This paper was aimed to discuss the mechanism of aristolchic acid toxicity, pathogenesis and possible causes of aristolchic acid nephropathy. Recent published studies both at home and abroad were summarized on the impact of aristolchic acid on the incidence and progression of aristolchic acid nephropathy. The results showed that traditional Chinese medicine (TCM) containing aristolchic acid was closely associated with the incidence of aristolchic acid nephropathy. It was concluded that the paper provided some suggestions on preventing aristolchic acid nephropathy.%目的:探讨马兜铃酸的毒性作用机制、马兜铃酸肾病发病机制与原因。方法:本文对近年来国内外对于马兜铃酸导致马兜铃酸肾病发生、发展的最新研究进行总结。结果:含马兜铃酸成分中药,与马兜铃酸肾病的发生密切相关。结论:本文为防治马兜铃酸肾病提供参考意见。
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