首页|柴胡及其复方防治抑郁症的药理作用机制及临床应用研究进展

柴胡及其复方防治抑郁症的药理作用机制及临床应用研究进展

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通过对抑郁症(MDD)的中医认识,柴胡主要活性成分、经典复方和中成药在MDD防治中的药理机制及临床应用进行阐述,旨在探讨柴胡防治MDD的作用机制及临床研究进展.MDD的核心病机是肝郁气滞.柴胡主要活性成分有柴胡皂苷A、柴胡皂苷D、山柰酚、槲皮素、黄芩苷、挥发油等,具有抗炎、抗氧化、抑制细胞凋亡、调控神经递质等诸多作用.经典复方(柴胡疏肝散、四逆散、柴胡加龙骨牡蛎汤等)及中成药(柴归颗粒、解郁安神颗粒、逍遥丸、舒肝颗粒等)治疗MDD具有多途径、多靶点的治疗优势.经典复方可配合其他方剂或针灸等其他治法来治疗临床中合并其他病症的更为复杂的抑郁表现.中成药多应用于MDD进入维持期且可以逐步撤药的阶段.
Research Progress on Pharmacological Mechanism and Clinical Application of Chaihu(Bupleuri Radix)and Its Compound in the Prevention and Treatment of Major Depressive Disorder
To explore the mechanism of action and clinical research progress of Chaihu(Bupleuri Radix)in the prevention and treatment of major depressive disorder(MDD)by expounding the understanding of MDD in traditional Chinese medicine,the main active ingredients of Chaihu(Bupleuri Radix),the pharmacological mechanism of classic compounds and traditional Chinese patent medicines in the prevention and treatment of MDD and their clinical application.The core pathogenesis of MDD is liver stagnation and qi stagnation.The main active ingredients of Chaihu(Bupleuri Radix)are saikosaponin A,saikosaponin D,kaempferol,quercetin,baicalin,volatile oil,etc.,which have anti-inflammatory,anti-oxidation,inhibition of apoptosis,regulation of neurotransmitters and many other effects.The classical compound[Chaihu Shugan Powder(柴胡疏肝散),Sini Powder(四逆散),Chaihu Longgu Muli Decoction(柴胡加龙骨牡蛎汤),etc.]and Chinese patent medicine[Chaigui Granules(柴归颗粒),Jieyu Anshen Granules(解郁安神颗粒),Xiaoyao Pills(逍遥丸),Shugan Granules(舒肝颗),etc.]have multi-channel and multi-target therapeutic advantages in the treatment of MDD.Classical compound can be combined with other prescriptions or other treatments such as acupuncture to treat more complex depressive manifestations of other diseases in clinical practice.Chinese patent medicine is mostly used in the stage where MDD enters the maintenance period and can be gradually withdrawn.

major depressive disorderChaihu(Bupleuri Radix)Chinese herbal compoundmechanism of actionclinical studiesresearch progress

何清、高圆媛、邓青、李娜娜、徐建

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上海中医药大学附属市中医医院,上海 200070

抑郁症 柴胡 中药复方 作用机制 临床研究 研究进展

上海市临床重点专科建设项目上海市科学技术委员会科研计划项目

shslczdzk0490119401935600

2024

中医药导报
湖南省中医药学会 湖南省中医管理局

中医药导报

CSTPCD
影响因子:0.952
ISSN:1672-951X
年,卷(期):2024.30(9)