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A growing number of studies have supported the view that Chinese herbal formula alleviates the symptoms of diarrhea by modulating the fecal microbiota. Chinese herbal polysaccharides (CHPs) are natural polymers composed of monosaccharides that are widely found in Chinese herbs and function as important active ingredients. Commensal gut microbiota has an extensive capacity to utilize CHPs and play a vital role in degrading polysaccharides into short\u2010chain fatty acids (SCFAs). Many CHPs, as prebiotics, have an antidiarrheal role to promote the growth of beneficial bacteria and inhibit the colonization of pathogenic bacteria. This review systematically summarizes the relationship among gut microbiota, chronic diarrhea, and CHPs as well as recent progress on the impacts of CHPs on the gut microbiota and recent advances on the possible role of CHPs in chronic diarrhea.<\/jats:p>","DOI":"10.1002\/fsn3.3596","type":"journal-article","created":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T05:04:18Z","timestamp":1691384658000},"page":"5837-5855","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Relationship among Chinese herb polysaccharide (CHP), gut microbiota, and chronic diarrhea and impact of CHP on chronic diarrhea"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3554-2761","authenticated-orcid":false,"given":"Hong","family":"Xue","sequence":"first","affiliation":[{"name":"Digestive Laboratory of Traditional Chinese Medicine Research Institute of Spleen and Stomach Diseases Xiyuan Hospital, China 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