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    Abstract:
    Traditional Chinese medicine (TCM) has a long history of treating viral diseases through holistic approaches and multi-component formulations. In response to emerging global viral threats like coronavirus disease-2019 (COVID-19), TCM has demonstrated significant potential in both antiviral and immune-modulatory roles. This review summarizes the current state of TCM antiviral research, highlighting advances in identifying active components and elucidating their mechanisms, which include direct viral inhibition and immune regulation. Technological innovations, including artificial intelligence (AI)-driven drug discovery and advanced extraction methods, are accelerating the development of TCM antiviral products. However, challenges remain in standardization, mechanistic validation, and international regulatory acceptance. Looking ahead, research should prioritize systems pharmacology, the development of multi-dimensional evaluation models, standardized clinical trials, and global health integration. By addressing these challenges, TCM can play a vital role in worldwide antiviral strategies and public health.
    Abstract:
    Warm disease, characterized primarily by fever, is caused by exogenous pathogenic factors, such as Influenza. Ancient medical books have documented treatment strategies, and many formulas and herbs have been identified as effective against influenza. Treatment on acute flu-induced pneumonia should consider suppressing viral replication and mitigating the tissue damage mediated by the immune system. Traditional Chinese medicines (TCMs) have superiority since their multi-ingredients and multi-targets. There are many formulas containing anti-influenza components and anti-inflammation components. TCM showed less resistance during application. Many formulas are common for clinic use like Lianhuaqingwen Capsule, Fufang Xiangru Liquid, and Shengjiang Powder. Their efficacy in viral elimination and inflammation regulation has been evaluated, leading to the identification of effective phytochemicals that elucidate their anti-flu mechanisms. This review introduces some Chinese patent medicines based on warm disease theory and reviews their current research process.
    Abstract:
    Objective: Wenyang Jiedu Granule (WYJD) is an effective traditional Chinese medicine (TCM) preparation that has been generally applied for treating respiratory infectious diseases. Clinical observations involving thousands of cases have demonstrated that WYJD could alleviate disease progression and improve symptoms in treating respiratory viral infections, including SARS-CoV-2 and influenza virus. However, the chemical basis and underlying mechanisms of WYJD against influenza A virus (IAV)-induced pneumonia remain to be elucidated. This study aimed to reveal the underlying mechanisms of WYJD in treating IAV-induced pneumonia by a combined strategy of network pharmacology, transcriptomics and experimental validation. Methods: The pneumonia model was established in BALB/c mice via infection with H1N1 IAV to evaluate the therapeutic effects of WYJD on IAV-induced pneumonia. Firstly, ultra-high performance liquid chromatography-quadrupole Exactive Orbitrap mass spectrometer/tandem mass spectrometer (UPLC-Q Exactive Orbitrap-MS/MS) was employed to analyze the main chemical components in WYJDcontaining serum. Subsequently, the effects of WYJD on IAV-induced pneumonia were assessed through pathological observation, plaque forming assay, biochemical analysis, Evans blue staining assay, and immunofluorescence assay. Mechanistically, an integrated approach of network pharmacology and transcriptomics was applied to explore the potential active components, targets and related pathways of WYJD against IAV-induced pneumonia. Fluorescence TUNEL assay, quantitative real-time PCR (qRTPCR) and Western blotting were utilized for experimental validation and mechanistic studies. Results: Using UPLC-Q Exactive Orbitrap-MS/MS, a total of 25 prototypes and 15 metabolites were identified in the serum of mice after WYJD administration. WYJD treatment showed protective effects on IAVinduced pneumonia by inhibiting inflammation and lung barrier damage in the IAV-induced pneumonia mice model. Network pharmacology combined with transcriptomics analysis indicated that WYJD exerted therapeutic effects against IAV-induced pneumonia mainly through the synergistic effects of 11 active components, which regulated ten critical signaling pathways via 86 targets. Further experimental validation demonstrated that WYJD could alleviate IAV-induced pneumonia via the IL-17 signaling pathway, Toll-like receptor 7 (TLR7)/Myeloid differentiation primary response dene 88 (MyD88)/mitogen-activated protein kinases (MAPKs)/activator protein 1 (AP-1) signaling pathway and apoptosis. Conclusion: This study revealed the main active components and mechanisms of WYJD against IAVinduced pneumonia through the IL-17 signaling pathway, TLR7/MyD88/MAPKs/AP-1 signaling pathway and apoptosis, which provides novel insights into the clinical application of WYJD in treating influenza and its complications.
    Abstract:
    Objective: Influenza is a common respiratory disease affecting human health and life. Pudilan Xiaoyan Oral Liquid (PDL) has frequently been used to treat respiratory infections such as COVID-19, pharyngitis, and tonsillitis. However, its efficacy against influenza A virus (IAV) infection remains unclear. This study investigates the anti-IAV activity and potential mechanism of action of PDL. Methods: The in vitro anti-IAV activity was investigated in a virus-infected MDCK (Madin-Darby canine kidney) cell model. The in vivo protective effect on AIV infection was evaluated in a virus-infected mice model. qRT-PCR was performed to examine the anti-inflammatory effects of the PDL. A network pharmacology method was used to investigate the underlying mechanism of PDL against IAV. Western blotting was performed to confirm the antiviral mechanism of PDL against IAV. Results: Our findings indicated that PDL had a broad-spectrum anti-IAV effect in vitro and exhibited an excellent protective effect against IAV infection by significantly increasing the survival rate, extending the survival time, and reducing pathological lung tissue damage. Moreover, PDL effectively inhibited the mRNA expression of inflammatory factors in lung tissue. GO analysis revealed that the potential targets were primarily associated with defense response regulation, positive regulation of cytokine production, and positive regulation of responses to external stimulation. PPI analysis indicated that Sarcoma (SRC), signal transducer and activator of transcription 3 (STAT3), mitogen-activated protein kinase1 (MAPK1), phosphatidylinositol 3-kinase regulatory subunit alpha (PIK3R1), and epidermal growth factor receptor (EGFR) might be potential PDL targets against IAV infection. Mechanistically, inhibition of the Toll-like receptor 3 (TLR3)/myeloid differentiation primary response gene (88) (MyD88) signaling pathway to attenuate an excessive inflammatory response might be one of the primary mechanisms of PDL against IAV. Conclusion: PDL efficiently suppressed in vitro IAV replication and provided protection against lethal influenza virus infection in vivo. Network pharmacology analysis revealed that the key PDL targets against influenza might be highly associated with biological processes, such as regulation of defense responses, cytokine production, and the Toll-like receptor signaling pathway. Mechanistically, regulating the TLR3/MyD88 signaling pathway may be one of the primary mechanisms of PDL against influenza virus infection. These findings indicate that PDL could be a potential therapeutic option for the clinical treatment of influenza viral infections.
    Abstract:
    Objective: Due to the lack of clinical evidence on the effectiveness and safety of Shufeng Jiedu (SFJD) Granules in Europe, it is unclear if SFJD can effectively and safely be used as an adjunct treatment for mild SARS-CoV-2 infection in a predominantly Caucasian outpatient population in Germany. Therefore, we conducted a retrospective cohort study to evaluate the real-world effectiveness and safety of SFJD compared to standard symptomatic care. Methods: This retrospective cohort study included adult patients (≥ 18 years) with mild SARS-CoV-2 infection symptoms treated between October 2021 and March 2023 across four outpatient clinics in Hamburg, Germany. Patients were allocated to either the SFJD group or a control group receiving standard symptomatic care. Clinical data, including symptom duration, intensity [measured by Visual Analogue Scale (VAS)], and adverse events, were analyzed. The primary endpoint was the time to total symptom alleviation (TTSA), defined as the first 24–hour period with all index symptoms rated VAS ≤ 1 and no temperature ≥ 37.0 °C. Secondary outcomes included symptom-specific duration and intensity. Data were verified by propensity score matching (PSM). Results: A total of 81 patients met inclusion criteria, with 38 patients assigned to the SFJD group and 43 patients assigned to the control group. Baseline characteristics were comparable between groups. The SFJD group showed a statistically significant different Time to Total Symptom Alleviation (TTSA) compared to controls [(5.76 ± 3.74) d and (11.50 ± 7.45) d, difference of 5.74 d, P < 0.001]. Symptomspecific improvement was most pronounced for rhinorrhea, fatigue, fever, and shortness of breath. Intensity scores were also lower in the SFJD group for multiple symptoms. No severe adverse events were observed. Gastrointestinal symptoms were equally distributed and not clearly attributable to treatment. 1:1 Nearest-neighbor PSM confirmed the TTSA results. Conclusion: SFJD Granules demonstrated beneficial effects in reducing the duration and intensity of mild SARS-CoV-2 infection symptoms in a real-world outpatient setting, without significant safety concerns. These findings support the potential of SFJD as an adjunctive therapy for early-stage COVID-19, especially in populations outside of East Asia. Prospective randomized trials are warranted to confirm these results.
    Abstract:
    Objective: Influenza A virus (IAV) is a major cause of respiratory tract infections. Shufeng Jiedu Capsule (SFJD) has a broad-spectrum antiviral effect, however, it is not clear whether SFJD acts by targeting the immune-inflammatory pathway. The aim of this study was to elucidate the therapeutic effect and the mechanism of antiviral action of SFJD in mice with influenza virus pneumonia. Methods: In this study, a mouse model of influenza virus pneumonia was used to evaluate the efficacy of SFJD in the treatment of influenza virus pneumonia. Next, the potential pathways of action by which SFJD exerts its antiviral effects were analysed in conjunction with network pharmacology and and untargeted metabolomics. Finally, in vivo experimental validation was conducted through protein immunoblotting, transmission electron microscopy, and immunofluorescence experiments. Results: SFJD significantly reduced lung index, lowered viral load, attenuated lung tissue lesions, modulated inflammatory metabolism in lung tissue, reduced macrophage inflammatory infiltration and protected lung epithelial cells in mice. The results of the network pharmacological analysis and metabolomics analysis suggested that SFJD might act through the Toll-like receptor 4(TLR4)/myeloid differentiation primary response protein 88(MyD88)/ TNF receptor associated factor (TRAF6)/nuclear factor kappa-B(NF-jB) signalling pathway. SFJD was able to down-regulate the expression of TLR4, MyD88, TRAF6, and NF-jB proteins in lung tissues. Conclusion: SFJD could effectively attenuate lung injury induced by influenza virus infection and provide a scientific basis for the protection of respiratory mucosal epithelial cells. SFJD could effectively alleviate lung injury by regulating the TLR4/MyD88/TRAF6/NF-jB signaling pathway, inhibiting the levels of TNFa, IL-6, which may be the key mechanism for its antiviral effects.
    Abstract:
    Objective: Yu-Ping-Feng-San (YPFS) has been found to significantly reduce exacerbation rate and the risk of a second exacerbation in patients with chronic obstructive pulmonary disease (COPD). However, the effect of YPFS on emphysema development and its exacerbation caused by influenza virus is still unclear. This study aims to investigate the protective effect of YPFS on the impaired lung function and increased inflammation that occurs during the development and exacerbation of emphysema. Methods: This study developed an emphysema mice model using porcine pancreatic elastase (PPE) and treated it with YPFS [1 950, 975, and 487.5 mg/(kg d)] once daily. On day 7 post-PPE challenge, peripheral leucocytes and inflammatory cells in lungs were analyzed, respectively. Pulmonary inflammatory mediators were determined. On day 28, invasive lung function and inflammatory mediators were measured. In addition, histopathological changes at both time points were assessed. We also developed an exacerbation of emphysema mouse model by intratracheally infected mice with influenza H1N1 virus on day 28. After infection, YPFS administration was discontinued, and the protective effect was determined by lung function, viral titer and cytokine levels in the lungs, and lung histopathological changes on day 5 postinfection. Results: The results demonstrated that 32 days of YPFS administration significantly improved lung function and reduced severity of emphysema in PPE-treated mice. It significantly reduced monocytes and neutrophils, while increased lymphocytes in peripheral blood. Additionally, YPFS inhibited the accumulation of alveolar macrophages and the expression of cytokines in mice treated with PPE. MMP-9, fibronectin, and VEGF, which are inflammatory mediators associated with airway remodeling, were also inhibited by YPFS. The results also demonstrated that YPFS prophylaxis prior to viral infection benefited mice treated with PPE and H1N1 as evidenced by decreased lung cytokine levels, lowered lung index, and improved lung histopathology. Conclusion: YPFS prevents the development of emphysema and its exacerbation induced by influenza virus in mice. Our finding provides scientific evidence for the prophylaxis application of YPFS in mitigating acute exacerbation of chronic obstructive pulmonary disease (AECOPD).
