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补益药及其复方制剂抗抑郁作用研究进展
引用本文:李梦頔,黄世敬.补益药及其复方制剂抗抑郁作用研究进展[J].中医学报,2017,32(5).
作者姓名:李梦頔  黄世敬
作者单位:1. 陕西中医药大学,陕西成阳,712046;2. 中国中医科学院广安门医院,北京,100053
基金项目:国家自然科学基金项目,中央级公益性科研院所基本科研业务费专项基金项目
摘    要:现代临床药理试验及动物实验已证明补益药可有效治疗抑郁症且不良反应较西药少,往往能够在一种药物中提取出多种抗抑郁成分,体现了这些补益药化学成分的多样性及其药理作用的多靶点性。然而,和其他中药一样,补益药也面临着配伍成分多样,机理作用复杂,临床应用相对混乱的困境。同时,由于现阶段关于补益药治疗抑郁症的研究尚处于初期阶段,补益药治疗抑郁症具体的作用机制尚不确定,药物制剂的用量及最佳量效关系尚不精确,从药物中提取的抗抑郁活性成分尚不全面,药物的不良反应尚不明确等,这些问题都需要医药工作者在今后的学习工作中投入更多精力,通力合作,密切结合现代医学前沿技术,提倡创新思维,熟练实验操作,开拓眼界,拓宽研究范围,寻找更加安全高效的治疗抑郁症的方法。

关 键 词:抑郁症  补益药  复方制剂  黄芪  甘草  刺五加  麦冬  白术  中药

Research Progress in Antidepressant Effects of TCM Tonic Drugs and Related Compound Preparations
LI Mengdi,HUANG Shijing.Research Progress in Antidepressant Effects of TCM Tonic Drugs and Related Compound Preparations[J].China Journal of Chinese Medicine,2017,32(5).
Authors:LI Mengdi  HUANG Shijing
Abstract:Modem clinical pharmacology experiments and animal experiments have shown that the TCM tonic drags can be effective in treatment of depression with less adverse reaction than that of western medicine.It reflects the diverse chemical composition of these tonic drugs and its pharmacological effects of multiple targets.A variety of antidepressant ingredients can be extracted from these TCM tonic drugs.However,the application of TCM tonic drugs is also faced with some problems such as a variety of compatibility ingredients,complex mechanisms and relative confusions of the clinical application.Besides,the current study of the treatment of Depression still has a long way to go,the specific mechanism of TCM treatment of depression drug treatment is still a mystery.For example,the amount of drug preparation and the optimal dose-effect relationship is not accurate,as well as the active ingredients in the extractions from the TCM antidepressant drugs are comprehensive and the reactions are not clear enough.These issues require medical researchers do more to co-operate by applying modem medical technology in the future to promote innovative thinking and skilled experimental operation and to broaden the scope of the study in looking for safer and efficient TCM treaament of Depression.
Keywords:Depression  tonic medicine  compound preparation  Astragalus  Licorice  Eleutherococcus senticosus  Radix ophiopogonis  Atractylodes  Chinese medicine
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