CN112336796A - Pharmaceutical composition with effects of relieving anxiety and improving depression and application thereof - Google Patents

Pharmaceutical composition with effects of relieving anxiety and improving depression and application thereof Download PDF

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CN112336796A
CN112336796A CN201910721354.8A CN201910721354A CN112336796A CN 112336796 A CN112336796 A CN 112336796A CN 201910721354 A CN201910721354 A CN 201910721354A CN 112336796 A CN112336796 A CN 112336796A
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extract
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composition
pharmaceutical composition
relieving anxiety
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彭健
胡晓珂
闵军
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Yantai Institute of Coastal Zone Research of CAS
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Yantai Institute of Coastal Zone Research of CAS
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/25Araliaceae (Ginseng family), e.g. ivy, aralia, schefflera or tetrapanax
    • A61K36/258Panax (ginseng)
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L33/00Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/10Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
    • A23L33/105Plant extracts, their artificial duplicates or their derivatives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K35/00Medicinal preparations containing materials or reaction products thereof with undetermined constitution
    • A61K35/56Materials from animals other than mammals
    • A61K35/616Echinodermata, e.g. starfish, sea cucumbers or sea urchins
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/06Fungi, e.g. yeasts
    • A61K36/07Basidiomycota, e.g. Cryptococcus
    • A61K36/076Poria
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/48Fabaceae or Leguminosae (Pea or Legume family); Caesalpiniaceae; Mimosaceae; Papilionaceae
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/72Rhamnaceae (Buckthorn family), e.g. buckthorn, chewstick or umbrella-tree
    • A61K36/725Ziziphus, e.g. jujube
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/88Liliopsida (monocotyledons)
    • A61K36/888Araceae (Arum family), e.g. caladium, calla lily or skunk cabbage
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/22Anxiolytics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/24Antidepressants
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23VINDEXING SCHEME RELATING TO FOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES AND LACTIC OR PROPIONIC ACID BACTERIA USED IN FOODSTUFFS OR FOOD PREPARATION
    • A23V2002/00Food compositions, function of food ingredients or processes for food or foodstuffs

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Abstract

The invention belongs to the technical field of health care products, and particularly relates to a pharmaceutical composition with the effects of relieving anxiety and improving depression and application thereof. The composition comprises Ginseng radix extract, Poria extract, fructus Jujubae extract, Stichopus japonicus extract, rhizoma Acori Graminei extract and Griffonia simplicifolia seed extract. The components in the composition have good effects of relieving anxiety and depression, tranquilizing and allaying excitement, and the composition is organically mixed and combined by using a compatibility principle, and has good curative effects on relieving anxiety, regulating hormone, relieving anxiety and pressure, eliminating uneasiness, improving depression resistance and the like.

