Traditional Chinese medicine (TCM) formula decoctions
easily form
nanoaggregates due to self-assembly during the decoction process.
However, research on nanoaggregates in TCM is still in its infancy
with limited systematic studies. Maxing Shigan Decoction (MXSGT),
a TCM formula, has been commonly used for the treatment of fever for
thousands of years in China. This study used MXSGT as an example to
investigate the antipyretic effects of MXSGT nanoaggregates (MXSGT-NAs)
in its decoction, shedding light on the compatibility mechanisms of
Chinese medicine. MXSGT-NAs were isolated by using high-speed centrifugation
and dialysis techniques. The morphology, particle size distribution,
and electrical potential of MXSGT-NAs were characterized. High-performance
liquid chromatography (HPLC) was used to detect ephedrine and pseudoephedrine
in MXSGT-NAs. The self-assembly mechanism of MXSGT-NAs was investigated
by deconstructing the prescription. In pharmacodynamic experiments,
a rat fever model was established through the subcutaneous injection
of dry yeast to investigate the antipyretic effects of MXSGT-NAs.
The results showed the presence of regularly shaped spherical nanoaggregates
in MXSGT. It contains carbon, oxygen (O), sulfur (S), sodium, aluminum
(Al), calcium (Ca), iron, magnesium, bismuth (Bi), etc. MXSGT-NAs
exerted substantial antipyretic effects on febrile rats. Furthermore,
we found micrometer-sized particles composed of Ca, O, S, potassium,
and Bi in Shi gao decoctions. This study is the first to provide evidence
for the self-assembling property of Shi gao, elucidate the scientific
connotation of dispensing Shi gao in MXSGT, and provide a novel perspective
for the study of TCM decoctions.