    Abstract:
    Objective: Given traditional Chinese medicine (TCM)’s efficacy in influenza and severe acute respiratory syndrome (SARS), it was adopted clinically in the early stage of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection outbreak in China. However, the therapeutic effects of Toujie Quwen (TJQW) Granules in treatment of (SARS-CoV-2) infection have not been fully elucidated. This study aimed to investigate the efficacy and safety of TJQW in patients infected with SARS CoV-2 and provide evidence for clinical practice of TCM. Methods: A cohort study was conducted on SARS-CoV-2 infection admitted between 20 January and 15 March 2020. Patients were divided into two cohorts based on their clinical medication plan: TJQW combined with Western medicine (TJQW + WM) group and Western medicine (WM) group. The WM group received conventional WM treatment (antibiotics, glucocorticoids, oxygen therapy, arbidol, chloroquine, lopinavir/ ritonavir, ambroxol hydrochloride), while the TJQW + WM group received TJQW in addition to WM (15 g/bag, two bags at a time, three times a day). The incidence of severe disease and chest computed tomography (CT) findings before and after treatment were compared between groups. Dynamic analysis was performed on white blood cell (WBC) count, lymphocyte count (LYM), lymphocyte percentage (LYM%), Krebs von den Lungen 6 (KL-6) and symptom scores within 15 d of enrolment. Results: Six cases in the TJQW + WM group progressed to severe disease, with an incidence of 7.89% (6/76), while 16 cases in the WM group progressed to severe disease, with an incidence of 20% (16/80, P = 0.025), and the difference was significant. The CT scores of the TJQW + WM group decreased continuously from day 6 of disease onset and were significantly lower than those of the WM group on days 12 and 15, with significant differences. On day 12 of the disease, the improvements in WBC and LYM in the TJQW + WM group were superior to those in the WM group, with significant differences. The KL-6 levels of the two groups were compared by fitting the data to a generalised linear model. After controlling for the effects of time from onset to detection, the KL-6 level of the TJQW + WM group was significantly lower than that of the WM group (t = 3.703, P < 0.01). Repeated measures analysis of variance was performed on the total score of major symptoms and showed insignificant differences (F = 0.031, P = 0.871). However, there was an interaction effect between treatment plan and treatment duration, with significant differences in the degree of change at each time point for the global scores (F = 6.502, P < 0.01). The TJQW + WM group showed a better improvement in symptoms and a reduction in the expression of inflammatory factors than the WM group. Conclusion: TJQW could effectively decrease the incidence of severe disease, reduce pulmonary inflammation and fibrosis, and alleviate clinical symptoms.
    Abstract:
    Natural products continue to serve as indispensable sources for anti-tumor drug discovery, accounting for approximately 40% of United States Food and Drug Administration (U.S. FDA) FDA-approved anti-tumor agents despite advancements in biologic therapies. Among these natural products, Astragali Radix (AR, Huangqi in Chinese) has emerged as a particularly promising candidate for tumor treatment due to its well-documented anti-tumor properties. Contemporary research has identified three principal bioactive compounds responsible for these therapeutic effects: Astragalus polysaccharides, total Astragalus flavonoids, and astragalosides. These compounds demonstrate multimodal anti-tumor activity against five major malignancies, including lung, breast, liver, colorectal, and cervical cancers, through coordinated modulation of critical cellular processes including apoptosis induction, cell cycle arrest, and metastasis suppression. Critical studies have revealed that AR-based combination therapies can synergistically enhance conventional treatments (chemotherapy/radiotherapy). This is achieved by simultaneously addressing two critical challenges in tumor treatment: Reducing treatment-related toxicity and overcoming multidrug resistance through chemosensitization effects in vivo. This review synthesizes current knowledge on AR’s anti-tumor components, their molecular mechanisms, and therapeutic targets. It emphasizes the synergistic benefits of integrating AR with existing tumor treatments and proposes future research directions to advance its clinical translation. By bridging traditional herbal knowledge with modern scientific rigor, this work aims to accelerate the development of AR-based therapies as safer, more effective options for cancer patients.
    Abstract:
    Medicinal plants have been integral to human healthcare for centuries, offering a vast repository of bioactive compounds with therapeutic potential. This comprehensive review underscores the significance of medicinal herbs in maintaining hepatic homeostasis and addresses their efficacy in treating liver disorders, including cancer, hepatitis, cirrhosis, and liver failure. The exploration begins with an examination of the historical importance of medicinal plants in diverse traditional healing practices, emphasizing their contributions to human well-being. Subsequently, the review delves into the specific hepatoprotective properties of herbs, unravelling their potential to mitigate liver disorders, their versatile antiinflammatory, antioxidant, and anti-cancer attributes, along with their immunomodulatory and antioxidant effects, set the stage for understanding their roles in managing hepatitis and other liver disorders. Furthermore, the review discusses anti-fibrotic and hepatoprotective qualities, antioxidant-rich composition guarding against hepatotoxicity, and their anti-inflammatory and anti-cancerous actions relevant to liver disorders. Many medicinal plants, known for their hepatoprotective and anti-inflammatory properties, are explored for their potential therapeutic benefits in liver failure. Understanding the pivotal role of medicinal plants in liver health enriches our appreciation for traditional healing practices and lays the groundwork for developing novel therapeutic approaches for both human and veterinary liver health.
