Objective: To observe the clinical effect of Neiyifang (NYF) in treating endometriosis and to explore its therapeutic mechanism through
observing its influence on plasma β-endorphin (β-EP) in different menstrual stages and levels of prostaglandins (PGs) in menstruation.
Methods:NYF was administered to 104 patients with endometriosis one dose daily with 3 successive menstrual cycles as one therapeutic
course. Peripheral blood β-EP level in follicular, luteal and menstrual stages, as well as PGF
2α, PGE2, thromboxane B
2 and 6-keto-PGFl α levels in menstrual stage were detected by RIA, and controlled with those in 15 healthy persons.
Results: (1) The total effective rate of NYF was 81.3% and it showed significant effect in improving patients’ clinical symptoms
and physical signs; (2) In menstrual stage, the levels of β-EP, 6-keto-PGF
α/ TXB
2 were lower(P <0.05) and levels of PGF
2α, PGE
2, TXB
2 and 6-keto-PGF
1α were higher (P< 0. 05) in patients than those in control, and the higher the level of PGE
2, the severer the menalgia, (3) NYF could increase levels of β-EP, 6-keto-PGF
1α, and reduce levels of PGF
2α, PGE
2α in menstrual stage of patients (all P<0.05).
Conclusion: (1) NYF has good clinical effect in treating endometriosis; (2) Patients’ symptom of menalgia is closely related with the
excessive high levels of PGF
2α and PGE
2, PGI
2/TXA
2 ratio disturbance, and excessive low level of β-EP; (3) NYF could significantly decrease the PGE
2, PGF
1α levels, increase the 6-keto-PGF
1α/TXB
2 ratio and the level of β-EP, so as to alleviate the menalgia in patients with endometriosis.
This item was supported by National Funds of Natural Sciences(No. 30070942)
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