The therapeutic effects of yellow rice wine in the Chinese herbal formula Tao Hong Si Wu Tang

Ethnopharmacological relevance: Tao Hong Si Wu Tang is based on the “First Recipe of Gynecology.” It is widely used in various blood stasis and deficiency syndromes, mainly in gynecological blood stasis, irregular menstruation, and dysmenorrhea. Tao Hong Si Wu Tang has great demand in traditional Chinese medicine (TCM), gynecology, orthopedics, and internal medicine.

According to classical records, three medicinal materials, namely Rehmanniae radix, Angelica sinensis, and Carthamus tinctorius, used in Tao Hong Si Wu Tang need to be “washed with yellow rice wine.” In the study of TCM prescriptions, the processing methods of medicinal materials not only needed to follow traditional records but also should consider modern technical conditions. Many medicinal materials in the repertoire of classical prescriptions involve yellow rice wine processing. Determining the processing method for medicinal materials is a key and difficult problem in the research and development of classical prescriptions.

Aim of the study: With Tao Hong Si Wu Tang as the representative, this study analyzed differences between no processing method, the modern processing method of “stir-frying the materials with yellow rice wine,” and the traditional processing method of “washing with yellow rice wine.” We focused on three aspects: composition, efficacy, and endogenous metabolism. This study aimed to provide a reference for research on the processing methods of medicinal materials used in classical prescriptions.

Materials and methods: UPLC-Q-Orbitrap HRMS was used to quickly identify and classify the main chemical compounds of Tao Hong Si Wu Tang. A model of primary dysmenorrhea was established using estradiol benzoate combined with oxytocin. The latent period and writhing time; the levels of serum PGF2α, PGE2, ET-1, and β-EP; and the pathological sections of the uterus were observed to determine their pharmacodynamic differences. GC-TOF/MS was used to analyze the differences in serum metabolites in rats.

Results: A total of 54 active compounds were identified, and the results showed that catalpol and rehmapicroside disappeared following yellow rice wine processing. Compared with materials processed by the traditional method, the relative contents of 15 components, such as 5-hydroxymethylfurfural and digitalis C, increased in materials processed by the modern method. However, the relative contents of 16 components, such as hydroxysafflor yellow A, verbascoside, and ferulic acid, decreased in the modern processing method.

The modern and classic processing methods acted on primary dysmenorrhea through different metabolic pathways. Tao Hong Si Wu Tang obtained by classical processing methods mainly treated primary dysmenorrhea through anti-inflammatory and estrogen metabolism pathways, whereas Tao Hong Si Wu Tang obtained by modern processing methods mainly treated PD through anti-inflammatory metabolic pathways.

Conclusion: The study revealed the differences in different yellow rice wine processing methods in terms of chemical composition of the Tao Hong Si Wu Tang obtained, as well as the mechanisms of action for the treatment of primary dysmenorrhea. This study provides a reference for the clinical application of Tao Hong Si Wu Tang and development of classical prescription preparations.

Reference: https://pubmed.ncbi.nlm.nih.gov/35181489/

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About Attilio

Doctor of Chinese medicine, acupuncture expert and author of My Fertility Guide and My Pregnancy Guide.

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