Because their endocrine system is not yet developmentally mature,adolescent girls are prone to dysfunctional uterine bleeding caused by insufficiency of the hypothalamic-pituitary-gonadal axis.The view of modern medic...Because their endocrine system is not yet developmentally mature,adolescent girls are prone to dysfunctional uterine bleeding caused by insufficiency of the hypothalamic-pituitary-gonadal axis.The view of modern medicine is mainly aimed at the secretory function of sex hormones,such as estrogen and progesterone.However,it causes distress to patients because of the susceptibility of their treatment to endocrine system disorders.Traditional Chinese medicine considers the damage to the function of the Conception Vessel and Thoroughfare Vessel as the key to the disease.In this way,we guide the use of traditional Chinese medicine and acupuncture and achieve good results.The pathogenesis and management of functional uterine bleeding in adolescence are discussed from two medical perspectives in this article.展开更多
目的:探讨中医药治疗青春期功能失调性子宫出血(DUB)的组方用药规律及作用机制。方法:收集运用中药方剂治疗青春期DUB的文献,对文献所含方剂中涉及的中药进行频数、性味、归经及关联规则分析,并挖掘出潜在新方。通过检索TCMSP、GeneCard...目的:探讨中医药治疗青春期功能失调性子宫出血(DUB)的组方用药规律及作用机制。方法:收集运用中药方剂治疗青春期DUB的文献,对文献所含方剂中涉及的中药进行频数、性味、归经及关联规则分析,并挖掘出潜在新方。通过检索TCMSP、GeneCards、OMIM数据库,收集新方中药物有效成分的靶点与疾病靶点并取交集,利用CytoscapeV3.9.0构建“青春期DUB-药物-化合物-靶点”网络,采用STRING平台、David数据库对关键靶点进行PPI网络分析及KEGG通路分析,并运用PubChem、Uniport、PDB数据库,AutoDockVina、PyMol软件对药物有效活性成分与关键靶标作分子对接。结果:共筛选出154个中药复方,包含药物143味,其中药性以温、平为主,药味以甘、苦为主,归经以肝经、肾经、脾经为主;常用药对有黄芪-白术、女贞子-墨旱莲、熟地黄-山茱萸等;挖掘出潜在4个新方组合。新方2(党参+升麻+黄芪+女贞子+墨旱莲)治疗青春期DUB的关键成分有槲皮素和木犀草素等,关键靶点为Akt激酶1(AKT1)、血管内皮生长因子(VEGFA)等,主要通路为癌症通路(Pathways in cancer)、磷脂酰肌醇3-激酶/蛋白激酶B(PI3K/AKT)信号通路等。结论:中医主要从肝肾论治青春期DUB,网络药理学与分子对接结果表明新方药物治疗青春期DUB的机制可能与其止血、抗炎及子宫内膜修复有关。展开更多
文摘Because their endocrine system is not yet developmentally mature,adolescent girls are prone to dysfunctional uterine bleeding caused by insufficiency of the hypothalamic-pituitary-gonadal axis.The view of modern medicine is mainly aimed at the secretory function of sex hormones,such as estrogen and progesterone.However,it causes distress to patients because of the susceptibility of their treatment to endocrine system disorders.Traditional Chinese medicine considers the damage to the function of the Conception Vessel and Thoroughfare Vessel as the key to the disease.In this way,we guide the use of traditional Chinese medicine and acupuncture and achieve good results.The pathogenesis and management of functional uterine bleeding in adolescence are discussed from two medical perspectives in this article.
文摘目的:探讨中医药治疗青春期功能失调性子宫出血(DUB)的组方用药规律及作用机制。方法:收集运用中药方剂治疗青春期DUB的文献,对文献所含方剂中涉及的中药进行频数、性味、归经及关联规则分析,并挖掘出潜在新方。通过检索TCMSP、GeneCards、OMIM数据库,收集新方中药物有效成分的靶点与疾病靶点并取交集,利用CytoscapeV3.9.0构建“青春期DUB-药物-化合物-靶点”网络,采用STRING平台、David数据库对关键靶点进行PPI网络分析及KEGG通路分析,并运用PubChem、Uniport、PDB数据库,AutoDockVina、PyMol软件对药物有效活性成分与关键靶标作分子对接。结果:共筛选出154个中药复方,包含药物143味,其中药性以温、平为主,药味以甘、苦为主,归经以肝经、肾经、脾经为主;常用药对有黄芪-白术、女贞子-墨旱莲、熟地黄-山茱萸等;挖掘出潜在4个新方组合。新方2(党参+升麻+黄芪+女贞子+墨旱莲)治疗青春期DUB的关键成分有槲皮素和木犀草素等,关键靶点为Akt激酶1(AKT1)、血管内皮生长因子(VEGFA)等,主要通路为癌症通路(Pathways in cancer)、磷脂酰肌醇3-激酶/蛋白激酶B(PI3K/AKT)信号通路等。结论:中医主要从肝肾论治青春期DUB,网络药理学与分子对接结果表明新方药物治疗青春期DUB的机制可能与其止血、抗炎及子宫内膜修复有关。
