Drug intelligence / Profile preview

honghua xiaoyao

Development stage
Phase 4
Lead developer
Lianxin Wang
Modality
Metabolically Activated Prodrugs → Prodrugs/Conditional Activator Small Molecules → Small Molecules, Classical Binding Small Molecules → Small Molecules
Administration
Oral
01

Overview

Honghua Xiaoyao is a Traditional Chinese Medicine (TCM) botanical formulation used for the treatment of gynecological disorders, specifically premenstrual syndrome (PMS) and menstrual irregularities. It is a derivative of the classic Xiaoyao San formula, enriched with *Carthamus tinctorius* (Honghua) to enhance its blood-circulating and stasis-resolving properties. The formulation typically includes herbs such as *Angelica sinensis*, *Paeonia lactiflora*, and *Bupleurum chinense*. It is primarily indicated for Liver Qi stagnation and Blood deficiency in TCM diagnostics, which clinically manifests as emotional instability, breast tenderness, and abdominal pain associated with the menstrual cycle. Recent clinical research has utilized target trial emulation (TTE) frameworks to evaluate its real-world efficacy and safety compared to standard interventions.

Brand names
Honghua Xiaoyao
Other names
Honghua Xiaoyao TabletHonghua Xiaoyao WanHonghua Xiaoyao Granules
02

Targets

CYP19A1 (Aromatase)ESR1 (ERα)GSK3 (Glycogen synthase kinase 3 beta)NLRP3 (Nod-like receptor family pyrin domain-containing protein 3)GR (Glucocorticoid receptor)NR5A1 (Steroidogenic factor 1)SENP1 (Sentrin-specific protease 1)UBE2I (Ubiquitin-conjugating enzyme E2 I (UBC9))IL1B (Interleukin-1 beta)IL-6 (Interleukin 6)PI3K (Phosphoinositide-3-kinase regulatory subunit 6)AKT (RAC-alpha serine/threonine-protein kinase)TNFA (Tumor necrosis factor alpha (soluble))

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