Research Article

Chinese Herbal Medicines for Rheumatoid Arthritis: Text-Mining the Classical Literature for Potentially Effective Natural Products

Table 5

Reported biological actions relevant to rheumatoid arthritis of the higher frequency herbs.

Traditional name(s) in pin yinBotanical source(s)Material tested: extract/compoundReported actions relevant to RA

Gan cao, Sheng gan cao, Zhi gan caoGlycyrrhiza uralensis Fisch; G. glabra L. (Licorice)Liquiritin [66], glycyrol [67], glycyrrhizin, glycyrrhetinic acid [68](i) Anti-inflammatory [6668],
(ii) restrained angiogenesis [66],
(iii) down-regulated autoimmune reactions [67],
(iv) enhanced therapeutic effects of NSAIDs/DMARDs [68]
Jiang, Sheng jiang, Gan jiangZingiber officinale Rosc (Ginger)Extracts [69, 70], essential oils [71], shogaols, gingerols [70], 6-gingerol [72](i) Anti-inflammatory [6971],
(ii) Inhibited inflammation-associated osteoclast differentiation [72]
Dang guiAngelica sinensis Oliv. DielsExtract [73], ethyl acetate fraction [74], ferulic acid, Z-ligustilide [75], calycosin [76](i) Anti-inflammatory [75],
(ii) Inhibited rheumatoid synovial fibroblast proliferation [74],
(iii) Potential interleukin 6R inhibitor [76],
(iv) Inhibited osteoclast differentiation [73]
Shao yao, Bai shao yao, Chi shao yaoPaeonia lactiflora Pall.Total glucosides [7780], paeoniflorin [81], paeoniflorin-6′-O-benzene sulfonate [81, 82](i) Anti-inflammatory, analgesic [77, 80],
(ii) Prevented bone loss/joint destruction [79, 80],
(iii) Immune regulatory [78, 81], (iv) Inhibited synovial hypertrophy and neovascularization [80],
(v) enhanced effects of methotrexate [82]
Fang fengSaposhnikovia divaricata Turcz. Schischk1Extract [83], chromone extract [84], chromones: divaricatol, ledebouriellol and hamaudol [85], polysaccharide [86](i) Anti-inflammatory [83, 84, 86],
(ii) Analgesic [85, 87],
(iii) Immunomodulatory [87]
Gui zhi, Rou guiCinnamomum cassia PreslExtracts [8890], cinnamic acid [90], cinnamomulactone [91](i) Anti-inflammatory [90],
(ii) Anti-arthritic, reduces joint swelling [88],
(iii) Inhibitory activity against matrix metalloproteinases [91],
(iv) Improved clinical symptoms and inflammatory markers [89]
Ma huangEphedra sinica Stapf, other Ephedra spp.Polysaccharides [92, 93](i) Anti-inflammatory, immuno-suppressive [92, 93]
Bai zhuAtractylodes macrocephala KoidzExtract [94], atractylone [95], atractylenolide I [94], atractylenolide III [96], Sesquiterpenoids [97]; three new compounds [98](i) Anti-inflammatory [9498]
Chuan xiong, xiong qiongLigusticum chuanxiong Hort.Ligustrazine [99], Z-ligustilide, senkyunolide A [100], ligustilides [101](i) Anti-inflammatory [100, 101],
(ii) reduced bone cortex erosion when combined with leflunomide [99]
Qiang huoNotopterygium incisum TingExtract [102], volatile compounds [103], polyacetylenes [104], notopterol [105](i) Anti-inflammatory [103, 104, 106],
(ii) Analgesic [105],
(iii) reduced swelling [102],
(iv) Anti-angiogenic [103]
Fu ling, Fu shen, Chi fu lingPoria cocos Schw. WolfPolysaccharides [107, 108], pachymic acid, dehydrotumulosic acid [109] triterpenoids [110](i) Anti-inflammatory [108110], (ii) Immunomodulatory [107, 109]
Niu xi, Huai niu xi, Chuan niu xi(1). Achyranthes bidentata Bl; A. aspera L.;
(2). Cyathula officinalis Kuan
(1). Extracts [111, 112], polysaccharide [113];
(2). Extract [114]
(1). anti-inflammatory [111, 112],
(i) Analgesic [111],
(ii) Suppressed osteoclastogenesis and bone resorption [113];
(2). down-regulated matrix metalloproteinase-13,
(i) Chondroprotective [114]
Wu tou, Chuan wu, Cao wu, Fu ziAconitum carmichaelii Debx; A. kusnezoffii Reichb.3Extracts [115118], alkaloids [119], benzoylaconitine [120](i) Anti-inflammatory [115, 117, 120],
(ii) Analgesic [116, 118, 119]
Huang qiAstragalus membranaceus (Fisch.) Bge. var. mongholicus (Bge.) HsiaoExtracts [121, 122], astragalosides [123], astragaloside IV [124], astragalus glycoprotein [125], polysaccharides [126, 127](i) Anti-inflammatory [121124, 126, 127],
(ii) Analgesic [122],
(iii) enhanced autophagy [126],
(iv) enhanced synovial apoptosis [127],
(v) Improved pathological state of synovial membranes [125]
Fang ji, Han fang ji, mu fang ji(1). Stephania tetrandra S. Moore;
(2). Sinomenium acutum (Thunb.) Rehd. & Wils.4
(1). Extract [128, 129], tetrandrine [130132];
(2). Sinomenine [133138]
(1). -anti-inflammatory [128, 131],
(i) Antifibrosis [128],
(ii) Immuno-suppressive [130],
(iii) Suppressed excessive granulocyte activation [129],
(iv) Inhibited migration and invasion of fibroblast-like synoviocytes [132],
(v) Ameliorated arthritis symptoms [131];
(2). - anti-inflammatory [133, 134, 138],
(i) reduced arthritis symptoms [137],
(ii) reduced cartilage damage [133, 134],
(iii) reduced bone erosion [134],
(v) Inhibited angiogenesis [134],
(vi) Antinociceptive [135, 136]

1Also called: Ledebouriella divaricata (Turcz.) Hiroe. 2Also called Ligusticum wallichii Franch. 3These species contain the toxic alkaloid aconitine. 4Also called: Cocculus orbiculatus (L.) DC. and qing feng teng.