Division of Gastroenterology, Hepatology, and Endoscopy, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Department of Integrative Gastroenterology, Kliniken Essen-Mitte, Faculty of Medicine, University of Duisburg-Essen, Am Deimelsberg 34 a, 45276 Essen, Germany; Department of Internal and Integrative Medicine, Kliniken Essen-Mitte, Faculty of Medicine, University of Duisburg-Essen, Am Deimelsberg 34 a, 45276 Essen, Germany.
Med Clin North Am. 2017 Sep;101(5):943-954. doi: 10.1016/j.mcna.2017.04.009. Epub 2017 Jul 10.
Complementary and integrative medicine is developing within gastroenterology, expanding options particularly for inflammatory bowel disease, irritable bowel syndrome, and reflux esophagitis. This article encompasses new developments in complementary integrative medicine with an emphasis on herbal therapies. Studies of potential therapies have been advancing with increasing sophistication. The best studied with the most promising results in ulcerative colitis is the use of curcumin both for the induction and maintenance of remission. Other polyphenols, such as resveratrol and epigallocatechin-3-gallate, also have supportive data for ulcerative colitis. Mind-body approaches have been applied in these diseases with positive data, particularly for irritable bowel syndrome.
补充和整合医学在胃肠病学中不断发展,为炎症性肠病、肠易激综合征和反流性食管炎等疾病提供了更多选择。本文涵盖了补充整合医学的新进展,重点介绍了草药疗法。随着研究的深入,对潜在疗法的研究也在不断推进。在溃疡性结肠炎中,研究最多、结果最有前景的是姜黄素的应用,无论是在诱导缓解还是维持缓解方面。其他多酚类物质,如白藜芦醇和表没食子儿茶素没食子酸酯,也有支持溃疡性结肠炎的研究数据。身心方法已应用于这些疾病,并取得了积极的数据,特别是在肠易激综合征方面。