College of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan 250355, PR China.
Department of Gynecology, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250014, PR China.
Int J Med Sci. 2021 Apr 16;18(11):2401-2408. doi: 10.7150/ijms.55789. eCollection 2021.
Endometriosis (EMs) is recorded as in traditional Chinese medicine (TCM) books. Guizhi Fuling Pills (GFPs), a classic prescription for promoting blood circulation and removing blood stasis, is widely used for women's blood stasis diseases represented by . At present, it has been applied to treat EMs in clinical settings. In this review, we systematically summarized the active ingredients and pharmacological mechanism of five Chinese herbs contained in GFPs and clinical applications of GFPs. The potential pathways of GFPs in the treatment of EMs were explored through network pharmacology. The current researches results indicate that the mechanisms of GFPs in the treatment of EMs mainly include acesodyne, anti-inflammation and improvement of hemodynamics. The main active compounds that are responsible for pharmacological effects in five Chinese herbs are paeonol, pachymic acid, cinnamaldehyde, amygdaloside and Paeoniflorin. This review can lay the foundation and identify the research direction for the development of GFPs as a new drug therapy for the treatment of EMs.
子宫内膜异位症(EMs)在中医古籍中有记载。桂枝茯苓丸(GFPs)是一种活血化瘀的经典方剂,广泛用于治疗以瘀血为代表的妇科疾病。目前已在临床上应用于治疗 EMs。本综述系统总结了 GFPs 中五种中药的活性成分和药理作用机制及其临床应用。通过网络药理学探讨了 GFPs 治疗 EMs 的潜在途径。目前的研究结果表明,GFPs 治疗 EMs 的机制主要包括止痛、抗炎和改善血液动力学。五种中药中负责药理作用的主要活性化合物是丹皮酚、厚朴酸、肉桂醛、苦杏仁苷和芍药苷。本综述可为 GFPs 开发为治疗 EMs 的新药疗法奠定基础并确定研究方向。