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Frontiers in Medical Science Research, 2022, 4(7); doi: 10.25236/FMSR.2022.040705.

Progress of research on the mechanism of action of Chinese medicine for functional constipation based on intestinal flora

Author(s)

Liu Ya

Corresponding Author:
Liu Ya
Affiliation(s)

Shaanxi University of Traditional Chinese Medicine, Xianyang, 712000, Shaanxi, China

Abstract

Functional constipation is a common clinical non-organic disease, and long-term constipation, if not effectively treated, can bring many negative effects to patients. In recent years, intestinal flora has been a hot topic in the treatment of constipation. Dysbiosis of the intestinal flora can promote the onset and development of chronic functional constipation through a series of pathways. Therefore, based on the several mechanisms of constipation caused by intestinal flora, this paper discusses some research results and progresses in the treatment of constipation by Chinese medicine, and systematically summarizes that Chinese medicine may play a role in the treatment of functional constipation by regulating the ratio and quantity of flora, participating in the metabolic transformation of flora, protecting the intestinal mucosal barrier and influencing the expression of neurotransmitters related to the brain-intestinal bacterial axis. The aim is to establish a systematic theoretical basis for the diagnosis and treatment of constipation by Chinese medicine through influencing intestinal flora, and to provide a new treatment idea for constipation by Chinese medicine.

Keywords

intestinal flora; cerebral enterobacterial axis; intestinal mucosa; metabolism; traditional Chinese medicine

Cite This Paper

Liu Ya. Progress of research on the mechanism of action of Chinese medicine for functional constipation based on intestinal flora. Frontiers in Medical Science Research (2022) Vol. 4, Issue 7: 30-37. https://doi.org/10.25236/FMSR.2022.040705.

References

[1] Zhang H, Han B, Zhang Z, Tian Z, Yu Y. Observation on the Efficacy of Shouhui Tongbian Capsule in the Treatment of Functional Constipation and Study on Its Regulatory Effect on Intestinal Flora. J Healthc Eng. 2021 Nov 1;2021:9024919.

[2] Yu Shaolei. Clinical study on the effect of Huangqi Runyunwan on adjusting the ratio of intestinal flora in patients with constipation[D]. Heilongjiang University of Traditional Chinese Medicine,2015.

[3] Wald A, Scarpignato C, Mueller-Lissner S, Kamm MA, Hinkel U, Helfrich I, Schuijt C, Mandel KG. A multinational survey of prevalence and patterns of laxative use among adults with self-defined constipation. Aliment Pharmacol Ther. 2008 Oct 1;28(7):917-30. 

[4] Feng W, Ao H, Peng C, Yan D. Gut microbiota, a new frontier to understand traditional Chinese medicines. Pharmacol Res. 2019 Apr;142:176-191. 

[5]  Cao H, Liu X, An Y, Zhou G, Liu Y, Xu M, Dong W, Wang S, Yan F, Jiang K, Wang B. Dysbiosis contributes to chronic constipation development via regulation of serotonin transporter in the intestine. Sci Rep. 2017 Sep 4;7(1):10322.

[6] Tomasello G, Bellavia M, Palumbo VD, Gioviale MC, Damiani P, Lo Monte AI. From gut microflora imbalance to mycobacteria infection: is there a relationship with chronic intestinal inflammatory diseases? Ann Ital Chir. 2011 Sep-Oct;82(5):361-8. PMID: 21988043.

[7] Gerritsen J, Smidt H, Rijkers GT, de Vos WM. Intestinal microbiota in human health and disease: the impact of probiotics. Genes Nutr. 2011 Aug;6(3):209-40. 

[8] Zhou B, Yuan Y, Zhang S, Guo C, Li X, Li G, Xiong W, Zeng Z. Intestinal Flora and Disease Mutually Shape the Regional Immune System in the Intestinal Tract. Front Immunol. 2020 Apr 3;11:575. 

[9] Scott KP, Martin JC, Duncan SH, Flint HJ. Prebiotic stimulation of human colonic butyrate-producing bacteria and bifidobacteria, in vitro. FEMS Microbiol Ecol. 2014 Jan;87(1):30-40.

[10] van der Werf MJ, Venema K. Bifidobacteria: genetic modification and the study of their role in the colon. J Agric Food Chem. 2001 Jan;49(1):378-83.

[11] Chaudhary PP, Conway PL, Schlundt J. Methanogens in humans: potentially beneficial or harmful for health. Appl Microbiol Biotechnol. 2018 Apr;102(7):3095-3104. 

