Yan Yao-Qi, Sun Jing, Zhang Li, Miao Li-Li, Xie Zhi-Jun
Zhejiang Chinese Medical University, Hangzhou 310053, China.
Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou 310007, China.
Zhongguo Zhong Yao Za Zhi. 2018 Jul;43(13):2824-2830. doi: 10.19540/j.cnki.cjcmm.20180327.006.
To mine the medication rules of herbal prescriptions for gout caused by heat-damp accumulation syndrome, and explore the possible mechanism of the core herbs, we collected the relevant literature of gout caused by heat-damp accumulation syndrome in CNKI, medication rules of herbal prescriptions are analyzed by using TCMISS(V2.5) software, and the compatibility of core drugs and new prescriptions were mined.KEGG pathway analysis was performed by BATMAN-TCM, an online analysis tool, and the potential signaling pathways of core drugs compatibility to treat gout caused by heat-damp accumulation syndrome were revealed. The results showed that six core drugs and three new prescriptions were found out of the 136 prescriptions. The core compatibility herbs in clinical treament of gout caused by heat-damp accumulation syndrome, Phellodendri Chinrnsis Cortex, Achyranthis Bidentatae Radix and Achyranthis Bidentatae Radix, which potential signaling pathways were purine metabolic pathway and neura activity ligand receptor interaction signaling pathway. Therefore, for gout caused by heat-damp accumulation syndrome, the mainly used therapies of TCM were clearing heat and drying dampness,inducing diuresis for removing edema, dispeling wind and eliminating dampness. The mechnisms of core compatibility herbs may be achieved through the intervention of purine metabolic pathway and neural activity ligand receptor interaction signaling pathway.
为挖掘清热利湿型痛风中药方剂的用药规律,探究核心药材的可能作用机制,我们收集了中国知网中清热利湿型痛风的相关文献,运用中医传承辅助平台(V2.5)软件分析中药方剂的用药规律,挖掘核心药物的配伍及新处方。通过在线分析工具BATMAN-TCM进行KEGG通路分析,揭示核心药物配伍治疗清热利湿型痛风的潜在信号通路。结果显示,在136首方剂中找出6味核心药物和3首新处方。清热利湿型痛风临床治疗的核心配伍药材黄柏、牛膝,其潜在信号通路为嘌呤代谢通路和神经活性配体受体相互作用信号通路。因此,清热利湿型痛风的中医主要治法为清热燥湿、利水消肿、祛风除湿。核心配伍药材的作用机制可能是通过干预嘌呤代谢通路和神经活性配体受体相互作用信号通路来实现的。