St. John's wort
Hypericum perforatum
Hypericum perforatum, commonly known as St. John's wort, is a traditional medicinal plant used in various European and folk medicine practices for treating mild depressive episodes and low mood. It has also been traditionally applied topically to manage minor wounds and burns. Scientific evidence suggests that Hypericum perforatum may have some benefits, particularly in reducing oral bacteria associated with dental plaque and gingivitis. Studies indicate synergistic activity against certain bacteria when combined with other essential oils. Additionally, research shows potential for improving sleep quality through adenosine and melatonin receptor signaling, though specific dosages are not well-documented. Safety concerns include photosensitivity, where the skin becomes more sensitive to sunlight, necessitating caution in sun exposure. Hypericum perforatum can interact with several medications; it may reduce the effectiveness of warfarin by inducing CYP3A4 and P-glycoprotein enzymes, potentially lowering drug blood levels and efficacy. It also interacts with oral contraceptives, possibly reducing their contraceptive effect due to enzyme induction. Furthermore, combining Hypericum perforatum with selective serotonin reuptake inhibitors (SSRIs) could lead to an increased risk of serotonin syndrome due to additive serotonergic effects.
- 传统用于
- 轻度抑郁发作/情绪低落 · 小伤口和烧伤(外用,传统)
- 传统体系
- 西方植物疗法
- 最佳证据
- B
- 注意事项
- ⚕ 3 ⚠ 1
仅供参考。传统用法并不代表已被证实有效。证据与安全性各不相同,请查阅所引来源。
传统用途
科学怎么说
- 研究发现,Hypericum perforatum提取物牙龈显著减少了 Streptococcus mutans 数量、菌斑指数和牙龈出血,与未添加提取物的牙龈相比,尽管两种牙龈都增加了唾液 pH 值。
- HME 显著缩短了小鼠的入睡潜伏期并延长了总睡眠时间,表明其作用可能是通过腺苷和褪黑素受体信号传导介导的。
- Hypericum perforatum 和柴胡疏肝散在慢性应激模型中缓解了抑郁样行为,通过不同的分子机制涉及脂质代谢和更广泛的代谢过程。
- Hypericum perforatum 和 Glycyrrhiza glabra 治疗降低了 MAO-A 活性,恢复了 ERβ 表达并改善了雌激素缺乏条件下的线粒体功能,未明确给出剂量或建议。
- Hypericum perforatum 和 Achillea millefolium 的精油在特定油混合物中对 Staphylococcus epidermidis 显示出协同活性。
安全性与毒性
- 光敏性——皮肤对阳光更加敏感
药物相互作用
- 华法林 — induces CYP3A4 / P-glycoprotein → lowers drug blood levels and effect
- 口服避孕药 — 酶诱导 → 避孕效果降低,突破性出血
- 选择性血清素再摄取抑制剂 — 累加血清素效应 → 发生血清素综合征的风险
Frequently asked questions
What is St. John's wort?
St. John's wort (Hypericum perforatum) is a plant documented in FolkKB's traditional-medicine reference, drawn from sourced literature and cross-checked against the evidence.
What is St. John's wort traditionally used for?
Traditional sources record St. John's wort for: 轻度抑郁发作/情绪低落, 小伤口和烧伤(外用,传统). This reflects traditional use, not a proven medical treatment.
Which traditions use St. John's wort?
St. John's wort appears in these traditions in our sources: Western phytotherapy.
What does the scientific evidence say about St. John's wort?
5 sourced findings are recorded for St. John's wort; the strongest carries evidence grade B. For example: 研究发现,Hypericum perforatum提取物牙龈显著减少了 Streptococcus mutans 数量、菌斑指数和牙龈出血,与未添加提取物的牙龈相比,尽管两种牙龈都增加了唾液 pH 值。
How strong is the evidence for St. John's wort?
The strongest finding for St. John's wort carries evidence grade B — moderate evidence. Grades run A (strongest) to D (preliminary or traditional).
Is St. John's wort safe? What are the side effects?
Reported effects associated with St. John's wort include: 光敏性——皮肤对阳光更加敏感. This is informational only — consult a qualified professional before use.
Does St. John's wort interact with medications?
Recorded drug interactions for St. John's wort involve: 华法林, 口服避孕药, 选择性血清素再摄取抑制剂. Tell your doctor or pharmacist about any herb you take.
What are the common names of St. John's wort?
St. John's wort is also known as: зверобой, Millepertuis.
Is St. John's wort a proven treatment?
No. FolkKB is informational only. Traditional use and early findings are not proof of efficacy or safety — consult a qualified professional and never self-treat.
来源
- T1 EMA HMPC monograph: Hypericum perforatum (St. John's wort) © EU/EMA — reproduced with attribution
- T1 LiverTox: St. John's Wort public domain
- T2 NCCIH: St. John's Wort public domain (attribute NCCIH)
- T2 Clinical Assessment of the Effect of Hypericum perforatum Chewing Gum on Salivary Streptococcus mutans Count, pH, Plaque Index, and Gingival Bleeding: A Randomized Clinical Trial. literature abstract metadata
- T2 Chemical Composition and Synergistic Antimicrobial Activity of Hypericum perforatum and Achillea millefolium Essential Oils Against Wound-Associated Microorganisms. literature abstract metadata
- T2 Hypericum perforatum L. and Glycyrrhiza glabra L. preserve cardiac mitochondrial redox homeostasis in E2 deficiency via ERβ-MAO-A modulation. literature abstract metadata
- T2 Integrative Proteomics Reveals Distinct Lipid Metabolic and Gut Microbiota-Associated Antidepressant Mechanisms of Two Herbal Medicines in a Chronic Stress Model. literature abstract metadata
- T2 Hypnotic Effects of Hypericum perforatum L. and Melissa officinalis L. Through Adenosine and Melatonin Receptors. literature abstract metadata