目的:探讨二甲基亚硝胺(DMN)大鼠肝纤维化的中医方证。方法:腹腔注射法制备DMN大鼠肝纤维化模型,分别采用5首不同功效的经典方治疗两周,观察各组大鼠肝组织病理学、羟脯氨酸(Hyp)含量及肝功能变化。结果:造模4周后大鼠形成典型小结节性肝硬化,6周后模型组大鼠肝组织损伤较4周时有所缓解。与6周模型组相比,茵陈蒿汤组大鼠肝组织病理变化、Hyp含量及肝功能均显著改善(P〈0.05或P〈0.01);黄芪汤组大鼠肝组织病理变化、Hyp古量亦显著改善(P〈0.05或P〈0.01)。结论:茵陈蒿汤、黄芪汤能够有效逆转DMN大鼠肝纤维化,成型期DMN肝纤维化大鼠的主要中医方证为湿热、瘀热内蕴兼气虚。
Objective:To probe into TCM recipe and syndrome of dimethylnitrosamine(DMN)-induced hepatic fibrosis of the rat. Methods: DMN rat hapetic fibrosis model was prepared by intraperitoneal injection of DMN,and they were respectively treated with 5 classical recipes with difference functions for 2 weeks. Changes of pathology of the hepatic tissue,hydroxyproline(Hyp) content and hapetie function were investigated. Results: 4 weeks after modeling,typical micronodular cirrhosis formed,and 6 weeks after modeling,the hepatic injury in the model group had some remission as compared with that at 4 weeks. Compared with the model group at 6.weeks,pathologic changes of the hepatic tissue,Hyp content and hepatic function improved significantly (P〈0.05 or P〈0. 01) in the Inchenhao Decoction group;pathologie changes of the hepatic tissue and Hyp content in the Huangqi Decoction group improved significantly (P〈0. 05 or P〈0. 01 ). Conelusion:Inchenhao Decoction and Huangqi Decoction can effectively reverse DMN-induced hepatic fibrosis of rats;damp-heat,stagnation of heat in the interior with qi-deficiency are main TCM syndromes of DMN hepatic fibrosis rat at the formative stage.