Abstract:Abstract: Objective To analyze the active ingredients and potential molecular pathways of Chunpi San (CPS) in the treatment of ulcerative colitis (UC) and anal sinusitis (AS) through network pharmacology, with experimental validation via molecular docking and in vitro functional assays. Methods Based on literature review, the active ingredients of CPS were determined. Online databases were used to obtain the active ingredients and UC/AS related targets. Venny 2.1 software was used to intersect the active ingredient targets with disease targets and upload them to the STRING analysis platform. A protein-protein interaction network (PPI) map was constructed in Cytoscape v3.10.1 software and core targets were screened. GO and KEGG enrichment analyses were performed on the intersecting targets on the WeChat online analysis platform. AutoDock Vina 1.2.3 software was used for molecular docking analysis, and Jurkat T cells were used for in vitro experimental validation. After activation with 1 μmol/L ionomycin (I) and 50 μg/L phorbol ester (P), cells were treated with 0.25 g/L and 0.50 g/L CPS extract, respectively. Cell survival rate was assessed using CCK-8 assays, the inflammatory cytokine IL-2 level in the supernatant was measured using an ELISA kit, and the relative content of MAPK pathway related proteins in cells was detected by Western blot. Results A total of 638 CPS active ingredient targets, 1 609 UC and AS related targets, 162 intersecting targets, and 24 core targets were screened. KEGG enrichment analysis showed that these mainly involve signaling pathways such as MAPK and PI3K-AKT, while GO functional analysis primarily focuses on cellular oxidative stress and signal transduction functions. The molecular docking results confirmed that the top ten active ingredients have good binding affinities with certain core targets among these. In vitro experimental results also showed that P/I can activate the release of the inflammatory cytokine IL-2 in Jurkat T cells and upregulate MAPK pathway related proteins, including p-RAF-1, p-ERK1/2, STAT3, and p-STAT3, whereas CPS extract can significantly reduce the levels of these proteins. Conclusion CPS may exert therapeutic effects on UC and AS through multiple components, targets, and pathways.