Abstract:Objective To investigate the effect of Peony and Glycyrrhiza and Aconite Decoction (PGAD) on the expressions of neuronal nitric oxide synthase (nNOS), IL -1β and TNF -α in the hypothalamic paraventricular nuclei of the rats with rheumatoid arthritis. Methods Forty-eight healthy Wistar rats were randomly divided into control group, model group and PGAD-intervention group with 16 in each group. The arthritis rat model was induced by type Ⅱcollagenase and evaluated by arthritis score and paw swelling score. The arthritis rats in the PGAD intervention group were given 30 mg/kg PGAD by gavage. Immunofluorescence and Western blot were used to detect the nNOS, IL-1β and TNF-α expressions in the hypothalamic paraventricular nuclei. Results The arthritis score, the paw swelling score, and the expressions of nNOS, IL-1β and TNF-α in the hypothalamic paraventricular nuclei were significantly higher in the model and PGAD-intervention groups than in the control group (p < 0.05). but significantly lower in the PGAD intervention group than in the model group (p < 0.05). Conclusions PGAD has therapeutic and protective effect on the rats with rheumatoid arthritis, which may be related to the inhibition of nNOS, IL-1β and TNF-α expressions in the hypothalamic paraventricular nuclei.