    Abstract:
    The genus Cucumis L. (Cucurbitaceae), flourishes across temperate, tropical, and subtropical regions. Species within the genus have a long-standing history in traditional ethnomedicinal practices throughout Asia and Africa, addressing a wide spectrum of ailments, including gastrointestinal, metabolic, urogenital, hepatic, dermatological, cardiovascular, respiratory, inflammatory, and infectious disorders. Despite this extensive traditional use, the full therapeutic potential of Cucumis remains underexplored. This review comprehensively explores the traditional ethnomedicinal applications, phytochemical composition, pharmacological activities, clinical evidence, and toxicological profiles of Cucumis species. A systematic survey of internationally recognized scientific databases and authoritative repositories, including Web of Science, Scopus, PubMed, ScienceDirect, and Google Scholar, and revealed over 428 bioactive compounds spanning through diverse phytochemical classes. These classes include steroids, triterpenoids (predominantly cucurbitacins), flavonoids (particularly C,O-glycosylflavones), coumarins, other phenolics, and additional secondary metabolites. Collectively, these compounds demonstrate multifaceted bioactivities, encompassing anti-inflammatory, antihypertensive, anti-diabetic, anti-cancer, organ-protective, antimicrobial, and antiviral properties, as validated through in vitro, in vivo, and limited clinical studies. Nonetheless, the molecular mechanisms underpinning these pharmacological effects remain inadequately elucidated. By integrating traditional ethnomedicinal knowledge with contemporary research approaches, this review highlights the necessity of advancing scientific insight into the genus Cucumis and its bioactive constituents. Future research should focus on comprehensive phytochemical profiling, mechanistic elucidation, clinical evaluations, and rigorous toxicological assessments to ensure the safe and effective application of various Cucumis species in modern herbal medicine.
    Abstract:
    In recent years, with the advancement of analytical technology and the development of molecular biology, the research of traditional Chinese medicine (TCM) polysaccharides is becoming a new frontier and hot spot in life science research due to their effectiveness and non-toxicity. The quantitative determination of polysaccharides plays an extremely important role in the quality control of polysaccharide drugs. However, the structural complexities of natural polysaccharides present a major obstacle to their accurate quantification. The objective of this review is to provide a comprehensive guide for the accurate quantification of polysaccharides in TCM. In this paper, the quantitative methods of polysaccharides are divided into traditional quantitative methods and new methods, and summarized from the medicinal materials included in the Chinese Pharmacopoeia (2025 edition) and the relevant literature in the past ten years. The traditional methods for polysaccharide quantification include titration, colorimetry, high performance liquid chromatography (HPLC) and resonance light scattering (RLS). With the technological progress, new nondestructive testing methods such as near-infrared spectroscopy (NIR) and hyperspectral imaging (HSI) have gradually emerged. In addition, glycospectrometry, as another new method, can accurately quantify the structural characteristics and content of polysaccharides by combining positional enzyme digestion technology and HPLC. Moreover, this review elaborates on the principles and discusses the advantages and limitations of each method mentioned. This paper aims to provide a comprehensive reference for the accurate determination of polysaccharide content in TCM, enhance its practicability and precision, and promote its wider application in the quality control of TCM and Chinese patent medicine preparations.
    Abstract:
    Sophora flavescens is a widely used medicinal plant in traditional Chinese medicine, particularly known for its rich flavonoid content. Historically used in traditional medicine, this herb has been documented in the Shennong’s Classic of Materia Medica (Shennong Bencao Jing) for its effects in clearing heat, eliminating dampness, and serving as an anthelmintic and diuretic, for treating various conditions, including dysentery, jaundice, and skin diseases. Recent research on S. flavescens has expanded, particularly concerning its flavonoid compounds, which exhibit significant pharmacological activities, including antimicrobial, antioxidant, hepatoprotective, hypoglycemic, and antitumor effects. This review systematically summarizes the chemical constituents of S. flavescens, identifying over 130 flavonoid compounds, primarily isoprenylflavonoids, with a specific focus on their antitumor activities. Studies have shown that representative compounds, such as kurarinone and kushenol G, selectively exhibit cytotoxic effects against various cancer cell lines (e.g., HepG2, A549, MCF-7) while sparing normal cells. The antitumor mechanisms are primarily attributed to apoptosis induction, modulation of oxidative stress, and regulation of multiple signaling pathways, including the phosphatidylinositol 3-kinase (PI3K)/protein kinase B (Akt) pathway and the cyclic adenosine monophosphate/protein kinase A (cAMP/PKA) pathway. Furthermore, safety assessments indicate that while the overall toxicity of flavonoids from S. flavescens is relatively low, certain compounds may pose hepatotoxic risks at high doses, warranting further attention in clinical applications. This review aims to provide an in-depth analysis and discussion of the chemical diversity, antitumor efficacy, and mechanisms of action of S. flavescens flavonoids, establishing a theoretical foundation and research direction for the development of novel anticancer drugs.
    Abstract:
    Objective: Coptis chinensis has been shown to increase beneficial intestinal bacteria and treat Alzheimer’s disease (AD). Bifidobacterium breve can effectively treat AD through the gut-brain axis. Therefore, this study aimed to study the joint effects of C. chinensis and B. breve in the treatment of AD. Methods: 16S rRNA was used to test the abundance of bacterial flora in APPswe/PS1DE9 mice after C. chinensis administration. To determine the efficacy of C. chinensis combined with B. breve on AD, pathological section staining, Barnes maze, Western blotting and ELISA were utilized to confirm the improvement of cognitive dysfunction in AD mice after administration. In order to elucidate the pharmacodynamic components of monomers in C. chinensis, network pharmacology was used to screen the components related to autophagy and confirm the pharmacodynamic effects by artificial intelligence (AI) high-content intelligent imaging. Results: The results of 16S rRNA sequencing indicated that C. chinensis could modulate the abundance of B. breve in AD mice. Pathological assessments, Barnes maze testing, and additional experiments have shown that C. chinensis combined with B. breve can improve the memory and learning ability of AD mice by reducing neuronal apoptosis and amyloid-b (Ab) peptide deposition. Network pharmacology combined with AI high-content intelligent imaging technology and Western blotting experiments demonstrated that magnoflorine, 13-methylberberine and palmatrubine in C. chinensis could exert neuroprotective effects in AD mice by up-regulating p62 protein expression while down-regulating Beclin-1 and microtubule-associated protein 1 light chain 3 II (LC3II) protein levels, thereby modulating autophagy-related pathways. Conclusion: C. chinensis can enhance the abundance of beneficial bacteria in the gut and ameliorate cognitive dysfunction in AD mice by interacting with B. breve. Moreover, magnoflorine, 13-methylberberine, and palmatrubine within C. chinensis can also mitigate excessive autophagy and oxidative stress in nerve cells.
