Clinical application and pharmacological mechanism of Wuling powder in the treatment of ascites: A systematic review and network pharmacological analysis

Biomed Pharmacother. 2022 Feb:146:112506. doi: 10.1016/j.biopha.2021.112506. Epub 2021 Dec 6.

Abstract

Ascites is one of the common complications in patients with decompensated liver cirrhosis and liver cancer. Wuling powder (WLP) is a classic prescription for the treatment of water retention caused by bladder gasification. It is also widely used in the treatment of ascites. This systematic review aimed to evaluate the clinical efficacy of WLP and determine its effective chemical components based on a large number of related pieces of literature. The pharmacological effects and chemical constituents of WLP were summarized. Besides, the clinical research status of WLP in the treatment of ascites caused by liver cancer and cirrhosis was analyzed. The key targets and pathways of WLP in the treatment of ascites based on network pharmacology analysis were also discussed. Furthermore, the core components and core targets of WLP in the treatment of ascites using molecular docking were verified and the interaction sites were predicted, to provide a theoretical and scientific basis for the clinical application of WLP.

Keywords: Ascites; Clinical role; Liver cancer; Liver cirrhosis; Pharmacological mechanism; Wuling powder.

Publication types

  • Systematic Review

MeSH terms

  • Ascites / drug therapy*
  • Drugs, Chinese Herbal / chemistry*
  • Drugs, Chinese Herbal / pharmacology*
  • Drugs, Chinese Herbal / therapeutic use*
  • Humans
  • Molecular Docking Simulation
  • Network Pharmacology
  • Powders
  • Signal Transduction / drug effects

Substances

  • Drugs, Chinese Herbal
  • Powders
  • wuling