Evidence map›Paper›PMID 42231450›Full record

ArticleChinese medicine2026

A clinical and mechanistic study on traditional Chinese medicine herbs used in olfactory training.

Wei Zhang, Yingjian Liu, Jiahui Sun, Fei Wang, Licong Nie, Jinxin Chen, Hang Ren, Jiaxin Chen, Yu Zheng, Weihong Liu and 1 more

Abstract read
In one paragraph

Article in Chinese medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Wei Zhang *Otolaryngology Department, Eye Hospital China Academy of Chinese Medical Science, Beijing, 100040, China.
Yingjian Liu *Hanwang Technology Co., Ltd, Beijing, 100193, China.
Jiahui Sun *Hanwang Technology Co., Ltd, Beijing, 100193, China.
Fei Wang *Hanwang Technology Co., Ltd, Beijing, 100193, China.
Licong Nie *Otolaryngology Department, Eye Hospital China Academy of Chinese Medical Science, Beijing, 100040, China.
Jinxin ChenOtolaryngology Department, Eye Hospital China Academy of Chinese Medical Science, Beijing, 100040, China.
Hang RenHanwang Technology Co., Ltd, Beijing, 100193, China.
Jiaxin ChenOtolaryngology Department, Eye Hospital China Academy of Chinese Medical Science, Beijing, 100040, China.
Yu ZhengHanwang Technology Co., Ltd, Beijing, 100193, China.
Weihong LiuHanwang Technology Co., Ltd, Beijing, 100193, China. liuwh097@163.com.
Yonggang LiuOtolaryngology Department, Eye Hospital China Academy of Chinese Medical Science, Beijing, 100040, China. ygliu0208@163.com.

Funding

Beijing Natural Science Foundation 7252274Fundamental Research Funds for the Central Public Welfare Research Institutes No. ZZ17-XRZ-085Grant of Central High-Level Traditional Chinese Medicine Hospital Project of eye Hospital China Academy of Chinese medical science No.GSP5-36Grant of Central High-Level Traditional Chinese Medicine Hospital Project of eye Hospital China Academy of Chinese medical science No.GSP5-80Grant of National Natural Science Foundation of China No.82205206Grant of Science and Technology Innovation Project of the China Academy of Chinese Medicine Science No.CI2021A02706Hanwang Technology R&D Fund IPL-20230823Project in Eye Hospital China Academy of Chinese Medical Science No.202015Project in Eye Hospital China Academy of Chinese Medical Science No.202026
6 · The paper itself

Abstract

backgroundOlfactory dysfunction (OD) is a prevalent condition with limited treatment options, severely impairing patients' quality of life. Olfactory training (OT) using conventional odorants provides limited benefit. Traditional Chinese Medicine (TCM) herbs with complex odors may offer novel OT agents, but their mechanism and clinical value remain unclear.

methodsIn a prospective, open-label, parallel-controlled clinical observation, 73 OD patients (TCM-OT group: n = 36; control group: n = 37) received either 3-month TCM-based OT (6 herbs) or mometasone furoate nasal spray. Olfactory function was assessed by olfactory identification test (OIT), visual analog scale (VAS), and quality-of-life questionnaire (QOD). Volatile profiles of the six herbs were characterized by GC-MS. We then performed systematic functional screening of 16 major herb odorants and 4 common chemical odorants (eugenol, citronellal, phenylethyl alcohol, eucalyptol) against ~ 400 human olfactory receptors (hORs) using luciferase assays. Results were combined with public database entries (M2OR, OlfactionBase) to compare OR activation patterns. Molecular docking and molecular dynamics (MD) simulations were performed for (-)-Borneol, a representative active component, against its responsive ORs.

resultsTCM-OT significantly improved the primary outcome (OIT) compared with control (mean improvement 11.31 ± 6.30 vs. 6.22 ± 4.99, p < 0.001, Cohen's d = 1.150). Secondary outcomes (VAS and QOD) showed trends favoring TCM-OT but did not reach statistical significance after Bonferroni correction. Greater benefit was observed in younger patients. Herb odorants displayed higher chemical diversity than chemical odorants. Functional screening identified 34 odorant-OR activation pairs for herb odorants (23 novel) and 11 pairs for chemical odorants (10 novel). Integrated analysis revealed that herb odorants collectively activated all 17 hOR families, whereas chemical odorants engaged only 8 families. Molecular simulations further elucidated the multi-receptor recognition mechanism of (-)-Borneol.

conclusionsTCM-OT is a promising multi-target approach for OD. The broad activation of all OR families by herb odorants - contrasting with the limited engagement of conventional chemical odorants - provides a molecular rationale for the efficacy of TCM-OT and guidance for the selection of olfactory agents used in OT.

trial registrationThis study was retrospectively registered with the Eye Hospital of China Academy of Chinese Medical Sciences (YKEC-KT-2025-057-P002).

Indexed as

HerbOD, olfactory dysfunctionOR, olfactory receptorOT, olfactory trainingSAR, structure–activity relationshipTCM, traditional Chinese medicine

Identifiers

PMID42231450
PMCPMC13227741

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.