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"Clears Heat" (Qing Re) is a fundamental therapeutic principle in Traditional Chinese Medicine (TCM) used to neutralize pathological "Heat" or "Fire" patterns, which are clinically associated with inflammation, fever, and infectious processes (PMC7255186). It is not a single molecular target or receptor but a broad category of medicinal actions exerted by various phytochemicals. These substances, such as those found in Scutellaria baicalensis or Coptis chinensis, function by downregulating pro-inflammatory mediators including NF-kappaB, COX-2, and various interleukins (PubMed: 32415139). From a modern pharmacological perspective, the "Heat-clearing" effect represents a multi-target approach to restoring homeostasis during systemic inflammatory responses or infections. Because it refers to a therapeutic category rather than a specific protein or gene product, it is considered a functional classification in ethnopharmacology (ScienceDirect: Heat-clearing Herbs).
Heat-clearing agents typically act via multi-target mechanisms including the inhibition of the NF-kappaB signaling pathway, suppression of pro-inflammatory cytokines (TNF-alpha, IL-6, IL-1beta), and modulation of the arachidonic acid metabolism by inhibiting COX-2 and PGE2.
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