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基于“单味药、药对、复方”三个递进层次探讨四逆散抗抑郁作用的研究进展

[Research progress on antidepressant effects of Sini San based on three progressive levels of "single herb, herb-pair, and complicated Chinese herbal formula"].

作者信息

Zhou Jia, Cai Hao, Duan Yu, Pei Ke, Fan Kai-Lei, Xu Yang-Yang, Zhao Jia-Yu, Liu Jing

机构信息

School of Pharmacy, Nanjing University of Chinese Medicine, Nanjing 210023, China.

Engineering Center of State Ministry of Education for Standardization of Chinese Medicine Processing, Nanjing University of Chinese Medicine, Nanjing 210023, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2018 Jan;43(1):46-51. doi: 10.19540/j.cnki.cjcmm.20171106.014.

Abstract

Depression is a kind of mental illness accompanied by complex etiology and pathogenesis in clinic. With the quickening pace of circadian rhythm and increase of life pressure in modern society, the incidence of depression is increasing year by year. Nowadays, some typical antidepressant Western medicines, such as selective serotonin re-uptake inhibitors (SSRI) and tricyclic antidepressants (TCA), have been used as the main therapeutic drugs in clinic. Unfortunately, administration of these drugs will result in severe adverse reactions, slow treatments, and low cure rates, thus obviously they can not be used for a long term. Sini San, which originated from written by Zhang zhongjing, is a prescription widely applied in clinic for curing mental illness and also a basic Chinese herbal formula for modern treatment of depression. This article would review the research progress on antidepressant effects of Sini San based on single herbs of Bupleuri Radix and Paeoniae Radix Alba, herb-pair of Bupleuri Radix-Paeoniae Radix Alba, and formula of Sini San, providing directions and ideas for future research on complicated Chinese herbal formulae.

摘要

抑郁症是临床上一种病因和发病机制复杂的精神疾病。随着现代社会昼夜节律加快和生活压力增加,抑郁症的发病率逐年上升。目前,一些典型的抗抑郁西药,如选择性5-羟色胺再摄取抑制剂(SSRI)和三环类抗抑郁药(TCA),已被用作临床主要治疗药物。然而,使用这些药物会导致严重的不良反应、治疗缓慢且治愈率低,因此显然不能长期使用。四逆散源自张仲景所著的《伤寒论》,是临床广泛应用于治疗精神疾病的方剂,也是现代治疗抑郁症的基础中药方剂。本文将基于柴胡、白芍单味药,柴胡-白芍药对以及四逆散方剂,综述四逆散抗抑郁作用的研究进展,为今后复杂中药方剂的研究提供方向和思路。

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