intestinal microecology[J]. Chinese Journal of Traditional Chinese Medicine Information, 2018,25(10):137-140.

[18] Guo WX, Wang Q, Guo G, et al. Exploring "the spleen as the basis of the postnatal life" based on human intestinal flora [J]. Chinese Journal of Traditional Chinese Medicine, 2021, 36(9): 5165-5168.

[19] Cox LM, Calcagno N, Gauthier C, et al. The microbiota restrains neurodegenerative microglia in a model of amyotrophic lateral sclerosis [J]. Microbiome, 2022, 10(1):47.

[20] Li SH, Chen GD, Hong B, et al. Exploring the relationship between the theory of "Tu Cong Mu Yu" and the development of chronic hepatitis B based on intestinal flora dysbiosis[J]. Chinese Journal of Traditional Chinese Medicine, 2021, 36(6):3129-3132.

[21] Zhao C.W., Wang J. Research progress of Chinese herbal medicine based on intestinal flora for irritable bowel syndrome[J]. Clinical Research in Chinese Medicine, 2022, 14(1):141-144.

[22] Wei YJ, Li XQ, JI Boyang, et al. Analysis of intestinal flora-host relationship and progress of intestinal flora regulation/synthesis research[J]. Chinese Journal of Science, 2022, 52(2):249-265.

[23] Du Caifeng, Zhao Y, Liu Hongqi, et al. Exploring the essence of perimenopausal insomnia based on the "intestinal flora-intestine-brain" axis of heart-kidney disconnection [J]. Chinese Journal of Traditional Chinese Medicine, 2021,36(12):6975-6978.

[24] Wang KX, Dong XM, Su YP, et al. Research progress on the relationship between intestinal flora and depression [J]. Journal of Jilin University, 2022,48,(4):1094-1100.

[25] Li ZC, Sun PF, Li L, et al. Progress of research on the relationship between intestinal flora and liver diseases [J]. Chinese Journal of Cancer Control, 2021,28(19):1433-1437.

[26] Zhang J, Wang X L, Zhou Y, et al. Research progress on the correlation between intestinal flora and disease [J]. Basic Medicine and Clinics, 2020, 40(2):243-247.

[27] Lin Bebe, Huang Hongli, Xia Yanqiu, et al. Exploring Chinese medicine interventions for polycystic ovary syndrome based on intestinal flora[J]. Journal of Chinese Medicine, 2021, 36(272): 89-93.

[28] Yang Yijiao, Ni Xiaorong, Yang Ling. The relationship between polycystic ovary syndrome and intestinal flora and the current status of research on the prevention and treatment of Chinese medicine [J]. Chinese Journal of Microecology, 2022, 34(1):97-101.

[29] Zhang Jingnan, Yuan Hong, Ma Chunli, et al. Astragalus polysaccharide suppresses intestinal inflammatory response in mice on high-fat diet by regulating intestinal flora[J]. Journal of Food and Biotechnology, 2022, 41(4):19-24.

[30] Meng J.I. Study on the spleen tonic effect of Radix Codonopsis polysaccharide based on bitter-cold diarrhea in a mouse model of spleen deficiency [D]. Shanxi: Shanxi Medical University, 2021: 43-73.

[31] He Han, Dan Linwei, Wang Qiaozhen, et al. Effects of aqueous decoction and polysaccharides of Atractylodes macrocephala before and after bran-frying on intestinal flora of rats with spleen deficiency and diarrhea based on 16S rRNA high-throughput sequencing[J]. Chinese Pharmacology and Clinics, 2022, 38(2):136-140.

[32] Ou G. S., You D. S., Zhang L. H., et al. Exploring the intestinal microecological mechanism of Ginseng and Atractylodes macrocephala in the treatment of functional diarrhea with spleen deficiency [J]. Journal of Guangzhou University of Traditional Chinese Medicine, 2020, 37(11): 2232-2236.

[33] Lu YK, Chen YY, Zhuang XM, et al. Study on the mechanism of Si Jun Zi Tang intervention in heart failure rats based on the regulation of intestinal flora imbalance [J]. Chinese Journal of Traditional Chinese Medicine Information, 2021, 48(4):81-87.

[34] Xie Pang Pang, Zeng Lei, Yu Jing Wei, et al. Effect of adding and subtracting Cangfu Guiding Phlegm Tang on metabolism and conception in polycystic ovary syndrome with spleen deficiency and phlegm-dampness evidence [J]. Chinese Journal of Experimental Formulary, 2021, 27(14):87-92.