基于菌群-肠-脑轴探讨"清浊相干"理论在逍遥散干预抑郁症的内涵

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中文摘要：抑郁症是一种常见的精神类疾病,其发病率正逐年增长.现有研究显示,抑郁症的发病与肠道菌群紊乱密切相关."清浊相干"理论源于《黄帝内经》,是中医经典中对脾胃升清降浊的功能失常,清阳不升,浊气不降,浊邪宿积的一种概括."清浊相干"导致脑失所养,浊邪上犯清窍是肠道菌群紊乱引发神志病的重要病机.逍遥散是疏肝健脾的代表方剂,现代研究表明逍遥散不但可以作用于胃肠道治疗功能性消化不良、慢性胃炎、肠易激综合征等疾病,还可以调节肠道菌群及其代谢物以发挥抗抑郁作用.从肠道菌群紊乱角度,运用"清浊相干"理论来阐明逍遥散抗抑郁的理论基础,对探究抑郁症的发病机制及拓宽逍遥散的临床应用具有巨大的理论和临床意义.

外文标题：Discussion on connotation of'abnormal ascent-descent between clear yang and turbid yin'theory in Xiaoyao Powder intervention for depression based on microbiota-gut-brain axis

外文摘要：Depression is a common psychiatric disorder with its increasing prevalence year by year.Studies have shown that the incidence of depression is closely related to the disturbance of gut microbiota.The theory of'abnormal ascent-descent between clear yang and turbid yin'originates from the Huangdi Neijing,which is a generalization of the classical Chinese medicine on the malfunction of the spleen and stomach in raising the clear yang and lowering the turbid yin,resulting in the accumulation of turbid pathogenic factor.The'abnormal ascent-descent between clear yang and turbid yin'causes the brain to lose its nourishment and the turbid pathogen offending the clear orifice,which is the key to the disorder of gut microbiota that causes neurosis.Modern research has shown that it can not only act on the gastrointestinal tract to treat functional dyspepsia,chronic gastritis,irritable bowel syndrome and other diseases,but also regulate the gut microbiota and its metabolites to exert antidepressant effects.It is of great theoretical and clinical significance to investigate the pathogenesis of depression and to broaden the clinical application of Xiaoyao Powder and to elucidate the theoretical basis of the antidepressant effect of Xiaoyao Powder by applying the'abnormal ascent-descent between clear yang and turbid yin'theory from the perspective of gut microbiota disorders.

外文关键词：

Gut microbiotaAbnormal ascent-descent between clear yang and turbid yinXiaoyao PowderDepressionMicrobiota-gut-brain axis

作者：

朱文俊、黄敏仪、袁艿君、马庆宇、陈家旭

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作者单位：

暨南大学中医学院,广州市中医方证重点实验室,广州 510632

关键词：

肠道菌群清浊相干逍遥散抑郁症菌群-肠-脑轴

基金：

国家自然科学基金面上项目国家自然科学基金面上项目广东省重点领域研发计划广东省中医药信息化重点实验室广州市中医方证重点实验室广东省中医药局科研项目中国博士后科学基金面上项目国家级大学生创新创业训练计划暨南大学黄振东中医医学研究基金

项目编号：

81973748821742782020B11111000012021B1212040007202102010014202220402023M732380202310559128201911

出版年：

2024

中华中医药杂志

中华中医药学会

中华中医药杂志

CSTPCD北大核心

影响因子：1.135

ISSN：1673-1727

年,卷(期)：2024.39(1)

参考文献量38