世界中西医结合杂志2024,Vol.19Issue(7) :1289-1295.DOI:10.13935/j.cnki.sjzx.240704

基于网络药理学探究国医大师孙光荣教授治疗不孕症的用药经验

Exploration of Traditional Chinese Medicine National Master Sun Guangrong's Ex-perience and Medication in Treating Infertility

李文宁 闫梅 金琦 杨建宇 李彦知 孙光荣 朱庆文
世界中西医结合杂志2024,Vol.19Issue(7) :1289-1295.DOI:10.13935/j.cnki.sjzx.240704

基于网络药理学探究国医大师孙光荣教授治疗不孕症的用药经验

Exploration of Traditional Chinese Medicine National Master Sun Guangrong's Ex-perience and Medication in Treating Infertility

李文宁 1闫梅 1金琦 1杨建宇 2李彦知 2孙光荣 1朱庆文1
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作者信息

  • 1. 北京中医药大学,北京 100029
  • 2. 中国中医药现代远程教育杂志社,北京 100031
  • 折叠

摘要

目的 总结国医大师孙光荣教授应用丹参-鸡内金治疗不孕症的经验,重点分析其治疗不孕症的思路并预测核心药对的作用机制.方法 检索2012年1月-2015年1月期间孙光荣教授门诊病历,纳入含丹参-鸡内金的处方,使用Cytoscape 3.7.1和Vosviewer进行数据可视化,分析总结孙光荣教授应用丹参-鸡内金的经验;从TCMSP数据库、中国知网等中获得丹参-鸡内金的主要化学成分及作用靶点,从OMIM、GeneCards数据库中获得不孕症的相关靶点,建立"疾病-中药-活性成分-靶点"网络,通过蛋白互作网络分析和KEGG富集分析,预测丹参-鸡内金治疗不孕症的作用机制.结果 丹参-鸡内金这一药对在临床为孙光荣教授广泛使用,在妇科病的治疗中用法较为特殊;孙光荣教授治疗不孕症以活血化瘀、健脾和胃为主;丹参-鸡内金是孙光荣教授治疗不孕症核心用药,丹参-鸡内金的主要活性成分共有70个,与治疗女性不孕症相关的靶点有78个,是丹参-鸡内金治疗不孕症的潜在作用靶点,磷脂酰肌醇3-激酶(Phosphoinositide 3-kinase,PI3K)/p-PI3K蛋白激酶B(AKT)信号通路是丹参-鸡内金治疗不孕症的潜在作用机制.结论 国医大师孙光荣教授在临床治疗中主张调气血、护脾胃,特别使用丹参-鸡内金这一对药治疗不孕症;丹参-鸡内金有潜在的促进卵泡发育、调控子宫内膜蜕膜化过程,进而治疗不孕症的作用.

Abstract

Objective To summarize the experience of the national master of traditional Chinese medicine(TCM)Sun Guangrong in treating infertility with Salvia miltiorrhiza and Gizzard Pepsin,focusing on analyzing his treatment ap-proach and predicting the core mechanism of the drug pair.Methods Outpatient medical records of Professor Sun Guan-grong from January 2012 to January 2015 were reviewed,and prescriptions containing Salvia miltiorrhiza and Gizzard Pep-sin were included.Data visualization was performed using Cytoscape 3.7.1 and Vosviewer to analyze and summarize Pro-fessor Sun Guangrong's experience with this drug pair.The main chemical components and targets of Salvia miltiorrhiza and Gizzard Pepsin were obtained from the TCMSP database and CNKI.Infertility-related targets were retrieved from OMIM and GeneCards databases.A"disease-herb-active ingredient-target"network was established,and the mechanism of Salvia miltiorrhiza and Gizzard Pepsin in treating infertility was predicted through protein interaction network analysis and KEGG enrichment analysis.Results The Salvia miltiorrhiza and Gizzard Pepsin drug pair was widely used by Professor Sun Guangrong in clinical practice,particularly in the treatment of gynecological diseases,and had a unique application method.Professor Sun Guangrong's treatment of infertility focused on promoting blood circulation,removing blood stasis,and strengthening the spleen and stomach.Salvia miltiorrhiza and Gizzard Pepsin were identified as core drugs in his treat-ment of infertility.The main active ingredients of the pair included 70 components,and there were 78 targets related to fe-male infertility,suggesting potential therapeutic targets.The phosphoinositide 3-kinase(PI3K)/protein kinase B(AKT)signaling pathway was identified as a potential mechanism of action for treating infertility with Salvia miltiorrhiza and Giz-zard Pepsin.Conclusion National master of TCM Sun Guangrong advocates for regulating qi and blood and protecting the spleen and stomach in clinical treatment,particularly using the Salvia miltiorrhiza-Gizzard Pepsin pair for treating infertil-ity.This drug pair has the potential to promote follicular development and regulate the decidualization process of the endo-metrium,thereby treating infertility.

关键词

不孕症/网络药理学/中和思想/丹参/鸡内金

Key words

Infertility/Network Pharmacology/Zhonghe Thoughts/Salvia Miltiorrhiza/Gizzard Pepsin

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基金项目

国家重点研发计划(2018YFC1704106)

国家中医药管理局第二届国医大师传承工作室建设项目()

出版年

2024
世界中西医结合杂志
中华中医药学会

世界中西医结合杂志

CSTPCD
影响因子:1.053
ISSN:1673-6613
参考文献量7
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