$$\rightleftharpoonup{xx}$$
$$\longleftharp{xx}$$,
$$\longrightharp{xx}$$,
Dong medicine is an ethnomedical system within the framework of Traditional Chinese Medicine (TCM), practiced by the Dong ethnic group in Guizhou, Hunan, and Guangxi. It represents their cumulative empirical knowledge, developed over generations. This system integrates herbal medicine, acupuncture, bone-setting, massage, dietary therapy, and spiritual practices. Its distinct characteristics arise from the group's historical geographical isolation and oral tradition, which fostered a unique, practice-based pharmacopeia adapted to the local environment and cultural beliefs.
Persistent fever, a condition that develops when the body cannot control its temperature, is a sign that the body is dysfunctional and a vital function of self-protection in human cells1. Many different methods exist for the treatment of heating medicine of the Dong nationality. Among them, fever is categorized into internal fever and external fever. Internal fever refers to heat caused by internal diseases, and external fever refers to the heat generated by cold or trauma2. Exogenous fever usually affects gastrointestinal function3. Dong national doctors use cold antipyretic therapy to treat fever. Among the various Dong medicine prescriptions, Lengyuxiao Tang (LYXT) is a standard decoction used for fever and pain, comprising Semen Pharbitidis, Verbena officinalis L., and Zingiber officinale Roscoe, which are constantly pounded and mixed with water4. It is mainly used for fever and headache caused by a cold.
However, the active components of LYXT and their underlying molecular mechanisms remain poorly understood. To address this gap, the present study employed a network pharmacology approach to predict potential active ingredients and targets. To validate these predictions, a well-established lipopolysaccharide (LPS)-induced mouse model of lung inflammation was selected, as it mimics the key inflammatory responses associated with fever and cough, including leukocyte infiltration and pro-inflammatory cytokine production.
In the process of drug discovery, various studies have revealed that compounds can interact with multiple protein targets. Hence, the "one drug, one biological target" paradigm is shifting to a systems pharmacology paradigm. A compound that interacts with several biological target proteins of viruses or bacteria can provide useful pharmacological effects5. Network pharmacology analysis is a feasible and powerful way to mitigate the expensive and long drug discovery process. It can help us better comprehend interactions between drugs, predict mechanisms causing the disease, suggest alternative drug members for the intended pharmacological effects without side effects, and predict bioactivities of traditional medicine. Chemoinformatic approaches, molecular docking, and data-derived modeling have been successfully applied to predict bioactivities and analyze mechanisms. These methods facilitate the rapid discovery of antiviral and antibacterial compounds with clinical potential, and these approaches are also used to explain the efficacy and adverse effects of drugs6. For example, imatinib mesylate, a small molecule, is an inhibitor of the causal agent in chronic myelogenous leukemia, the fusion protein Bcr-Abl, but it also blocks the activity of several tyrosine kinases such as Abl, Kit, and PDGFR7. Therefore, research on identifying drugs and their targets is still crucial in potentially treating diseases, which helps us understand the mechanisms by which drug compounds work to treat diseases at the molecular level. Computational modeling and network analysis approaches can accurately screen potential drugs and targets, and multiplicative interaction analysis can provide a theoretical basis and practical guidance for experimental verification. In this paper, by utilizing search tool for the retrival of interacting genes/proteins (STRING), database for annotation, visualization, and integrated discovery (DAVID), and other databases, combined with dynamic gene ontology (GO) analysis and pathway analysis, the data regarding active ingredients and related action proteins of Dong medicine LYXT for fever and cough were collected, and the mechanism of the combination treatment of active ingredients was explored, which can provide a specific theoretical reference for further research on the Dong medicine LYXT, provides a reproducible strategy for exploring the pharmacological mechanisms of ethnomedicinal formulas and offers insights into the development of new anti-inflammatory agents.