SUN Suyang,XU Jia.Correlation between pediatric atopic dermatitis and gut microbiota and its treatment[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(11):1397-1400.
SUN Suyang,XU Jia.Correlation between pediatric atopic dermatitis and gut microbiota and its treatment[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(11):1397-1400. DOI: 10.16025/j.1674-1307.2025.11.005.
Correlation between pediatric atopic dermatitis and gut microbiota and its treatment
Pediatric atopic dermatitis (AD) is a common chronic inflammatory skin disease, the pathogenesis of which involves immune imbalance and gut microbiota dysbiosis. The interaction between the heart and kidneys and the mutual coordination of water and fire are core elements in maintaining the body's yin-yang balance. In the state of "disharmony between water and fire", functional dysfunction of the heart, spleen, and kidneys is closely associated with gut microbiota imbalance as well as the onset and progression of pediatric AD. Based on the therapeutic goal of restoring "harmony between water and fire", Professor XU Jia developed
Zishui Qingxin Decoction
, which achieves multi-organ regulation through "nourishing kidney water, clearing heart fire, and regulating the spleen and stomach". This formula can effectively alleviate clinical symptoms of AD and reduce recurrence frequency, and it is expected to provide a new therapeutic approach for regulating gut microbiota in children with AD.
MOHAMMAD S , KARIM MR , IQBAL S , et al . Atopic dermatitis:pathophysiology, microbiota, and metabolome :a comprehensive review [J ] . Microbiol Res , 2024 , 281 : 127595 .
RIOS-CARLOS M , CERVANTES-GARCÍA D , CÓRDOVA-DÁVALOS LE , et al . Unraveling the gut-skin axis in atopic dermatitis:exploiting insights for therapeutic strategies [J ] . Gut Microbes , 2024 , 16 ( 1 ): 2430420 .
PARK YM , LEE SY , KANG MJ , et al . Imbalance of gut streptococcus, clostridium, and akkermansia determines the natural course of atopic dermatitis in infant [J ] . Allergy Asthma Immunol Res , 2020 , 12 ( 2 ): 322 - 337 .
LEE MJ , KANG MJ , LEE SY , et al . Perturbations of gut microbiome genes in infants with atopic dermatitis according to feeding type [J ] . J Allergy Clin Immunol , 2018 , 141 ( 4 ): 1310 - 1319 .
KIM JE , KIM HS . Microbiome of the skin and gut in atopic dermatitis(AD):understanding the pathophysiology and finding novel management strategies [J ] . J Clin Med , 2019 , 8 ( 4 ): 444 .
MARTIN-GALLAUSIAUX C , MARINELLI L , BLOTTIÈRE HM , et al . SCFA:mechanisms and functional importance in the gut [J ] . Proc Nutr Soc , 2021 , 80 ( 1 ): 37 - 49 .
WRZEŚNIEWSKA M , WOŁOSZCZAK J , ŚWIRKOSZ G , et al . The role of the microbiota in the pathogenesis and treatment of atopic dermatitis:a literature review [J ] . Int J Mol Sci , 2024 , 25 ( 12 ): 6539 .
LEE SY , LEE E , PARK YM , et al . Microbiome in the gut-skin axis in atopic dermatitis [J ] . Allergy Asthma Immunol Res , 2018 , 10 ( 4 ): 354 - 362 .
BAWANY F , NORTHCOTT CA , BECK LA , et al . Sleep disturbances and atopic dermatitis:relationships,methods for assessment,and therapies [J ] . J Allergy Clin Immunol Pract , 2021 , 9 ( 4 ): 1488 - 1500 .
LIN Z , JIANG T , CHEN M , et al . Gut microbiota and sleep: interaction mechanisms and therapeutic prospects [J ] . Open Life Sci , 2024 , 19 ( 1 ): 20220910 .
LEE HJ , HONG JK , KIM JK , et al . Effects of probiotic NVP-1704 on mental health and sleep in healthy adults: an 8-week randomized, double-blind, placebo-controlled trial [J ] . Nutrients , 2021 , 13 ( 8 ): 2660 .
EICHENFIELD LF , TOM WL , CHAMLIN SL , et al . Guidelines of care for the management of atopic dermatitis:section 1. Diagnosis and assessment of atopic dermatitis [J ] . J Am Acad Dermatol , 2014 , 70 ( 2 ): 338 - 351 .
Clinical efficacy of kidney-nourishing and heart-clearing method in the treatment of atopic dermatitis with heart-spleen heat accumulation syndrome in children
Mechanisms of Liangxue Qushi Zhiyang Formula in treatment of atopic dermatitis in mice based on mitochondrial morphology and fission
TCM master CHEN Tong's experience in the differentiation and treatment of atopic dermatitis
Current status and prospects of traditional Chinese medicine in treating atopic dermatitis
Effect of Jianpi Runfu Decoction on skin lesions and cytoinflammatory factors in mice with atopic dermatitis of spleen deficiency syndrome
Related Author
XU Jia
LI Ruixin
FANG Shuyue
SUN Zhanxue
ZHANG Xuan
YANG Pingping
MA Shennan
LEI Shengyi
Related Institution
School of Clinical Medicine,Beijing Hospital of Traditional Chinese Medicine,Beijing University of Chinese Medicine
Department of Dermatology, Beijing Huairou Hospital of Chinese Medicine
Department of Dermatology, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University
Dermatology Department, Beijing University of Chinese Medicine Third Affiliated Hospital