Abstract:Objective:To analyze the potential targets and mechanisms of action of Tiannanxing-Shengjiang drug pair for the treatment of pain using a network pharmacology approach. Methods:The TCMSP database was used to screen the active components and targets of the drug pair“Tiannanxing-Shengjiang” , and target prediction was performed by SwissTarget and other databases for unclear targets those TCMSP database didn’t give. The target genes related to pain were retrieved from the DisGeNet database, and the intersection targets were obtained by mapping the active ingredient targets and pain-related genes together by the Venn diagram. Cytoscape 3.7.2 software was used to construct the component-target-disease network diagram. Protein-Protein Interaction (PPI) network was constructed and analyzed by String database to screen out the important targets. GO enrichment analysis and KEGG pathway enrichment analysis of intersection targets were performed through the DAVID website. Results: A total of 10 active ingredients were screened from Tiannanxing-Shengjiang drug pair and we found 63 intersection targets between drug and disease, including CNR1, ESR1, MAPK3, CYP3A4, JUN, HDAC1, etc. The biological processes derived from GO analysis included inflammatory response, positive regulation of EKR1 and EKR2 cascade, positive regulation of transcription from RNA polymerase II promoter, G-protein coupled receptor signaling pathway, etc. A total of 53 pathways were obtained from KEGG, among which those more closely related to pain included calcium signaling pathway, cholinergic synapse, estrogen signaling pathway, cancer pathway, and serotonergic synapse. Conclusion:The active ingredients such as Stigmasterol, β-sitosterol and dihydrocapsaicin in the Tiannanxing-Shengjiang pair may act on various types of pain by acting on CNR1, ESR1, MAPK3, CYP3A4, JUN, HDAC1 and other targets to regulate intracellular calcium ion conduction, cholinergic prominent signaling, cancer signaling pathway, etc., providing a theoretical basis for further experimental design. Theoretical basis for further experimental design.