| 摘要: |
| 目的：利用数据挖掘与网络药理学方法，探究中药治疗肠痈的用药规律及潜在作用机制。方法：整理《中国百年百名中医临床家丛书》中的肠痈医案，通过中医传承辅助平台分析药性、药味、归经等。利用TCMSP平台筛选药物活性成分与靶点，结合多数据库获取疾病靶点，进行蛋白质-蛋白质相互作用（PPI）、基因本体（GO）功能和京都基因与基因组百科全书（KEGG）通路富集分析，并使用分子对接技术验证药物与靶点的结合。结果：纳入102首处方，中药性味以寒、温、苦、甘为主，多归脾经和肝经。GO功能和KEGG通路富集分析表明，这些药物主要通过调节炎症因子、参与肿瘤坏死因子和白细胞介素-17等信号通路，发挥对肠痈的抗炎作用。分子对接验证槲皮素、山柰酚与核心靶点结合紧密。结论：中药治疗肠痈以活血化瘀、清热解毒为主，其潜在作用机制主要涉及炎症反应过程，为肠痈的中药治疗提供了科学依据。 |
| 关键词: 肠痈 中药 数据挖掘 网络药理学 分子对接 用药规律 |
| DOI： |
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| Medication rule and mechanism of action of traditional Chinese medicine in treatment of intestinal carbuncle：A study based on data mining and network pharmacology |
| XING Wenya,LIU Jinmei,YIN Xindong |
| (Nanjing University of Chinese Medicine,Nanjing 210023,Jiangsu,China) |
| Abstract: |
| Objective：To investigate the medication rule and potential mechanism of action of traditional Chinese medicine (TCM) in the treatment of intestinal carbuncle based on data mining and network pharmacology.Methods：The medical records of intestinal carbuncle in Chinese Hundred Hundreds of Traditional Chinese Medicine Clinicians Series were summarized，and Traditional Chinese Medicine Inheritance Support System was used to analyze drug nature，taste，and meridian entry.TCMSP platform was used to identify the active components of drugs and their targets，and several databases were used to obtain disease targets.The protein-protein interaction analysis，the gene ontology (GO) functional enrichment analysis，and the Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analysis were performed，and molecular docking was used to validate the binding between drugs and targets.Results：A total of 102 prescriptions were included，and most drugs had a cold，warm，bitter or sweet taste and mainly entered the spleen and liver meridians.The GO functional enrichment analysis and the KEGG pathway enrichment analysis showed that these drugs exerted an anti-inflammatory effect on intestinal carbuncle mainly by regulating inflammatory factors and participating in the tumor necrosis factor and interleukin-17 signaling pathways.Molecular docking showed close binding between quercetin/kaempferol and core targets.Conclusion：Blood-activating and stasis-resolving therapy and heat-clearing and detoxicating therapy are the main TCM therapies for intestinal carbuncle，and its potential mechanism of action mainly involved the process of inflammatory response，which provides a scientific basis for TCM treatment of intestinal carbuncle. |
| Key words: intestinal carbuncle traditional Chinese medicine data mining network pharmacology molecular docking medication rule |
