• Yanggan Roujin Decoction effectively delays intervertebral disc degeneration in a rat model, as evidenced by histopathological improvements.
• Network pharmacology identified 187 active components and 298 potential targets, including TP53, c-Jun, IL-6, TNF-α, AKT, and insulin.
• The decoction modulates key signaling pathways: inhibits MAPK and TNF pathways, and activates HIF-1 pathway.
• Compared to diclofenac sodium, Yanggan Roujin Decoction exerts broader regulatory effects on multiple targets and pathways.
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