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纸质出版日期:2018
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高明周, 赵飞, 毕德众, 等. 经前期综合征(经前烦躁症)肝气郁证脑中枢方药机制[J]. 中国实验方剂学杂志, 2018,24(5):220-225.
GAO Ming-zhou, ZHAO Fei, BI De-zhong, et al. Mechanism of Drugs in Brain Region of PMDD Liver-Qi Stagnation[J]. Chinese journal of experimental traditional medical formulae, 2018, 24(5): 220-225.
高明周, 赵飞, 毕德众, 等. 经前期综合征(经前烦躁症)肝气郁证脑中枢方药机制[J]. 中国实验方剂学杂志, 2018,24(5):220-225. DOI: 10.13422/j.cnki.syfjx.2018050220.
GAO Ming-zhou, ZHAO Fei, BI De-zhong, et al. Mechanism of Drugs in Brain Region of PMDD Liver-Qi Stagnation[J]. Chinese journal of experimental traditional medical formulae, 2018, 24(5): 220-225. DOI: 10.13422/j.cnki.syfjx.2018050220.
生活压力的增大及经济、社会环境的复杂多变,导致当今社会焦虑症、抑郁症等情志病症高发。育龄女性高发疾病之一经前期综合征(premenstrual syndrome,PMS)及其重型经前烦躁症(premenstrual dysphoric disorder,PMDD)对患者造成严重的躯体和心理困扰,干扰人际交往,降低生活质量和幸福指数,严重者甚至会有自杀行为,疾病防治迫在眉睫。相关研究指证诸多生物化学因素参与到PMS(PMDD)的疾病进程之中,同时涉及人格、体质等诸多心理社会等因素,虽有揭示却不够深入,亦阐释不清。近年来,中医药防治情志病疗效显著,获得学界认可。中医认为肝失疏泄是PMS(PMDD)的病机所在,而肝失疏泄所致肝气郁证,以患者抑郁情绪为主,表现为郁郁寡欢、情绪低落、态度消极,被证明与抑郁症等存在共病关联。伴随着机制研究的逐渐深入,脑中枢被认为是其最终机制所在,脑为人身之中枢,在疾病的发生、发展及治疗等方面必然发挥了及其重要的重用,精确化定位脑中枢的异常改变,探明确切的发病机制异常重要。同时,市场上广泛应用的治疗方药通过何种途径发挥作用,是否直达病灶尚不明朗,如何起效阐释不清。但在"精准医学"背景下,通过现代科技手段精准对接脑中枢,对于理清方药机制及药效,精准靶点研发新药,彻底治愈疾病意义重大。
The increasing pressure of life as well as complex and changeable of economic and social environment have led to high incidence of emotional illness
such as social anxiety disorders
depression. Premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) cause serious physical and psychological distress
disrupt interpersonal communication and reduce quality of life and happiness index. Suicide is also possible in severe cases
so this disease prevention is imminent. Related research proves that many biochemical factors are involved in the PMS(PMDD) disease process
and personality
physical and many other psychological and social factors are also involved although the researches are not deep enough and unclear in mechanism exploration. In recent years
Chinese medicine has achieved remarkable efficacy in the prevention and treatment of emotional diseases
and has been recognized by the academic circles. In traditional Chinese medicine (TCM)
stagnation of liver Qi is PMS(PMDD) pathogenesis
caused by liver-Qi depression
characterized by depressive mood
manifested as depression
down in spirits and negative attitude. There is a cohort association with depression. With the gradual deepening of the mechanism research
the brain center is considered to be the ultimate mechanism. The brain is the center of the body
which plays an important role in the occurence
development and treatment of the disease
and can be used for precise positioning of the brain center abnormalities. Therefore
it is very important to identify the exact pathogenesis. At the same time
the mechanisms of the prescriptions widely used in the market are still not clear
and whether they have reached the lesion is still unknown. However
in the context of ‘precision medicine’
accurate alignment of the brain center is achieved through the modern scientific and technological means
with great significance in clarifying the drug mechanism and efficacy
developing new drugs with precise targets
and completely curing the disease.
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