1.Clinical Application and Pharmacological Effects of Guizhi Fulingwan in Treatment of Uterine Fibroids: A Review
Xiang ZHANG ; Xiaoli WEN ; Biting CHENG ; Hongning LIU
Chinese Journal of Experimental Traditional Medical Formulae 2026;32(2):299-307
Uterine fibroids are a common benign tumor of the female reproductive system, characterized by increased menstrual flow, lower abdominal pain, and prolonged menstrual periods. Modern medicine believes that the onset of this disease is related to genetic factors, environmental factors, hormone levels, et al, while the specific mechanism remains unclear, and the prevention and treatment of uterine fibroids has become a hot topic of concern for many experts and scholars in the medical field. At present, the treatment of uterine fibroids in clinical practice is mainly based on hormone drugs and uterine artery embolization, and severe cases require hysterectomy. However, the use of hormone drugs for treatment has serious side effects and is prone to recurrence after surgery. Since hysterectomy can cause severe harm to women, it is necessary to explore safer and more effective treatment methods. Traditional Chinese medicine (TCM) has rich clinical experience in the treatment of uterine fibroids, advocating for syndrome differentiation and treatment. The TCM methods that regulate Qi and blood and balance Yin and Yang have been commonly adopted, with significant efficacy and minimal side effects, being more conducive to the recovery. Guizhi Fulingwan are first recorded in the Synopsis of the Golden Chamber written by the famous medical expert ZHANG Zhongjing during the Eastern Han dynasty. This prescription has the effects of activating blood, resolving stasis, and eliminating mass, and it is thus mainly used for treating abdominal mass in women. In recent years, Guizhi Fulingwan has also been applied in the clinical treatment of tumors and has demonstrated definite efficacy in the treatment of uterine fibroids. Studies have shown that the therapeutic mechanisms of Guizhi Fulingwan for uterine fibroids involve regulating cell proliferation and apoptosis, improving immune function, reducing inflammation, improving hemorheological indicators, inhibiting tumor angiogenesis, and regulating sex hormone levels. This article mainly reviews the treatment of uterine fibroids with Guizhi Fulingwan from three aspects: theoretical basis, clinical application, and pharmacological mechanism. It is expected to provide scientific research ideas and guidance for exploring the clinical treatment of uterine fibroids.
2.Pharmacological Mechanism of Traditonal Chinese Medicine in Prevention and Treatment of Breast Cancer: A Review
Xiaoli WEN ; Fangyan CAI ; Biting CHENG ; Xiang ZHANG ; Hongning LIU
Chinese Journal of Experimental Traditional Medical Formulae 2025;31(22):252-263
Breast cancer, as one of the major cancers threatening women's health globally, is characterized by high aggressiveness, high malignancy, and poor prognosis. In 2022, according to the World Health Organization, breast cancer ranked second in the incidence of female cancers globally, accounting for 11.6% of all new cancer cases. Western medical doctors mainly use surgery, chemotherapy, radiotherapy, endocrine therapy, and molecular targeted therapy to treat breast cancer, which can effectively improve the recurrence rate and death rate of breast cancer patients and prolong the survival period of patients. However, its treatment process is often accompanied by a series of side effects, which bring challenges to patients' quality of life. However, traditional Chinese medicine (TCM) has demonstrated significant therapeutic effects in inhibiting the proliferation and metastasis of breast cancer cells, reducing toxic side effects produced by chemotherapy, and improving patients' survival rate and quality of life. It is therefore particularly necessary to investigate the pharmacological effects and mechanisms of TCM in breast cancer treatment. The authors combed the pharmacological effects and mechanisms of the etiology and pathogenesis of breast cancer, identification and treatment of breast cancer, TCM compound, TCM single medicine, TCM monomer, and external treatment of TCM to prevent and control breast cancer and found that TCM has a therapeutic effect on breast cancer. It can play a role in increasing the effectiveness, reducing the toxicity, and alleviating the adverse reactions. It can inhibit breast cancer cell proliferation, cell cycle, migration, invasion, immune escape, epithelial-mesenchymal transition (EMT), aerobic glycolysis, mitochondrial biosynthesis, aminoacyl-tRNA biosynthesis, reduce drug resistance, promote apoptosis, ferroptosis, cell autophagy, and regulate the tumor immune microenvironment by regulating signaling pathways. This paper aims to provide new ideas and methods for experimental research and clinical treatment of breast cancer.

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