[12] Stasi C, Rosselli M, Bellini M, Laffi G, Milani S. Altered neuro-endocrine-immune pathways in the irritable bowel syndrome: the top-down and the bottom-up model. J Gastroenterol. 2012 Nov;47(11):1177-85. 

[13] Guo, Chun, He, Ping. Brain-gut axis and its research progress[J]. World abstract of latest medical information, 2017, 17(95):89-91.

[14] Yu T, Zhao LN, Chen QK. Brain and intestinal peptides and functional dyspepsia[J]. Modern Digestive and Interventional Medicine, 2012, 17(04):241-245.

[15] Rudnick G, Sandtner W. Serotonin transport in the 21st century. J Gen Physiol. 2019 Nov 4;151(11):1248-1264. 

[16] Cheng Q, Feng X, Meng Q, Li Y, Chen S, Wang G, Nie K. [6]-Gingerol Ameliorates Cisplatin-Induced Pica by Regulating the TPH/MAO-A/SERT/5-HT/5-HT3 Receptor System in Rats. Drug Des Devel Ther. 2020 Oct 2;14:4085-4099. 

[17] Jin DC, Cao HL, Xu MQ, Wang SN, Wang YM, Yan F, Wang BM. Regulation of the serotonin transporter in the pathogenesis of irritable bowel syndrome. World J Gastroenterol. 2016 Sep 28;22(36):8137-48. 

[18] Yano JM, Yu K, Donaldson GP, Shastri GG, Ann P, Ma L, Nagler CR, Ismagilov RF, Mazmanian SK, Hsiao EY. Indigenous bacteria from the gut microbiota regulate host serotonin biosynthesis. Cell. 2015 Apr 9;161(2):264-76.

[19] Liu R. Study on the mechanism of intestinal flora dysbiosis promoting the occurrence of chronic constipation[D]. Tianjin Medical University, 2018.

[20] YAN Wei-Lun,WANG Shuai-Shuai,REN Xia. Experimental study on the effect of Atractylodes macrocephala on the regulation of intestinal flora in mice[J]. Shandong Journal of Traditional Chinese Medicine, 2011, 30(06):417-419.

[21] Liu F, Yan J, Lu D X. Research on intestinal microecology and exploration of the nature of Chinese medicine[J]. Journal of Traditional Chinese Medicine, 2019, 34(09):1859-1863.

[22] Liu Weihong. The significance of microbial autolysis phenomenon in the study of microecology in Chinese medicine[J]. Journal of Shandong University of Traditional Chinese Medicine, 1998(05):9. [23] LU Lin, LIU Luncui, LU Jin, HAI Yanjie, DING Liangju, GUO Jifang. Study on the effect of Chinese medicine compound on the microecology of intestinal tract and tongue in patients with spleen deficiency and dampness diarrhea[J]. Journal of Mudanjiang Medical College, 2009, 30(05):70-73.

[24] WANG Guang,MA Shuxia,HU Xinjun,LI Liqiu,YANG Jingyun. Effect of polysaccharide from Radix Codonopsis pilosulae on the growth of Bifidobacterium and Escherichia coli in vitro[J]. Chinese Journal of Microecology, 2010, 22(03):199-201.

[25] GUO Sijia,JIANG Tokyo,LI Zhenlan,ZHANG Qiao,ZHANG Li. Research progress on the relationship between intestinal flora and common gastrointestinal diseases and the therapeutic methods of traditional Chinese medicine and microecological preparations[J]. Chinese herbal medicine, 2018, 49(18):4424-4431.

[26] Xu N, Kan P, Yao X, Yang P, Wang J, Xiang L, Zhu Y. Astragaloside IV reversed the autophagy and oxidative stress induced by the intestinal microbiota of AIS in mice. J Microbiol. 2018 Nov;56(11):838-846. 

[27] SHI Xue-kui,DONG Yan,ZHANG Yi-ju,LIU Ya-wei,XU Xiao-yan. Effects of Huanglian aqueous decoction on intestinal flora of mice[J]. Journal of Mudanjiang Medical College, 2001(01):10-12.

[28] JI Zhi-Wei, LUO Lian-Cheng, XIE Ji-Liang, XUE Wen-Dou. In vitro antibacterial effects of Da Cheng Qi Punch and Da Huang [J]. Chinese Journal of Integrated Chinese and Western Medicine Surgery, 2003(06):40-42.