Description

Pharmaceutical composition with effects of relieving anxiety and improving depression and application thereof
Technical Field
The invention belongs to the technical field of health care products, and particularly relates to a pharmaceutical composition with the effects of relieving anxiety and improving depression and application thereof.
Background
Along with the continuous and intensified competition of modern society, the material civilization is highly developed, the work and life rhythm is continuously accelerated, the environmental pollution is intensified, and the like, thereby bringing great mental pressure to the life of people. Moderate stress can improve the resistance of the body to the outside, but long-term stress is unfavorable to health, particularly chronic stress, seriously affects the physical and mental health of human beings, thereby inducing various mental diseases, wherein anxiety and depression account for a large proportion, so that many people are in sub-health state.
Anxiety and depression are also called anxiety disorder and depressive disorder, and the two disorders are easy to be co-morbid clinically. Is mainly used for treating paroxysmal or persistent emotional anxiety and stress, and is often accompanied with symptoms such as dizziness, chest distress, palpitation, dry mouth, frequent micturition, tremor, dysphoria and the like. Anxiety and depression are common in young and middle-aged years, with about 2.64 billion patients with anxiety by 2015 worldwide, as with depression, anxiety women (4.6%) being more common than men (2.6%). At present, modern medicine mainly treats anxiety disorder in two aspects of drug intervention and psychological regulation. However, most people do not adapt to the psychological treatment room and the psychological treatment mode when receiving psychological adjustment, and do not want to be right at the psychological diseases, so that the drug therapy is still the main treatment means of various anxiety disorders and depression at present. The existing anxiolytic and antidepressant has serious side effects, slow clinical effect and easy relapse after drug withdrawal, and is not suitable for long-term administration. Therefore, there is a need to find a mild, low-side or even no-side effect method to smooth mood and regulate emotion to alleviate anxiety states.
Disclosure of Invention
In view of the above, the invention aims to solve the defects of the prior art and provide a pharmaceutical composition with the effects of relieving anxiety and improving depression, wherein the pharmaceutical composition adopts medicinal and edible materials, and achieves the purpose of improving the anxiety and depression states caused by stress reaction;
the invention also aims to provide application of the composition in preparing products related to improving anxiety and depression symptoms.
In order to achieve the purpose, the invention provides the following technical scheme:
a pharmaceutical composition with effects of relieving anxiety and relieving depression comprises Ginseng radix extract, Poria extract, fructus Jujubae extract, Stichopus japonicus extract, rhizoma Acori Graminei extract and Grifola frondosa seed extract.
The composition comprises, by weight, 250 parts of ginseng extract, 200 parts of poria cocos extract, 50-150 parts of red date extract, 50-100 parts of sea cucumber extract, 300 parts of acorus gramineus extract and 200 parts of griffonia simplicifolia seed extract.
The composition comprises, by weight, 150-200 parts of a ginseng extract, 120-180 parts of a poria extract, 80-120 parts of a red date extract, 60-90 parts of a sea cucumber extract, 150-250 parts of a rhizoma acori graminei extract and 120-180 parts of a griffonia seed extract.
The composition comprises, by weight, 180 parts of a ginseng extract, 150 parts of a poria cocos extract, 100 parts of a red date extract, 80 parts of a sea cucumber extract, 200 parts of a rhizoma acori graminei extract and 150 parts of a gardner seed extract.
The composition is used as an active ingredient, and is mixed with a pharmaceutically acceptable carrier and an auxiliary agent to obtain a pharmaceutical preparation; wherein the content of the composition in the preparation is 15-40%.
The preparation is any one of tablets, capsules, granules, powder, pills, oral liquid, injection and film agents.
The application of a composition in preparing a medicament, a health-care product or food for treating or preventing anxiety disorder or depression disorder.
The Ginseng radix extract is extracted from root, stem and leaf of Panax ginseng C.A. Meyer of Araliaceae family, and is rich in various pharmacological components, including a series of tetracyclic triterpenoid saponins (ginsenoside), polyphenol compounds and acidic polysaccharide. Ginsenoside is the main active component of ginseng, has been proved to have the effects of regulating metabolism and preventing and treating metabolic syndrome, and has certain health care effect on physiological or psychological diseases such as depression, cancer and the like.
The poria cocos extract is extracted from poria cocos peel, the poria cocos extract is rich in chemical components, comprises polysaccharides, triterpenes, steroids, proteins, minerals and the like, and the polysaccharides and the triterpenes are the main compounds with the most obvious activity. Has effects in improving immunity, inhibiting bacteria, lowering blood sugar, and resisting tumor.
