The pathology of non-alcoholic fatty liver disease (NAFLD) is a dynamic process characterized by temporal and spatial dimensions. In the temporal dimension, NAFLD begins with liver dysfunction due to blockage by phlegm-dampness, progressing over time to the generation of pathological products such as blood stasis and turbid toxins, ultimately resulting in liver deficiency. In the spatial dimension, NAFLD evolves from affecting the liver and spleen to involving the liver, spleen, and kidneys, and may eventually spread to other organs in the body. The“multiple strikes”theory of NAFLD pathogenesis aligns with the spatial and temporal integration observed in traditional Chinese medicine (TCM) . The“first strike”of obesity and insulin resistance corresponds to spleen deficiency, dampness, and mitochondrial dysfunction. The“second strike”involves oxidative stress, lipid peroxidation in hepatocytes, turbid toxins accumulation in the liver, and endoplasmic reticulum stress, leading to liver-kidney yin deficiency. This paper aims to use the spacetime-medicine theory as a guide to bridge TCMwith modern life science, elucidating the TCMperspective on NAFLD's pathologic mechanism.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |