California School of Professional Psychology, Alliant International University, Los Angeles, CA 91803, USA.
Exp Clin Psychopharmacol. 2009 Dec;17(6):384-95. doi: 10.1037/a0016881.
Given the unparalleled popularity of botanicals in the United States, it is safe to say that almost every psychopharmacological prescriber will see some patients using Chinese herbs. Data show that between 36% and 42% of Americans use complementary and alternative medicine (CAM) each year and that persons suffering from depression and anxiety (67%) use CAM services significantly more than do their nonanxious and nondepressed counterparts (39%). This article gives an overview of several classical Chinese medical single herbs and herbal formulas commonly used for persons with psychiatric disorders and discusses some of the herbs that have the potential to interact with various pharmaceutical drugs. In addition, the article reviews scientific evidence and, at times, the lack thereof to validate the use of Chinese herbs and formulas in treating psychiatric conditions. Overall, the article seeks to prepare the pharmacological prescriber for working with patients concomitantly taking psychiatric medications and Chinese herbs.
鉴于植物药在美国的空前普及,可以肯定的是,几乎每一位精神药理学从业者都会看到一些患者在使用中药。数据显示,每年有 36%至 42%的美国人使用补充和替代医学(CAM),而且患有抑郁症和焦虑症的人(67%)比非焦虑和非抑郁的人(39%)更频繁地使用 CAM 服务。本文概述了几种常用于精神障碍患者的经典中药单味药和中药方剂,并讨论了一些有可能与各种药物相互作用的草药。此外,本文还回顾了科学证据,有时还缺乏科学证据,以验证中药和方剂治疗精神疾病的用途。总的来说,本文旨在让药理学从业者为同时服用精神药物和中药的患者做好治疗准备。