[29] LIU Yuting,HAO Weiwei,WEN Hongzhu,SHAO Lanjun. Detection methods and research progress of intestinal flora[J]. World Journal of Chinese Digestion, 2016, 24(20):3142-3148.

[30] Wang Yushan, Li Wancong, You Ying, Fan Jingjing, Liu Mengyang, Hu Shumeng, Wang Yuhua. Research progress on the regulation of intestinal flora by Chinese medicine to improve human health[J]. Chinese herbal medicine, 2018, 49(09):2203-2209.

[31] Chen Z, Lv Y, Xu H, Deng L. Herbal Medicine, Gut Microbiota, and COVID-19. Front Pharmacol. 2021 Jul 7;12:646560. 

[32] HE Lu, LONG Chengxing, LI Dandan, ZHANG Xue, PENG Beijiao, TAN Zhoujin. Effects of Si Mo Tang on intestinal bacterial abundance and functional genes in mice with spleen deficiency and constipation[J]. Chinese Journal of Microecology, 2017, 29(02):133-138.

[33] Liu D, Lin L, Lin Y, Zhong Y, Zhang S, Liu W, Zou B, Liao Q, Xie Z. Zengye decoction induces alterations to metabolically active gut microbiota in aged constipated rats. Biomed Pharmacother. 2019 Jan;109:1361-1371. 

[34] Yuan Duyi, Li Xiaojin, Yin Qingsheng, Xu Mengxi, Han Juan, Zhang Yanjun, Zhuang Pengwei. Research progress of Chinese medicine intervention in intestinal flora to improve intestinal mucosal barrier function[J]. Chinese herbal medicine, 2018, 49(08):1932-1938.

[35] Zu Xianpeng, Lin Zhang, Xie Haisheng, Yang Bird, Liu Xinru, Zhang Weidong. Research progress on the interaction between active ingredients of Chinese medicine and intestinal flora[J]. Chinese Journal of Traditional Chinese Medicine, 2016, 41(10):1766-1772.

[36] QIU Bangdong, ZANG Yue, WANG Sheng, LIU Nan, LIU Li, MEI Qibing. Exploration of the mechanism of turtle shell decoction pill to improve intestinal flora dysbiosis in the treatment of nonalcoholic fatty liver in rats[J]. Chinese Journal of Experimental Formulary, 2017, 23(04):145-151.

[37] Song Hongxin, Zhao Xiaohong. Food immunology [M]. Beijing: China Light Industry Press, 2014. 

[38] Xiao Changfang. Clinical study of Chinese medicine compound combined with microecological regulators in the treatment of functional constipation and the preliminary investigation on the effect of adjusting the ratio of intestinal flora [D]. Shanghai University of Traditional Chinese Medicine, 2019. [39] Zeng H-L, Xiao M, Chen B, Zeng W-B. Study on the regulation of intestinal flora and enteroprotective effect of compound Cangzhi formula[J]. Modern Food Science and Technology, 2018, 34(01):24-30.

[40] Gong Linzheng. Effect of tonifying Zhong Yi Qi Tang with addition and subtraction on hematological indices and intestinal sensitivity in patients with constipation-type irritable bowel syndrome[J]. Shaanxi Traditional Chinese Medicine, 2018, 39(01):65-67.

[41] Qian Zhiyuan,Chen Zhiyao,Tu Xiaohuang,Feng Changyin. Effect of tonifying Zhong Yi Qi Tang on the number of 5-HT and CgA positive cells in rabbit colonic mucosa[J]. Chinese Journal of Integrated Chinese and Western Medicine Surgery, 2009, 15(05):539-543.

[42] An R. Exploring the new mechanism of painful diarrhea based on "brain-intestinal bacteria axis" in the treatment of IBS model rats[D]. Chengdu University of Traditional Chinese Medicine, 2016.

[43] CHA Yanzhong, CHEN Hongbao, AN Lifeng, CHANG Li, FAN Xiaoyong. Study on the effect of Jichuan Decoction on gastrointestinal motility of aged rats and related mechanisms[J]. Chinese Journal of Experimental Formulary, 2007(11):44-46.

[44] DONG Yan,HE Chunmei,LU Jingen. Experimental study on the regulation of NO-cGMP-PKG pathway in intestinal Cajal cells by Yi Qi Kai Secret formula[J]. Journal of Shanghai University of Traditional Chinese Medicine, 2013, 27(03):82-86.