    Abstract:
    Objective: To study the mechanism of Shaofu Zhuyu Decoction (SFZYD) in treating primary dysmenorrhea (PD) with cold coagulation and blood stasis based on metabonomics and network pharmacology. Methods: The disease model of primary dysmenorrhea in rats with cold coagulation and blood stasis was established according to the previous research methods. The model of cold coagulation and blood stasis was built with ice water bath, and the model of PD was built with estradiol and oxytocin injection.The success of modeling was judged according to the physiological condition of rats, the change of body weight, the number of twisting and the change of uterine blood flow. UPLC-Q/TOF MS technique was used to identify the components and their main components in plasma in the Wenjing group (WJ, means warming channel), Huoxue group (HX, means activating blood), and Quanfang group (QF, means complete prescription) group, and a ‘‘compound-target-pathway” network was constructed by network pharmacology. Untargeted metabolomics studies were applied to screen out endogenous differential metabolites and analyze their related metabolic pathways. The analgesic effect, pathological morphology and inflammatory mediators were evaluated, and the pathway targets were verified. Results: A total of 93 chemical components and 22 components in plasma were identified. A total of 52 potential targets of SFZYD for primary dysmenorrhea were identified by network pharmacological analysis, and 12 endogenous differential metabolites and four related metabolic pathways were screened out by metabonomics. The possible targets and pathways of action of the components of SFZYD into blood were analyzed by network pharmacology, and the results showed that it can widely act on the proteins and pathways related to thrombosis, new angiogenesis, vasodilation, inflammatory immune response and central sedation. Body torsion test showed that drug administration could reduce the frequency of body twisting in dysmorrhea rats, ELISAs showed that SFZYD could inhibit the release of inflammatory factors TNF-a and IL-6. Western blotting showed that SFZYD could reduced the protein expression of COX-2, p-ERK2 in uterine tissue, inhibiting inflammatory cell infiltration and inflammatory factor expression. By down-regulating the expression of p-MLC protein in uterine tissue, the strong contraction of smooth muscle was inhibited, thus relieving dysmenorrhea. Conclusion: Based on the research idea of ‘‘disease-syndrome-prescription-medicine”combination, this study discussed the internal relationship of SFZYD’s drug property, functional taste and efficacy. The substance basis of ‘‘warm property and pungent taste” in the WJ group reflects pungent taste is dispersive and propulsive, the warm property can dispel cold, to help Yang promoting circulation of qi and dispersing accumulation of pathogen, dredging connection tissue, dispersing fluid and promoting circulation of blood. Thus, it has the effect of WJ dispelling cold, regulating the circulation of qi and alleviating pain. The substance basis of ‘‘warm property, pungent and bitter taste” in HX group reflects that pungent taste is dispersive and propulsive, bitter taste can resolve stasis, warm property can dispel cold. All result in some effects of blood circulation, promoting qi, repelling congestion and improving dysmenorrhea. This study revealed the multi-component, multi-target and multi-pathway integration mechanism of SFZYD in the treatment of PD with cold coagulation and blood stasis, which preliminarily clarify scientific connotations about property theory of pungent, bitter taste and warm property,efficacy and material basis, laid a foundation for further research on the mechanism of action of SFZYD in the treatment of PD.
    Abstract:
    Objective: To develop an in situ, nondestructive approach for simultaneously acquiring overall structural and intermolecular interaction information of multiple components in complex aqueous mixtures without sample separation. Methods: In this paper, attenuated total reflection Fourier transform infrared spectroscopy (ATR-FTIR) was utilized to detect and analyze the juice and decoction (clinical application forms) of different processed products of a traditional Chinese medicine (TCM)—Rehmanniae Radix (Dihuang in Chinese). By the analysis of IR and the second derivative IR (SD-IR) spectra, the spectral structure information of water, organic acid, stachyose, glucose, galactose, fructose, manninotriose, amino acid and protein in the mixture system was extracted through non separation fingerprint characteristic. Results: A large number of in situ dynamic tracked IR spectra, obtained by ATR-FTIR and TimeBase software, were used to excavate the changes of absorption peak intensity (structural analysis) and diffusion velocity (time resolution) in the process of liquid adsorption-diffusion. The results indicated the coexistence of free hydroxyl groups, intermolecular hydrogen bonds, and intramolecular hydrogen bonds, analyzed by two-dimensional correlation infrared spectroscopy (2DCOS-IR), confirming their complex and dynamic hydrogen-bonding network structures. Furthermore, spectral analysis revealed interactions among the various active components in the mixtures, providing a microstructural basis for interpreting their holistic effects. Conclusion: This study provided a theoretical basis for the efficacy and pharmacologic mechanism of different processed forms of TCM from the perspective of physical chemistry. Also, it discussed how to carry out nondestructive and in situ dynamic tracking of complex mixture aqueous solution system, and how to study the timeliness, synergy and interaction of samples.
    Abstract:
    Objective: To evaluate the efficacy and safety of Shuxuening injection, a Chinese remedy from Ginkgo biloba, in treating patients with acute ischemic stroke (AIS). Methods: A randomized, double-blind, placebo-controlled, multi-center clinical trial was conducted from 21 November 2018 to 20 January 2022 in 31 participating research centers involving 446 patients with AIS. Patients received either a Shuxuening injection (experimental group) or a placebo (control group) alongside basic treatment (aspirin enteric-coated tablets). The primary efficacy endpoint was the percentage of patients with a modified Rankin scale (mRS) score ≤ 2 at 90-day post-stroke. The secondary efficacy endpoints were the changes in mRS, National Institute of Health stroke scale (NIHSS), and Barthel index (BI) scores, and the incidence of adverse events. Results: The percentage of patients with mRS scores ≤ 2 at 90-day post-stroke was significantly higher in the experimental than in the control (P < 0.05) group. The percentage of patients with scores ≤ 1 at 90- day post-stroke was higher in the experimental group (P < 0.05). The change value of NIHSS scores in the experimental group was higher at 10-day post-treatment and 90-day post-stroke (P < 0.05). The percentage of NIHSS score reduction ≥ 50% was higher in the experimental group at 90-day post-stroke (P < 0.05). The change value of BI score and percentage of BI score ≥ 75 were higher in the experimental group at 90-day post-stroke (P < 0.05). Safety profiles did not differ between the groups. Conclusion: Shuxuening injection effectively improves the functional outcome of patients, reduces disability rates, improves neurological deficits, enhances activities of daily living, and demonstrates good safety profiles.
