首页|基于中医传承辅助平台及网络药理学分析中药治疗慢性胃炎的核心药物与作用机制

基于中医传承辅助平台及网络药理学分析中药治疗慢性胃炎的核心药物与作用机制

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目的 借助中医传承辅助平台整理中医药治疗慢性胃炎的用药规律,结合网络药理学分析中医药治疗慢性胃炎的作用机制。方法 检索2010年1月至2024年6月与中医药治疗慢性胃炎有关的临床文献1 214篇,应用中医传承辅助平台2。5软件对文献数据进行统计分析、关联分析,归纳中医药治疗慢性胃炎的潜在有效药物组合及用药特点,对核心药物组合用于慢性胃炎的主要有效成分、信号通路及作用靶点加以分析。结果 共检索出有效处方28手,处方中涵盖中药116味,应用频次前20位以补气药、理气药、利水渗湿类药物为主,支持度≥10、置信度≥0。6的中药核心组合为甘草-党参-香附;甘草-党参-香附组合中涉及20个有效成分、35个核心靶点,7个信号通路,核心成分为槲皮素、山柰酚、黄芩素、7-甲氧基-2-甲基异黄酮等。结论 中医药治疗慢性胃炎以补中益气类、疏肝理气、利水渗湿类中药为主,中药核心药物组合"甘草-党参-香附"可能利用炎症反应、细胞对非生物刺激的响应及细胞凋亡相关通路等多种信号通路参与慢性胃炎的治疗进程。
Core drugs and mechanism of action for treating chronic gastritis based on TCM inheritance auxiliary platform and network pharmacology
Objective To take the auxiliary platform of TCM inheritance as a tool to sort out the medication rules of TCM in treating chronic gastritis,and combining with network pharmacology to analyze the mechanism of TCM in the treatment of chronic gastritis.Methods A total of 1,214 clinical documents related to TCM in the treatment of chronic gastritis from January 2010 to June 2024 were retrieved.The TCM Inheritance Support System 2.5 software was applied to statistically analyze and correlate the data from these documents,facilitating the induction of potential effective drug combinations and medication characteristics of TCM in the treatment of chronic gastritis.Additionally,network pharmacology was combined to analyze the main active ingredients,signaling pathways,and targets of the core drug combinations used in chronic gastritis.Results A total of 28 valid prescriptions were retrieved,covering 116 TCM.Among them,the top 20 most frequently used herbs were primarily Qi-tonifying,Qi-regulating,and water-draining and dampness-resolving medicines.When the support degree was ≥10 and the confidence level was ≥0.6,the core combination of TCM was identified as Glycyrrhizae Radix(licorice root),Codonopsis Radix(dangshen),and Cyperi Rhizoma(xiangfu).Through network pharmacology analysis,the Glycyrrhizae Radix,Codonopsis Radix,and Cyperi Rhizoma combination was found to involve 20 active ingredients,35 core targets,and 7 signaling pathways.The core ingredients included quercetin,kaempferol,baicalein,7-methoxy-2-methylisoflavone,and others.Conclusion The treatment of chronic gastritis with TCM mainly focuses on Qi-tonifying,liver-soothing and Qi-regulating,and water-draining and dampness-resolving herbs.The core drug combination of TCM,"Glycyrrhizae Radix(licorice root),Codonopsis Radix(dangshen),and Cyperi Rhizoma(xiangfu)"may participate in the treatment process of chronic gastritis through various signaling pathways related to inflammatory response,cellular response to abiotic stimuli and apoptosis.

Auxiliary platform for TCM inheritanceTraditional Chinese medicine therapyNetwork pharmacologyMolecular mechanism

邵素、吴静

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温州医科大学附属第一医院中药房,浙江温州 325200

浙江中医药大学附属温州市中医院心内科,浙江温州 325200

中医传承辅助平台 中医药疗法 网络药理学 分子机制

2024

中国药物与临床
中国医院协会

中国药物与临床

影响因子:0.846
ISSN:1671-2560
年,卷(期):2024.24(20)