Yunnan Baiyao (YNBY): pharmacological mechanisms, therapeutic applications, and clinical evidence

Yunnan Baiyao (YNBY) is a traditional Chinese medicine widely used in hemostasis, anti-inflammation, antibacterial, analgesia and wound healing. This article reviews the research progress on the pharmacological mechanism, clinical application and safety of YNBY in the past two decades. Through syste...

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Main Authors: Hongjing Qian, Wanli Zhang, Mingzhu Zhang, Sijia Ma, Manhong Zhen, Hongbing He, Xiaobin Ren
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Pharmacology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2025.1589035/full
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author Hongjing Qian
Hongjing Qian
Wanli Zhang
Wanli Zhang
Mingzhu Zhang
Mingzhu Zhang
Sijia Ma
Sijia Ma
Manhong Zhen
Manhong Zhen
Hongbing He
Hongbing He
Xiaobin Ren
Xiaobin Ren
author_facet Hongjing Qian
Hongjing Qian
Wanli Zhang
Wanli Zhang
Mingzhu Zhang
Mingzhu Zhang
Sijia Ma
Sijia Ma
Manhong Zhen
Manhong Zhen
Hongbing He
Hongbing He
Xiaobin Ren
Xiaobin Ren
author_sort Hongjing Qian
collection DOAJ
description Yunnan Baiyao (YNBY) is a traditional Chinese medicine widely used in hemostasis, anti-inflammation, antibacterial, analgesia and wound healing. This article reviews the research progress on the pharmacological mechanism, clinical application and safety of YNBY in the past two decades. Through systematic analysis of clinical trials, animal experiments and mechanistic studies, YNBY has shown significant effects in reducing surgical bleeding (such as reducing blood loss in orthognathic surgery by 21.4%), accelerating wound healing (such as increasing the healing rate of diabetic ulcers by 37%), regulating inflammation (such as inhibiting the expression of IL-6/CRP in arthritis), and inhibiting bacterial virulence (such as destroying Staphylococcus aureus biofilm). Mechanistic studies have shown that YNBY acts through multiple pathways, including platelet activation, arachidonic acid metabolism regulation and autophagy regulation. However, existing studies have limitations such as inconsistent trial design and insufficient long-term safety data. This study provides a theoretical basis for optimizing the clinical application of YNBY, and points out future research directions, including the identification of active ingredients, the development of targeted delivery systems, and the development of large-scale randomized controlled trials.
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language English
publishDate 2025-07-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Pharmacology
spelling doaj-art-0c1cda9b46f2488cae7e53eb8be679c12025-07-09T13:22:48ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122025-07-011610.3389/fphar.2025.15890351589035Yunnan Baiyao (YNBY): pharmacological mechanisms, therapeutic applications, and clinical evidenceHongjing Qian0Hongjing Qian1Wanli Zhang2Wanli Zhang3Mingzhu Zhang4Mingzhu Zhang5Sijia Ma6Sijia Ma7Manhong Zhen8Manhong Zhen9Hongbing He10Hongbing He11Xiaobin Ren12Xiaobin Ren13Yunnan Key Laboratory of Stomatology, School of Stomatology, Kunming Medical University, Kunming, ChinaDepartment of Periodontology, Kunming Medical University School and Hospital of Stomatology, Kunming Medical University, Kunming, ChinaYunnan Key Laboratory of Stomatology, School of Stomatology, Kunming Medical University, Kunming, ChinaDepartment of Periodontology, Kunming Medical University School and Hospital of Stomatology, Kunming Medical University, Kunming, ChinaYunnan Key Laboratory of Stomatology, School of Stomatology, Kunming Medical University, Kunming, ChinaDepartment of Periodontology, Kunming Medical University School and Hospital of Stomatology, Kunming Medical University, Kunming, ChinaYunnan Key Laboratory of Stomatology, School of Stomatology, Kunming Medical University, Kunming, ChinaDepartment of Periodontology, Kunming Medical University School and Hospital of Stomatology, Kunming Medical University, Kunming, ChinaYunnan Key Laboratory of Stomatology, School of Stomatology, Kunming Medical University, Kunming, ChinaDepartment of Periodontology, Kunming Medical University School and Hospital of Stomatology, Kunming Medical University, Kunming, ChinaYunnan Key Laboratory of Stomatology, School of Stomatology, Kunming Medical University, Kunming, ChinaDepartment of Periodontology, Kunming Medical University School and Hospital of Stomatology, Kunming Medical University, Kunming, ChinaYunnan Key Laboratory of Stomatology, School of Stomatology, Kunming Medical University, Kunming, ChinaDepartment of Periodontology, Kunming Medical University School and Hospital of Stomatology, Kunming Medical University, Kunming, ChinaYunnan Baiyao (YNBY) is a traditional Chinese medicine widely used in hemostasis, anti-inflammation, antibacterial, analgesia and wound healing. This article reviews the research progress on the pharmacological mechanism, clinical application and safety of YNBY in the past two decades. Through systematic analysis of clinical trials, animal experiments and mechanistic studies, YNBY has shown significant effects in reducing surgical bleeding (such as reducing blood loss in orthognathic surgery by 21.4%), accelerating wound healing (such as increasing the healing rate of diabetic ulcers by 37%), regulating inflammation (such as inhibiting the expression of IL-6/CRP in arthritis), and inhibiting bacterial virulence (such as destroying Staphylococcus aureus biofilm). Mechanistic studies have shown that YNBY acts through multiple pathways, including platelet activation, arachidonic acid metabolism regulation and autophagy regulation. However, existing studies have limitations such as inconsistent trial design and insufficient long-term safety data. This study provides a theoretical basis for optimizing the clinical application of YNBY, and points out future research directions, including the identification of active ingredients, the development of targeted delivery systems, and the development of large-scale randomized controlled trials.https://www.frontiersin.org/articles/10.3389/fphar.2025.1589035/fullYunnan Baiyaobotanical drugclinical applicationhemostatic efficacytraditional Chinese medicine
spellingShingle Hongjing Qian
Hongjing Qian
Wanli Zhang
Wanli Zhang
Mingzhu Zhang
Mingzhu Zhang
Sijia Ma
Sijia Ma
Manhong Zhen
Manhong Zhen
Hongbing He
Hongbing He
Xiaobin Ren
Xiaobin Ren
Yunnan Baiyao (YNBY): pharmacological mechanisms, therapeutic applications, and clinical evidence
Frontiers in Pharmacology
Yunnan Baiyao
botanical drug
clinical application
hemostatic efficacy
traditional Chinese medicine
title Yunnan Baiyao (YNBY): pharmacological mechanisms, therapeutic applications, and clinical evidence
title_full Yunnan Baiyao (YNBY): pharmacological mechanisms, therapeutic applications, and clinical evidence
title_fullStr Yunnan Baiyao (YNBY): pharmacological mechanisms, therapeutic applications, and clinical evidence
title_full_unstemmed Yunnan Baiyao (YNBY): pharmacological mechanisms, therapeutic applications, and clinical evidence
title_short Yunnan Baiyao (YNBY): pharmacological mechanisms, therapeutic applications, and clinical evidence
title_sort yunnan baiyao ynby pharmacological mechanisms therapeutic applications and clinical evidence
topic Yunnan Baiyao
botanical drug
clinical application
hemostatic efficacy
traditional Chinese medicine
url https://www.frontiersin.org/articles/10.3389/fphar.2025.1589035/full
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