    Abstract:
    Objective: Community-acquired pneumonia (CAP) is a leading cause of death from infectious diseases in adults worldwide. Traditional Chinese medicine injections (TCMIs) are often used as complementary therapies. This study aimed to evaluate the efficacy and safety of TCMIs for the treatment of CAP. Methods: A step-by-step strategy was first designed including data collection, systematic review, Bayesian network meta-analysis (NMA), and assessment of the NMA. Eight databases were searched for relevant randomized clinical trials (RCTs) from their inception to December 31, 2022. The Cochrane risk-of-bias tool was used to assess the methodological quality and the risk of bias of the included RCTs. Bayesian NMA was performed by WinBUGS 14.0 and STATA 15.0. Finally, the Grading of Recommendation, Assessment, Development, and Evaluation (GRADE) system was used to evaluate the quality of evidence for each outcome. Results: A total of 35 RCTs involving 4 291 participants were included. For clinical effectiveness rate, the Reduning Injection (RDN) combined with Western medicine (WM) was the most likely to be the best treatment (SUCRA = 0.919). And the top three TCMIs interventions were RDN + WM, Xiyanping Injection (XYP) + WM, Tanreqing injection (TRQ) + WM. For defervescence time, disappearance time of cough, and the disappearance time of lung rales, the XYP with WM was probably the best treatment (SUCRA = 0.822, 0.838, 0.816). Moreover, adverse drug reactions have been reported in 14 RCTs. Conclusion: The TCMIs can effectively relieve clinical symptoms and improve clinical efficiency than that of WM alone for adults with non-severe CAP. Step-by-step results firstly indicated that XYP with WM was superior treatment regimen to reduce defervescence time, disappearance time of cough and disappearance time of lung rales. For safety, the mild adverse drug reactions occurred during the entire course of therapy and were self-limiting, further confirming the favorable safety profile of the TCMIs.
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    2011,3(2):140-143, DOI: 10.3969/j.issn.1674-6384.2011.02.009
    [Abstract] (2715) [HTML] (0) [PDF 142.79 K] (21438)
    Abstract:
    Objective To study a novel feature extraction method of Chinese materia medica (CMM) fingerprint. Methods On the basis of the radar graphical presentation theory of multivariate, the radar map was used to figure the non-map parameters of the CMM fingerprint, then to extract the map features and to propose the feature fusion. Results Better performance was achieved when using this method to test data. Conclusion This shows that the feature extraction based on radar chart presentation can mine the valuable features that facilitate the identification of Chinese medicine.
    2012,4(1):63-69, DOI: 10.3969/j.issn.1674-6384.2012.01.010
    [Abstract] (2487) [HTML] (0) [PDF 160.29 K] (14212)
    Abstract:
    Objective To identify and analyze the volatile constituents in the leaves and fruits of Ficus carica. Methods Gas chromatography (GC) and gas chromatography-mass spectrometry (GC-MS) were used. Results The major components detected in volatile oil of the leaves were psoralen (10.12%), β-damascenone (10.17%), benzyl alcohol (4.56%), behenic acid (4.79%), and bergapten (1.99%), etc. The major components detected in volatile oil of the fruits were furfural (10.55%), 5-methyl-2-furaldehyde (10.1%), and benzeneacetaldehyde (6.59%), etc. Conclusion A total of 121 volatile constituents are identified in the leaves and 108 in the fruits of F. carica, among which 103 constituents are identified for the first time in the leaves and 100 in the fruits. Eighteen volatile constituents are identified in both leaves and fruits.
    [Abstract] (4836) [HTML] (0) [PDF 469.82 K] (13526)
    Abstract:
    This review is briefly to recall the history of research and development (R&D) of Chinese materia medica (CMM) and to discuss the challenges of Chinese traditional and herbal medicines (CTHM) facing the modern science and technology. The R&D of CTHM is thought to be an important pathway for new drug discovery. Since1949, about 140 approved new drugs have been developed, among which about 80 originated directly or indirectly from medicinal plants. CTHM has gained interest from the international medical, biomedical, and pharmaceutical institutions as a valuable source of potential medicines. For the modernization of CMM and innovative research of CTHM, there are following challenges to be faced: (1) to evaluate the efficacy, pharmacological properties, action mechanism, and active chemical constituents; (2) to develop new methodologies for the quality and safety of CTHM; (3) to apply new “-omics” techniques to accelerate drug discoveries developed from CTHM; and (4) to apply international practices including good agricultural practice, good manufacturing practice, good laboratory practice, and good clinical practice in the R&D of CTHM.
    2010,2(4):272-288, DOI: 10.3969/j.issn.1674-6384.2010.04.005
    [Abstract] (4492) [HTML] (0) [PDF 307.65 K] (13216)
    Abstract:
    Callicarpa Linn. (beautyberry) is one of the major genera in Verbenaceous, about 20 of which are medicinal plants. Beautyberry, called Zizhu in China, is a generic name of those species and largely used as hemostatic medicine. The Chinese Pharmacopoeia 2010 has admitted three new crude drugs from the genus of Callicarpa Linn. including Callicarpae Macrophyllae Folium, Callicarpae Caulis et Folium, and Callicarpae Formosanae Folium for the first time since the 1977 version of the Chinese Pharmacopoeia. In order to better understand these new crude drugs, we systematically described their bibliography, admission reasons, botanical identification, chemistry, and pharmacology. Several other species, out of national regulations but intensively studied and widely used, are also covered in this review.
    [Abstract] (3532) [HTML] (0) [PDF 583.26 K] (12757)
    Abstract:
    Rhubarb is a perennial herb belonging to the genus Rheum L. (Polygonaceae). Rhei Radix et Rhizoma (rhubarb roots and rhizomes) is one of the most popular Chinese materia medica and has been widely used for strong laxative function. About 200 compounds with six different types of skeletons (anthraquinone, anthrone, stilbene, flavonoids, acylglucoside, and pyrone) have so far been isolated from eighteen species of the genus Rheum L. These constituents showed extensive pharmacological activities including cathartic, diuretic, anticancer, hepatoprotective, anti-inflammatory, and analgesic effects, as well as toxicological effects. Chemical fingerprint, LC-MS, and other analytical techniques have been used for the quality control of rhubarb. This comprehensive review summarizes the researches into the isolation, pharmacological activities, and phytochemical analysis reported since investigations began in the late 1940s. In addition, pharmacokinetic studies and clinical application of rhubarb are also discussed in present paper.
