甘菊

作者:Laura Shane-McWhorter, PharmD, University of Utah College of Pharmacy
Reviewed ByEva M. Vivian, PharmD, MS, PhD, University of Wisconsin School of Pharmacy
已审核/已修订 修改的 7月 2025
v1126427_zh
看法 进行患者培训

洋甘菊的花朵经干燥后,可用来泡茶饮用、制成胶囊服用、用于芳香疗法,或作为提取物局部使用。

洋甘菊功效宣称

甘菊茶被认为可以减轻炎症和发热、有轻度安定和抗抑郁作用、可缓解胃痉挛和消化不良,以及促进胃溃疡的愈合。据说洋甘菊提取物局部敷用可以舒缓受刺激的皮肤。红没药醇以及黄酮类化合物芹菜素和木犀草素被认为是活性成分(1)。

洋甘菊的证据

支持甘菊使用的临床试验证据很有限。然而,一项在轻中度焦虑患者中使用洋甘菊提取物口服胶囊(按芹菜素 1.2% 标准化)的随机安慰剂对照试验(2),以及一项针对中重度广泛性焦虑障碍的开放性试验(3),均显示其可能具有轻度抗焦虑作用。洋甘菊可能还具有抗抑郁活性(4)。此外,洋甘菊可以改善睡眠质量 (5)。但少有研究证实其临床获益一致(6, 7)。

洋甘菊的不良反应

一般情况下洋甘菊是安全的; 然而,也有过敏反应的报道,尤其是对菊科(例如,向日葵,豚草)植物和花粉过敏的人。典型症状包括流泪,打喷嚏,胃肠不适,皮炎和过敏反应。

洋甘菊的药物相互作用

洋甘菊可能会增加抗凝血剂和镇静剂(包括巴比妥类药物和酒精)的作用。

洋甘菊可能会干扰他莫昔芬、激素替代疗法和含雌激素的口服避孕药的效果。洋甘菊也可能增加环孢素的血清浓度 (8)。

(参考表一些可能的膳食补充剂-药物相互作用。)

参考文献

  1. 1.Dai YL, Li Y, Wang Q, Niu FJ, Li KW, Wang YY, Wang J, Zhou CZ, Gao LN.Chamomile: A Review of Its Traditional Uses, Chemical Constituents, Pharmacological Activities and Quality Control Studies.Molecules. 2022 Dec 23;28(1):133.doi: 10.3390/molecules28010133

  2. 2.Amsterdam JD, Li Y, Soeller I, et al.A randomized, double-blind, placebo-controlled trial of oral Matricaria recutita (chamomile) extract therapy for generalized anxiety disorder.J Clin Psychopharmacol.29(4):378-382, 2009.doi: 10.1097/JCP.0b013e3181ac935c

  3. 3.Keefe JR, Mao JJ, et al.Short-term open-label chamomile (Matricaria chamomilla L.)therapy of moderate to severe generalized anxiety disorder.Phytomedicine.23(14):1699-1705, 2016.doi: 10.1016/j.phymed.2016.10.013

  4. 4.Amsterdam JD, Li QS, Xie SX, et al.Putative antidepressant effect of chamomile (Matricaria chamomilla L.)oral extract in subjects with comorbid generalized anxiety disorder and depression.J Altern Complement Med 26(9):813-819, 2020.doi:10.1089/acm.2019.0252

  5. 5.Hieu TH, Dibas M, Dila KAS, et al.Therapeutic efficacy and safety of chamomile for state anxiety, generalized anxiety disorder, insomnia, and sleep quality: a systematic review and meta-analysis of randomized trials and quasi-randomized trials.Phytother Res.33:1604-1615, 2019.

  6. 6.Jun J. Mao, Sharon X. Xie, John R. Keefe, Irene Soeller, Qing S. Li, Jay D Amsterdam.Long-term chamomile (Matricaria chamomilla L.)treatment for generalized anxiety disorder: A randomized clinical trial, Phytomedicine.2016;23 (14):1735-1742.

  7. 7.Sarris J, Ravindran A, Yatham LN, et al. Clinician guidelines for the treatment of psychiatric disorders with nutraceuticals and phytoceuticals: The World Federation of Societies of Biological Psychiatry (WFSBP) and Canadian Network for Mood and Anxiety Treatments (CANMAT) Taskforce. World J Biol Psychiatry.2022;23(6):424-455.

  8. 8.Nowack R, Nowak B.Herbal teas interfere with cyclosporin levels in renal transplant patients. Nephrol Dial Transplant.20(11):2554-2556, 2005.doi:10.1093/ndt/gfi003

更多信息

以下英语资源可能会有用。请注意,本手册对这些资源的内容不承担任何责任。

  1. National Institutes of Health (NIH), National Center for Complementary and Integrative Health: Chamomile

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