The red date extract is extracted from the red dates, and the red dates are dried mature fruits of the Rhamnaceae plant jujube, are sweet and warm in nature, enter spleen and stomach channels, and have the effects of tonifying middle-jiao and Qi, nourishing blood and soothing nerves. The traditional Chinese medicine considers that the jujube can tonify middle-jiao and Qi, nourish blood and promote the production of body fluid, and the record of the jujube in Ben Cao gang mu of 'tonifying spleen and stomach, replenishing Qi and blood, calming the heart and tranquilizing the mind and regulating ying and wei' is recorded.
The sea cucumber extract is extracted from sea cucumber, and the sea cucumber has the effects of improving memory, delaying gonadal senescence, preventing arteriosclerosis, resisting tumors and the like. According to the records in Bencao gang mu Shi Yi (supplement to compendium of materia Medica): sea cucumber, sweet and salty in taste, tonifies the kidney, benefits the essence and marrow, controls urination, strengthens yang and treats flaccidity, and is warm in nature and sufficient to invigorate ginseng. From the perspective of traditional Chinese medicine, the sea cucumber has the effects of nourishing yin, tonifying kidney, tonifying yang, benefiting essence, nourishing blood and moistening dryness, and has good health-care effect on people with weakness and weakness.
The rhizoma Acori Graminei extract is dry extract of stem and root of Acorus gramineus Soland of Araceae, and mainly contains volatile oil components such as monoterpene, sesquiterpene, diterpene, phenylpropanoid, etc., and non-volatile components such as flavone, alkaloid, saccharide, organic acid, amino acid, etc. The rhizoma Acori Graminei extract has effects of aromatic concentrating, tranquilizing, resisting convulsion, refreshing and inducing resuscitation.
The 5-hydroxytryptophan extracted from Kadsura japonica seed is an amino acid substance, and 5-HTP is a precursor substance of inhibitory neurotransmitter 5-hydroxytryptamine, and can increase brain 5-HT concentration, inhibit depression, promote melatonin synthesis, and improve sleep quality.
Compared with the prior art, the invention has the following beneficial effects:
the pharmaceutical composition with the effects of relieving anxiety and improving depression comprises ginseng extract, tuckahoe extract, red date extract, sea cucumber extract, rhizoma acori graminei extract and griffonia seed extract. The components in the composition have good effects of relieving anxiety and depression, tranquilizing and allaying excitement, and the composition is organically mixed and combined by using a compatibility principle, and has good curative effects on relieving anxiety, regulating hormone, relieving anxiety and pressure, eliminating uneasiness, improving depression resistance and the like. Compared with the prior art, the method has the advantages of simple process, low cost, effective integration of the raw materials, simple formula, precise compatibility, accurate dosage, effective treatment of anxiety and depression symptoms, good effect, low side effect, safety and stability, and suitability for long-term administration.
The specific implementation mode is as follows:
the technical solution of the present invention is further described with reference to the following embodiments, which are only a part of the embodiments of the present invention, but the scope of the present invention is not limited thereto, and any modifications or substitutions based on the present invention are within the scope of the present invention.
The pharmaceutical composition with the effects of relieving anxiety and improving depression comprises, by weight, 250 parts of ginseng extract 100-.
The pharmaceutical composition with the effects of relieving anxiety and improving depression comprises, by weight, 150-200 parts of ginseng extract, 120-180 parts of poria cocos extract, 80-120 parts of red date extract, 60-90 parts of sea cucumber extract, 150-250 parts of rhizoma acori graminei extract and 120-180 parts of griffonia seed extract.
The Ginseng radix extract is prepared by pulverizing Ginseng radix, reflux-extracting with 8 times volume of 80% ethanol for 3 times, mixing extractive solutions, concentrating with ethanol to obtain syrup-like thick liquid, adding 95% ethanol to make ethanol content reach 80% (by weight), standing for 24 hr, filtering, and concentrating to obtain syrup-like thick liquid.
The Poria extract is prepared by extracting root of Poria according to Ginseng radix extract extraction method.
The red date extract is prepared by extracting raw material red dates according to a ginseng extract extraction method.
The sea cucumber extract is prepared by cleaning fresh Stichopus japonicus with cold water, adding water at solid-liquid (g/ml) ratio of 1:5, and soaking in cold storage at 4 deg.C for 48 hr; beating the soaked sea cucumber into homogenate by a homogenizer, freezing at-20 ℃, thawing at room temperature after completely freezing, centrifuging at 4 ℃, and collecting supernatant and precipitate. Filtering the supernatant with sterilizing membrane with pore diameter of 0.25 μm, and storing the filtrate at 4 deg.C; the resulting precipitate was again frozen and thawed with water and the supernatant collected by centrifugal filtration. Mixing the two supernatants, concentrating under reduced pressure, filtering the concentrated sea cucumber extractive solution with sterilizing membrane with pore diameter of 0.25 μm, and lyophilizing the filtrate in a lyophilizer until the water content is less than 3% to obtain sea cucumber extract;
the rhizoma Acori Graminei extract is prepared by extracting dried rhizome of rhizoma Acori Graminei according to Ginseng radix extract extraction method.
The Griffonia simplicifolia seed extract is prepared by extracting seeds of Griffonia simplicifolia plant according to the extraction method of ginseng extract.
