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中药方剂治疗抑郁症的研究进展

Progress of research on the treatment of depression by traditional Chinese medicine prescriptions.

作者信息

Chen Yiwei, Wang Ruyu, Li Xue, Wang Zhiying, Cao Baorui, Du Jinxin, Deng Tingting, Han Jinxiang, Yang Meina

机构信息

Department of Neurology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, China.

NHC Key Laboratory of Biotechnology Drugs, Shandong Academy of Medical Sciences, Jinan, China.

出版信息

Heliyon. 2024 Jul 25;10(15):e34970. doi: 10.1016/j.heliyon.2024.e34970. eCollection 2024 Aug 15.

Abstract

Depression is a common psychiatric disorder that belongs to the category of "Depression Syndrome" in traditional Chinese medicine (TCM), and its etiology and pathogenesis are complex and unclear. It is characterized by high prevalence, high disability rate, and high recurrence rate, which seriously affect human health, and its treatment has become a research hotspot worldwide. At present, the antidepressants commonly used in the clinic are mainly Western medicine (WM), but there are problems such as frequent side effects and poor efficacy. Studies have found that the use of TCM prescriptions in the treatment of depression can achieve the same effect as WM; and when TCM prescriptions are combined with WM, the efficacy can be enhanced while the adverse effects of WM can be reduced. Pharmacological studies related to the treatment of depression with traditional Chinese medicine prescriptions (TCMPs) have focused on the neurobiochemical system, gut microbes, and energy metabolism in mitochondria. No one has yet reviewed the pharmacological mechanism of TCMPs for depression. So, this paper reviews the pharmacological mechanism of TCMPs for depression from the perspective of TCMPs, introduces the progress of research on classical TCMPs for depression and their antidepressant mechanism. This article aims to promote the application of TCMPs in the clinic and provide a new therapeutic idea for the clinical treatment of depression.

摘要

抑郁症是一种常见的精神障碍,属于中医“郁证”范畴,其病因病机复杂且尚不明确。它具有高患病率、高致残率和高复发率的特点,严重影响人类健康,其治疗已成为全球研究热点。目前,临床上常用的抗抑郁药主要是西药,但存在副作用频繁、疗效不佳等问题。研究发现,使用中药方剂治疗抑郁症可达到与西药相同的效果;且中药方剂与西药联合使用时,可增强疗效,同时降低西药的不良反应。与中药方剂治疗抑郁症相关的药理研究主要集中在线神经生化系统、肠道微生物和线粒体能量代谢方面。目前尚未有人对中药方剂治疗抑郁症的药理机制进行综述。因此,本文从中药方剂的角度综述中药方剂治疗抑郁症的药理机制,介绍抑郁症经典中药方剂及其抗抑郁机制的研究进展。本文旨在促进中药方剂在临床上的应用,为抑郁症的临床治疗提供新的治疗思路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2d5/11328063/0c8bf0722cbe/gr1.jpg

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