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Yuzhuo Zhixiao Pill (YZZXP) is a multi-herb Traditional Chinese Medicine (TCM) formulation investigated for the treatment of non-alcoholic steatohepatitis (NASH). It is typically composed of seven botanical ingredients: *Coptis chinensis*, *Pueraria lobata*, *Salvia miltiorrhiza*, *Crataegus pinnatifida*, *Alisma plantago-aquatica*, *Prunus persica*, and *Rheum palmatum*. The therapeutic mechanism of YZZXP involves the modulation of the gut microbiota-bile acid-short-chain fatty acid (GM-BA-SCFA) axis. By restructuring the gut microbial community, the formulation influences bile acid signaling and enhances the production of short-chain fatty acids, which collectively work to reduce hepatic fat accumulation, inflammation, and metabolic dysfunction. It is primarily researched for its potential to address the multifactorial etiology of NASH with a favorable safety profile compared to conventional pharmacological interventions.
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