The invention is further illustrated by the following specific examples:
example 1: a pharmaceutical composition with effects of relieving anxiety and improving depression mainly comprises:
100 parts of ginseng extract, 100 parts of tuckahoe extract, 50 parts of red date extract, 50 parts of sea cucumber extract, 100 parts of rhizoma acori graminei extract and 100 parts of griffonia simplicifolia seed extract.
Example 2: a pharmaceutical composition with effects of relieving anxiety and improving depression mainly comprises:
150 parts of ginseng extract, 120 parts of tuckahoe extract, 80 parts of red date extract, 60 parts of sea cucumber extract, 150 parts of grassleaf sweelflag rhizome extract and 120 parts of griffonia simplicifolia seed extract.
Example 3: a pharmaceutical composition with effects of relieving anxiety and improving depression mainly comprises:
180 parts of ginseng extract, 150 parts of tuckahoe extract, 100 parts of red date extract, 80 parts of sea cucumber extract, 200 parts of rhizoma acori graminei extract and 150 parts of griffonia simplicifolia seed extract.
Example 4: a pharmaceutical composition with effects of relieving anxiety and improving depression mainly comprises:
200 parts of ginseng extract, 180 parts of tuckahoe extract, 120 parts of red date extract, 90 parts of sea cucumber extract, 250 parts of rhizoma acori graminei extract and 180 parts of griffonia simplicifolia seed extract.
Example 5: a pharmaceutical composition with effects of relieving anxiety and improving depression mainly comprises:
250 parts of ginseng extract, 200 parts of tuckahoe extract, 150 parts of red date extract, 00 parts of sea cucumber extract, 300 parts of grassleaf sweelflag rhizome extract and 200 parts of griffonia simplicifolia seed extract.
Comparative example 1:
150 parts of ginseng extract, 80 parts of red date extract, 60 parts of sea cucumber extract and 150 parts of grassleaf sweelflag rhizome extract.
Comparative example 2:
150 parts of poria extract, 100 parts of red date extract, 200 parts of rhizoma acori graminei extract and 150 parts of griffonia simplicifolia seed extract.
Comparative example 3:
200 parts of ginseng extract, 180 parts of tuckahoe extract, 90 parts of sea cucumber extract and 180 parts of griffonia seed extract.
Example 6: pharmacodynamic test of the pharmaceutical composition of the present invention
(1) The experimental method comprises the following steps: the tail suspension experiment is a method capable of rapidly evaluating antidepressant drugs. The principle is that after the mouse hangs the tail, the mouse tries to escape but cannot escape, and after a period of experiment, animals give up struggling and enter a special depression immobility state. This period of immobility was reduced when the animals received antidepressant drugs prior to the test.
(2) Animals: male Kunming mice, weighing 23 + -2 g, were randomly grouped. Drugs were administered orally 24 hours, 12 hours, 1 hour before the experiment, and then the tip of the mouse tail was fixed at a height of 60cm from the ground, and the time of the mouse immobility was recorded 6 minutes after the statistics.
(3) Test drugs: the drug of example 3, the drugs of comparative examples 1, 2 and 3.
(4) Grouping: in the experiment, 140 mice were divided into blank control groups; the high, medium and low dose groups (800, 400, 200mg/kg) are set by taking the example 3 as an example; the high and medium low dose groups of comparative example 1 (800, 400, 200 mg/kg); the high, medium and low dose groups of comparative example 2 (800, 400, 200 mg/kg); the high, medium and low dose groups of comparative example 3 (800, 400, 200 mg/kg); and sertraline (20mg/kg) groups for 14 groups of 10 mice each at each dose.
(5) The experimental results are as follows: the effect of the blank control group, the drug groups at different doses and the sertraline group on the absolute immobility time of the mice in the tail suspension experiment is shown in table 1.
Table 1: influence of drug on absolute immobility time of mice in tail suspension experiment
Figure BDA0002157326200000051
Data are expressed as mean ± SEM, # P <0.05, # P <0.01, # P <0.001vs control
As a result: the high, medium and low doses of the pharmaceutical composition of example 3 of the invention can significantly reduce the absolute immobility time of mice in tail suspension experiments, and the effect is significantly better than that of each dose group of comparative examples 1, 2 and 3, wherein the effect of the medium dose group of example 3 is even better than that of sertraline.
Therefore, the composition provided by the invention can obtain unexpected technical effects by matching certain active ingredients according to certain proportion, is not simply and randomly combined by a plurality of substances, and the composition provided by the invention combines the ginseng extract, the poria extract, the red date extract, the sea cucumber extract, the rhizoma acori graminei extract and the gardner seed extract, has a remarkable anti-depression effect in a depression model, particularly has the best effect in a medium dose group, and has an effect superior to each proportion. The raw materials in the pharmaceutical composition have synergistic effect, and the effect of the composition depends on the mixture ratio of the raw materials.
The foregoing is only a preferred embodiment of the present invention, and it should be noted that, for those skilled in the art, many modifications and decorations can be made without departing from the technical principle of the present invention, and these modifications and decorations should also be regarded as the protection scope of the present invention.