    2015,7(), DOI:
    [Abstract] (3193) [HTML] (0) [PDF 503.58 K] (12722)
    Abstract:
    Traditional Chinese medicine (TCM) has developed over thousands of years and has accumulated abundant clinical experience, forming a comprehensive and unique medical system. Emerging evidence has begun to illustrate TCM as an area of important medical rediscoveries. This paper briefly introduced the concept, significance, and technology of network pharmacology based on network biology and systems biology. It focused on the theoretical system and potential prospect of TCM network applied in TCM research and development including predicting new drug targets, action mechanism, new drug discovery; evaluating pharmacodynamics, pharmacokinetics, safety, toxicology, quality control, and bioinformatics of drugs. We also discussed the opportunities and challenges in the development and application of network pharmacology in the modernization of TCM research.
    2012,4(3):245-251, DOI: 10.3969/j.issn.1674-6384.2012.03.012
    [Abstract] (3336) [HTML] (0) [PDF 221.06 K] (12678)
    Abstract:
    Objective Establishing a ?ngerprint method to identify the characteristic chemicals in the roots of Gentiana macrophylla and evaluate their quality. Methods RP-HPLC was developed for ?ngerprint analysis and determination of four ingredients in G. macrophylla roots from different sources. LC-ESI-TOF-MS was employed to identify the chromatographic peaks of the ?ngerprint. Results Five common peaks were identified by comparing their retention time with reference secoiridoid glucosides. Eight major peaks in chromatographic fingerprint were analyzed by on-line LC-ESI-TOF-MS. Four secoiridoid glucosides were identified based on their MS data. Conclusion The method is specific and could be served for the quality identi?cation and comprehensive evaluation of G. macrophylla.
    2016,8(3):196-208, DOI: 10.1016/S1674-6384(16)60043-6
    [Abstract] (1883) [HTML] (0) [PDF 311.21 K] (12073)
    Abstract:
    Chinese Pharmacopoeia is updated every five years, of which traditional Chinese medicine (TCM) is the most important part. The 2015 version completed by the 10th Pharmacopoeia Commission has come into operation since December 1, 2015. Here we introduced the revision and improvement of quality evaluation and control standards of TCMs in Chinese Pharmacopoeia 2015.
    2011,3(2):150-155, DOI: 10.3969/j.issn.1674-6384.2011.02.011
    [Abstract] (4145) [HTML] (0) [PDF 157.86 K] (11648)
    Abstract:
    Objective Ginger (Zingiber officinale) is widely used as a spice in cooking and as a medicinal herb in traditional herbal medicine. The present study was to investigate the analgesic and anti-inflammatory activities of ginger oil in experimental animal models. Methods The analgesic effect of the oils was evaluated by the “acetic acid” and “hot-plate” test models of pain in mice. The anti-inflammatory effect of the oil was investigated in rats, using rat paw edema induced by carrageenan, adjuvant arthritis, and vascular permeability induced by bradykinin, arachidonic acid, and histamine. Indomethacin (1 mg/kg), Aspirin (0.5 g/kg) and Dexamethasone (2.5 mg/kg) were used respectively as reference drugs for comparison. Results The ginger oil (0.25-1.0 g/kg) produced significant analgesic effect against chemically- and thermally-induced nociceptive pain stimuli in mice (P < 0.05, 0.01). And the ginger oil (0.25-1.0 g/kg) also significantly inhibited carrageenan-induced paw edema, adjuvant arthritis, and inflammatory mediators-induced vascular permeability in rats (P < 0.05, 0.001). Conclusion These findings confirm that the ginger oil can be used to treat pain and chronic inflammation such as rheumatic arthritis.
    2010,2(2):148-152, DOI: 10.3969/j.issn.1674-6384.2010.02.010
    [Abstract] (4894) [HTML] (0) [PDF 215.71 K] (11513)
    Abstract:
    Objective To develop an efficient method to isolate and purify the main components isoaloeresin D and aloin from Aloe vera for its industrial production. Methods High-speed counter-current chromatography was used to isolate isoaloeresin D and aloin in a one-step separation from dried crude extract of A. vera. The biphasic solvent system composed of hexane-ethyl acetate-acetone-water (0.2︰5︰1.5︰5) was used at a flow rate of 1.0 mL/min, while the lipophilic phase was selected as the mobile phase and the apparatus was rotated at 840 r/min. The effluent was detected at 254 nm. Results Isoaloeresin D (53.1 mg) and aloin (106.9 mg) were separated from the crude extract (384.7 mg) with the purities of 98.6% and 99.5%, respectively. Conclusion HSCCC is a powerful technique for isolation and separation of chemical composition from aloe.
    2010,2(4):250-261, DOI: 10.3969/j.issn.1674-6384.2010.04.003
    [Abstract] (3872) [HTML] (0) [PDF 401.07 K] (11414)
    Abstract:
    For the protection of consumers and developments of relevant industry, authentication of medicinal plants is a critical issue. This review covers various aspects of authentication methods and techniques based on molecular biology and genomics with special emphasis on molecular biology techniques including genome-based authentication, microchip-based authentication, DNA barcoding, and their applications.
    2011,3(2):117-126, DOI: 10.3969/j.issn.1674-6384.2011.02.006
    [Abstract] (5175) [HTML] (0) [PDF 211.05 K] (10574)
    Abstract:
    The reports on chemical constituents of Hyoscyamus niger were summarized. The compounds include alkaloids, saponins, lignans, coumarinolignans, flavonoids, and some other nonalkaloidal compounds. TLC, HPLC, and GC were used for the qualitative and quantitative analyses of some chemical constituents in H. niger. Modern pharmacological experiments showed that H. niger had the analgesic, anti-inflammatory, antipyretic, anticonvulsant, spasmolytic, antidiarrhoeal, antisecretory, bronchodilatory, urinary bladder relaxant, hypotensive, cardiosuppressant, vasodilator, antitumor, and feeding deterrent properties. In addition, the toxicities of this medicinal plant were also described.
