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中国临床药理学与治疗学 ›› 2021, Vol. 26 ›› Issue (5): 586-593.doi: 10.12092/j.issn.1009-2501.2021.05.016

• 综述与讲座 • 上一篇    下一篇

中药单体、药对、复方、中成药治疗抑郁症研究进展

陈颖,袁勇贵   

  1. 东南大学附属中大医院心理精神科,东南大学医学院,南京 210009,江苏
  • 收稿日期:2020-09-10 修回日期:2021-05-10 出版日期:2021-05-26 发布日期:2021-06-02
  • 通讯作者: 袁勇贵,男,博士,青年特聘教授,主任医师,博导,主要从事抑郁症,焦虑症等心身疾病的治疗研究。 Tel: 025-83285124 E-mail: yygylh2000@sina.com
  • 作者简介:陈颖,女,博士研究生,主要从事中药治疗抑郁症研究。 Tel: 025-83285124 E-mail: 1226313687@qq.com
  • 基金资助:
    江苏省重点研发项目(BE2019748)

Research progress in the treatment of depression with monome of Chinese herb, drug pairs, compound prescriptions and Chinese patent drugs

CHEN Ying, YUAN Yonggui   

  1. Department of Psychosomatics and Psychiatry, Affiliated Zhongda Hospital, School of Southeast University, School of Medicine, Southeast University, Nanjing 210009, Jiangsu, China
  • Received:2020-09-10 Revised:2021-05-10 Online:2021-05-26 Published:2021-06-02

摘要: 抑郁症是临床上较为常见的心身疾病,以显著而持久的心境低落为主要特征,一般表现为情绪低落、兴趣减退、认知功能受损等,部分患者伴有躯体化症状如失眠或嗜睡、食欲减退、疲劳乏力、性欲减退等,严重者会出现自伤甚至于自杀。根据研究显示,抑郁障碍已成为导致伤残致死的第三大主要原因。目前抑郁症的发病机制尚没有确切定论,但大量研究显示与生物化学、神经内分泌、神经免疫学因素有关。临床常规使用选择性5-羟色胺(5-HT)再摄取抑制剂等进行治疗,如舍曲林、西酞普兰、百忧解等,但多起效慢,副作用明显,难以达到满意的治疗效果。中药因其多成分多靶点的特点近年来在治疗难治性疾病方面逐渐开始被医生和患者所接受。本文主要探讨中药单体、中药药对、中药复方、中成药在治疗抑郁症方面的研究进展,为临床应用中药治疗抑郁症提供参考。

关键词: 抑郁症, 病因病机, 中药, 研究进展

Abstract: Depression is a relatively common psychosomatic disease in clinical practice. It is mainly characterized by significant and lasting depression. It generally manifests as depression, loss of interest, impaired cognitive function, etc. Some patients are accompanied by somatization symptoms such as insomnia or lethargy, Loss of appetite, fatigue, loss of libido, etc. In severe cases, self-injury or even suicide may occur. According to research, depression has become the third leading cause of disability and death. At present, the pathogenesis of depression has not been definitively concluded, but a large number of studies have shown that it is related to biochemical, neuroendocrine, and neuroimmunological factors. At present, selective 5-HT reuptake inhibitors are routinely used in clinical treatment, such as sertraline, citalopram, Prozac, etc., but they often have slow onset and obvious side effects, making it difficult to achieve satisfactory therapeutic effects. Traditional Chinese medicine has gradually begun to be accepted by doctors and patients in the treatment of refractory diseases due to its multi-component and multi-target characteristics. This article mainly discusses the research progress of Chinese herbal extracts, Chinese herbal medicine pairs, Chinese herbal compound prescriptions, and Chinese patent medicines in the treatment of depression, and provides references for the clinical application of Chinese medicines in the treatment of depression.

Key words: depression, etiology and pathogenesis, traditional Chinese medicine, research progress 

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