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1.广西中医药大学 中国-东盟传统药物研究国际合作联合实验室,南宁 530200
2.广西中医药大学 广西中药药效研究重点实验室,南宁 530000
3.中国中医科学院 望京医院,北京 100102
4.北京市隆福医院,北京 100010
Published:20 July 2022,
Published Online:19 April 2022,
Received:08 December 2021,
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李泽宇,郝二伟,李卉等.甘草配伍应用的药理作用及机制分析[J].中国实验方剂学杂志,2022,28(14):270-282.
LI Zeyu,HAO Erwei,LI Hui,et al.Pharmacological Effect of Glycyrrizae Radix et Rhizoma Compatibility and Its Mechanism[J].Chinese Journal of Experimental Traditional Medical Formulae,2022,28(14):270-282.
李泽宇,郝二伟,李卉等.甘草配伍应用的药理作用及机制分析[J].中国实验方剂学杂志,2022,28(14):270-282. DOI: 10.13422/j.cnki.syfjx.20220816.
LI Zeyu,HAO Erwei,LI Hui,et al.Pharmacological Effect of Glycyrrizae Radix et Rhizoma Compatibility and Its Mechanism[J].Chinese Journal of Experimental Traditional Medical Formulae,2022,28(14):270-282. DOI: 10.13422/j.cnki.syfjx.20220816.
甘草药用价值高,配伍应用广泛,在中药方剂配伍中使用频率最高,被称为“国老” “众药之主”,特征活性成分以甘草苷、甘草酸、甘草素、甘草查尔酮等为主,其基于传统和现代药理学理论,在不同的配伍应用中通过不同的作用机制发挥相应的功效。该文首先基于甘草补脾益气、清热解毒、祛痰止咳、缓急止痛、调和诸药的传统药理,应用本草考证的方法对其配伍应用和机制进行了分析,发现其可通过“补” “和” “调”在配伍中发挥相应功效,如配伍人参、白术等补药用于补益五脏是基于其强大的补虚作用,配伍芍药、附子等用于多种急症和痛症是基于其缓和药力、药性的作用,配伍大黄、芒硝用于降其烈性是基于其调和药性及机体的特性等。应用数据挖掘和网络药理学的方法对其现代药理配伍的应用规律和机制进行了分析,发现现代临床方剂常配伍甘草用于抗炎、保护心脑血管及神经、抗病毒、抗肿瘤,配伍麻黄、黄芩用于抗炎,配伍竹茹、丹参、枳实用于保护心脑血管,配伍麦冬、川芎用于保护神经等,同时确定了其特征性成分发挥相关作用的重要靶点为蛋白激酶B(Akt)1、白细胞介素(IL)-6、肿瘤坏死因子(TNF)、表皮生长因子受体(EGFR)等,其中发挥心脑血管保护作用的重要特征通路为酪氨酸激酶抑制剂耐药性通路、环磷酸鸟苷(cGMP)/PKG信号通路,发挥神经保护作用的重要特征通路为癌症中的蛋白多糖通路等,以期为甘草的合理配伍应用提供一定的基础和思路,同时为广大中药复方的配伍应用研究提供一定的方法和借鉴意义。
Glycyrrizae Radix et Rhizoma has high medicinal value and is widely used in compatibility. It is used most frequently in the compatibility of Chinese medicine prescriptions,and is known as ''Guolao''(national medicine) and "master of all medicines". The characteristic active ingredients are mainly liquitin,glycyrrizic acid,glycyrrizin,and licochalcone. In different compatibilities,based on traditional and modern pharmacological theories,the corresponding effect of Glycyrrizae Radix et Rhizoma are brought into play through different mechanisms. Based on the traditional pharmacology of Glycyrrizae Radix et Rhizoma for tonifying spleen,replenishing Qi,clearing heat,removing toxin,dispelling phlegm,relieving cough and pain,and harmonizing various medicines,this paper used herbal authentication to analyze its compatibility application and mechanism. It was found that Glycyrrizae Radix et Rhizoma played corresponding effect in compatibilities through "tonification","harmonization",and "regulation". For example,Glycyrrizae Radix et Rhizoma was combined with tonics including Ginseng Radix et Rhizoma and Atractylodis Macrocephalae Rhizoma to tonify the five Zang-organs through its strong tonifying effect,combined with Paeoniae Radix Alba and Aconiti Lateralis Radix Praeparata to relieve emergencies and pains through harmonizing medicine power and properties,and combined with Rhei Radix et Rhizoma and Natrii Sulfas to reduce medicine intensity through regulating medicine properties and body characteristics. The application law and mechanism of the modern pharmacological compatibility of Glycyrrizae Radix et Rhizoma were analyzed by data mining and network pharmacology. It was found that the modern clinical formula was often compatible with Glycyrrizae Radix et Rhizoma for anti-inflammation,cardiovascular and cerebrovascular protection,anti-virus,and anti-tumor,Ephedrae Herba and Scutellariae Radix for anti-inflammation,Bambusae Caulis in Taenias,Salviae Miltiorrhizae Radix et Rhizoma,and Aurantii Fructus Immaturus for cardiovascular and cerebrovascular protection,and Ophiopogonis Radix and Chuanxiong Rhizoma for nerves protection. Meanwhile,the important targets of the characteristic ingredients were protein kinase B1 (Akt1),interleukin-6 (IL-6),tumor necrosis factor (TNF),and epidermal growth factor receptor (EGFR). The important characteristic pathways such as tyrosine kinase inhibitor resistance pathway and cyclic guanosine monophosphate (cGMP)/protein kinase G (PKG) signal pathway played the role of cardiovascular and cerebrovascular protection,and proteoglycan pathway in cancer played a neuroprotective role. This study is expected to provide references for the rational compatibility and application of Glycyrrizae Radix et Rhizoma,as well as the compatibility application of Chinese medicine prescriptions.
甘草配伍化学成分药理作用临床应用机制本草考证数据挖掘网络药理学
Glycyrrizae Radix et Rhizomacompatibilitypharmacological effectchemical compositionclinical applicationmechanismherbal authenticationdata miningnetwork pharmacology
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