    2010,2(2):81-105, DOI: 10.3969/j.issn.1674-6384.2010.02.001
    [Abstract] (4031) [HTML] (0) [PDF 822.05 K] (10316)
    Abstract:
    Objective The 1-aminocyclopropanecarboxylic acid (ACPC) is a natural micromolecule non-protein amino acid that exists only in plants. Despite the determination of its regulating effects on plants, several bioactivities and effects on animals or humans are still unclear. This review focuses the pharmaceutical effects,above all, the neuroprotective effects of ACPC on the cerebro- and cardiovascular system. Methods Two hundred and seventy nine studies were selected and identified from a total of 2457 references in Medline and Chemical Abstracts from 1957 to 2008. Only 38 articles on neuroprotective effects of ACPC from seven different countries qualified to be included in the analysis. Results ACPC has altogether following six general neuroprotective effects on the brain and nervous system: anti-neurotoxicity induced by NMDA, dynorphin-A, glutamate, and morphine; protection from cerebral neurological injury induced by ischemia; antidepressant and anxiolytic effects; anti-convulsion and -seizures and control of epilepsy; facilitation of spatial learning and memory; and the effect of reducing alcohol consumption. Conclusion ACPC has shown a variety of effects on plants and animals. The bioactivities and pharmaceutical effects on animals are of great significance to medical research and public health. Further clinical trials or epidemiological studies are needed to determine its effect in humans. Food intervention with ACPC-rich vegetables and fruits may be a suitable therapy for cerebro- and cardiovascular system diseases. Administration of trace exogenous ACPC could produce vegetables and fruits of rich endogenous ACPC.
    2015,7(), DOI:
    [Abstract] (2694) [HTML] (0) [PDF 324.52 K] (10199)
    Abstract:
    Objective To predict the total flavonoids concentration of Aurantii Fructus fried with bran in its extraction process. Methods Ultraviolet spectrophotometry was used to determine the concentration of total flavonoids in different extraction time (t ) and solvent load (M ). Then the predicted procedure was carried out using the following data: 1) based on Ficks second law, the parameters of the kinetic model could be deduced and the equation was established; 2) Locally weighted regression (LWR) code was developed in the WEKA software environment to predict the concentration. And then we used both methods to predict the concentration of total flavonoids in new experiments. Results After comparing the predicted results with the experimental data, the LWR model had better accuracy and performance in the prediction. Conclusion LWR is applied to analyze the extraction process of Chinese herb for the first time, and it is totally fit for the extraction. LWR-based system is a more simple and accurate way to predict than the established equation. It is a good choice especially for a process which exists no clearly rules, and can be used in the real-time control during the process.
    2015,7(), DOI:
    [Abstract] (2816) [HTML] (0) [PDF 273.72 K] (10146)
    Abstract:
    Cistanches Herba, a famous traditional Chinese materia medica, has a laudatory title “desert ginseng”. According to Chinese Pharmacopoeia 2000, Cistanches Herba is the dry fleshy stem with scale-like leaves of Cistanche deserticola. In order to expand the drug source, Chinese Pharmacopoeia 2005 increased the plants in Cistanche Hoffmg. et Link (Orobanchaceae), C. tubulosa, and dry scaly leaf succulent stems were as genuine Cistanches Herba and still in use. In order to have more comprehensive understanding on Cistanches Herba, this paper focuses the reviews on the biological characteristics, chemical constituents, and pharmacological activities of Cistanches Herba, and its development prospects are looked forward. It provides the relative theoretical basis for the subsequent research work of Cistanches Herba and can be conducive to the development and utilization of Cistanches Herba.
    2015,7(), DOI:
    [Abstract] (2846) [HTML] (0) [PDF 488.37 K] (9617)
    Abstract:
    Bentysrepinine (Y101), a derivative of repensine, is a novel di-peptide structure isolated from Dichondra repens. In vitro and in vivo tests exhibited that bentysrepinine markedly inhibited DNA-HBV and cccDNA activities. The binding mode of Y101 and repensine with DNA polymerase was driven by hydrophobic interactions. This might provide novel recognition of inhibitory effect of Y101 against HBV, though its inhibition mechanism needs to be validated by bio-assay at cellular level and of polymerase activity. Preliminary docking study suggested that Y101 might be able to inhibit HIV inverse transcriptase, also have the potential to interact with DNA polymerase and HCV NS5B polymerase.
    2015,7(), DOI:
    [Abstract] (2288) [HTML] (0) [PDF 299.63 K] (9228)
    Abstract:
    The inception of network pharmacology comes from the advance in “multi-target, multi-drug” paradigm and opens up a new field for pharmaceutical science. Traditional Chinese medicine (TCM) is well-known for its use of medicinal herb combinations to treat the functional disorders induced by diseases through a holistic view, which naturally followed the principal of network pharmacology. In this review, the methodologies of network pharmacology in TCM studies were summarized. Specifically, the methodologies for network construction and network analysis were detailed by following several TCM study cases followed. The perspectives for TCM network pharmacology were also provided.
    2015,7(), DOI:
    [Abstract] (2566) [HTML] (0) [PDF 360.32 K] (8852)
    Abstract:
    Objective A reversed-phase HPLC method was established for the simultaneous determination of five hydrophilic and lipophilic components in the roots of Salvia miltiorrhiza. Methods Hydrophilic components including danshensu, protocatechuic aldehyde, and salvianolic acid B, and lipophilic components such as cryptotanshinone and tanshinone IIA, were successfully separated on a Waters Symmetry C18 reverse- phase column (250 mm × 4.6 mm, 5 μm), with acetonitrile-0.5% phosphoric acid (gradient elution) as mobile phase, the detection wavelength was set at 281 nm with flow rate of 1.0 mL/min, and the column temperature was maintained at 30 °C. Results The recovery of the method was in the range of 95.1%–102.5% and the precision was less than 3% for all five analytes. All the compounds showed good linearity (R2 > 0.9990) in a relatively wide concentration range. Therefore, this HPLC method demonstrated good reproducibility, stability, and accuracy in validation studies. Conclusion Simultaneous quanti?cation of the multiple components by HPLC would be a better strategy for the quality evaluation on the roots of S. miltiorrhiza.
    2010,2(3):180-188, DOI: 10.3969/j.issn.1674-6384.2010.03.004
    [Abstract] (2666) [HTML] (0) [PDF 265.22 K] (8700)
    Abstract:
    The publications on the journal of Chinese Traditional and Herbal Drugs in Vol.40, 2009 are briefly reviewed in the categories of chemical constituents, preparations and technologies, analysis and quality control, pharmacological and clinical studies, reviews, and finally healthy principles. Some comments, especially for hot topics have been personally provided.

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