越鞠丸治疗抑郁症及其中医内涵研究进展

Research Progress on Yueju Pill in the Treatment of Depression and Associated Traditional Chinese Medicine Connotation

抑郁症是严重影响国人健康的重大疾病,研究显示,中成药越鞠丸具有独特的快速持久抗抑郁作用。最近,在越鞠丸快速改善帕金森症伴随抑郁上有若干新的发现。从配伍角度,研究揭示栀子-川芎组合为越鞠丸发挥抗抑郁作用的关键药对。关于越鞠丸常规剂量下的抗抑郁作用的基础与临床研究仍然受到关注。临床研究结果支持其单独或联合使用西药改善抑郁症及相关中医证候的药效。新的研究发现特定剂量条件下越鞠丸抗抑郁作用的有效性,对气郁体质的抑郁症患者改善作用也首次得到临床研究证据支持。进一步深入探讨越鞠丸治疗抑郁症的科学基础与临床特点将有助于提高其临床应用水平。

Depression has become a serious disease affecting the heahh of Chinese people. Yueju pill has shown a unique rapid and lasting anti-depression effect, and Yueju pill can rapidly improve Parkinson＇s disease with depression. The drug pair of Fructus Gardeniae and Rhizoma Ligustici Chuanxiong is necessary for traditional Chinese formula Yueju Pill for antidepressant effect. Recent studies have found the antidepressant effect of Yueju pills at regular doses, and an integrative pharmacological method was adopted to predict the targets and pathways of Yueju pill and explore its molecular mechanism for depression. In recent years, there has been an increasing number of clinical studies on the treatment of depression with Yueju pills and significant therapeutic effects. A new clinical study found that Yueju pill may have antidepressant effects and increase serum BDNF concentration. This paper reviewed the recent research progress of Yueju pill in the treatment of depression in recent 5 years.