Claims (7)

1. A pharmaceutical composition having effects of relieving anxiety and improving depression, which is characterized in that: the composition comprises Ginseng radix extract, Poria extract, fructus Jujubae extract, Stichopus japonicus extract, rhizoma Acori Graminei extract and Griffonia simplicifolia seed extract.
2. The pharmaceutical composition for relieving anxiety and improving depression according to claim 1, wherein: according to the weight portion, the ginseng extract comprises 100-.
3. The pharmaceutical composition for relieving anxiety and improving depression according to claim 1 or 2, wherein: according to the weight portion, the red date extractive comprises 150-200 portions of ginseng extractive, 120-180 portions of tuckahoe extractive, 80-120 portions of red date extractive, 60-90 portions of sea cucumber extractive, 150-250 portions of grassleaf sweelflag rhizome extractive and 120-180 portions of griffonia seed extractive.
4. The pharmaceutical composition for relieving anxiety and improving depression according to claim 3, wherein: the traditional Chinese medicine composition comprises, by weight, 180 parts of ginseng extract, 150 parts of poria cocos extract, 100 parts of red date extract, 80 parts of sea cucumber extract, 200 parts of rhizoma acori graminei extract and 150 parts of griffonia seed extract.
5. The pharmaceutical composition for relieving anxiety and improving depression according to any one of claims 1 to 4, wherein: the composition is used as an active ingredient, and is mixed with a pharmaceutically acceptable carrier and an auxiliary agent to obtain a medicinal preparation; wherein the content of the composition in the preparation is 15-40%.
6. The pharmaceutical composition for relieving anxiety and improving depression according to claim 5, wherein: the preparation is any one of tablets, capsules, granules, powder, pills, oral liquid, injection and film agents.
7. Use of a composition according to claim 1, wherein: the composition is applied to preparing medicines, health products or foods for treating or preventing anxiety disorder or depression.
CN201910721354.8A 2019-08-06 2019-08-06 Pharmaceutical composition with effects of relieving anxiety and improving depression and application thereof Pending CN112336796A (en)

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1500509A (en) * 2002-11-13 2004-06-02 中国人民解放军总医院 Traditional Chinese medicine composition for blahs and anxiety
CN1520840A (en) * 2003-02-12 2004-08-18 中国人民解放军军事医学科学院毒物药 Novel pharmaceutical composition and medical uses thereof
CN107252106A (en) * 2017-06-07 2017-10-17 山东圣洲海洋生物科技股份有限公司 Application of the sea cucumber extract in prevention and treatment depression product
CN109172663A (en) * 2018-07-24 2019-01-11 陶燃 A kind of pharmaceutical composition and its application for treating anxiety-depression

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1500509A (en) * 2002-11-13 2004-06-02 中国人民解放军总医院 Traditional Chinese medicine composition for blahs and anxiety
CN1520840A (en) * 2003-02-12 2004-08-18 中国人民解放军军事医学科学院毒物药 Novel pharmaceutical composition and medical uses thereof
CN107252106A (en) * 2017-06-07 2017-10-17 山东圣洲海洋生物科技股份有限公司 Application of the sea cucumber extract in prevention and treatment depression product
CN109172663A (en) * 2018-07-24 2019-01-11 陶燃 A kind of pharmaceutical composition and its application for treating anxiety-depression

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
郭喜军等: "辨证治疗31例胆心综合征", 《河北中医》 *

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