广东省名老中医冯崇廉主任治疗脂肪肝的用药特色及网络药理学研究

Study on the Characteristics of Drug Use and Network Pharmacology in the Treatment of Fatty Liver by Feng Chonglian,a Famous TCM Doctor in Guangdong Province

目的分析近5年本院名老中医冯崇廉主任治疗脂肪肝的用药规律,对核心药对进行网络药理学分析,探究治疗脂肪肝的机制与靶点,为解释临床疗效提供参考依据。方法检索本院2014年1月~2018年12月冯崇廉主任所开具治疗脂肪肝的中医处方,统计药物使用频次及所属类别,使用SPSS 26.0软件进行聚类分析,并利用网络药理学技术分析特征性药对的成分、靶点及作用机制。结果经筛选得处方共计2181首,药物188味,药物总使用频次23804次。使用频次前3位的药物为甘草、枳壳、茯苓等,药对包括半夏-竹茹、蒺藜-蔓荆子等。网络药理学分析表明蒺藜-蔓荆子药对治疗脂肪肝有83个靶点,主要活性成分包括木犀草素、山萘酚、槲皮素等,关键靶点是CCL2、TNF、VCAM1等,主要的作用通路包含血流剪切应力和动脉粥样硬化通路、白细胞介素-17信号通路等。结论本研究总结了冯崇廉主任治疗脂肪肝的用药规律,并以蒺藜-蔓荆子药对为代表探讨其药效机制,为临床治疗提供数据支持。

OBJECTIVE To analyze the rule of drug use in the treatment of fatty liver by Feng Chonglian,a famous old TCM doctor in our hospital in the past five years,and to conduct network pharmacology analysis on the core drug pairs,so as to explore the mechanism and target of the treatment of fatty liver,and to provide reference for the interpretation of clinical efficacy.METHODS traditional Chinese medicine prescriptions for the treatment of fatty liver issued by Director Feng Chonglian in our hospital from January 2014 to December 2018 were retrieved,and the frequency and category of drug use were counted.SPSS 26.0 software was used for cluster analysis.Finally,network pharmacology technology was used to analyze the composition,target and mechanism of action of characteristic drug pairs.RESULTS A total of 2181 prescriptions,188 flavors of drugs and 23804 times of drug use were obtained.The top 3 drugs of use frequency were liquorice,fructusaurantii,poriacocos,And the drug pairs included Pinelliaternata-bamboo shavings,thistle-Fructuscraniae,etc.The pharmacological analysis of the network showed that there were 83 targets for the treatment of fatty liver with thistle and spirochaeta,and the main active components included luteolin,kathoxygenol,quercetin,etc.The key targets were CCL2,TNF,and VCAM1,etc.The main action pathways includedfluid shear stress and atherosclerosis,IL-17 signaling pathwayand so on.CONCLUSION This study summarizes the drug use rule of Director Feng Chonglian in the treatment of fatty liver,and discusses the pharmacodynamic mechanism of the drug pairs of tribulusterebium and fructusfordii for providing data support for clinical treatment.