Expert consensus on the clinical application of Tianmeng oral liquid in psychosomatic disorders
Psychosomatic disorders are characterized by complex interactions between psychological factors and somatic symptoms and frequently present with comorbid insomnia, anxiety, and depressive symptoms. Although conventional pharmacological treatments are widely used, their limitations highlight the need for integrative therapeutic approaches. Tianmeng oral liquid, a multi-component Chinese herbal formulation, has been increasingly used in clinical practice for the treatment of psychosomatic symptoms. This review aims to develop expert consensus on the clinical application of Tianmeng oral liquid in the treatment of psychosomatic disorders. This consensus was developed through a comprehensive review of the literature, evaluation of available clinical and experimental evidence, and structured expert panel discussions. Recommendations were formulated based on evidence strength, clinical experience, and principles of psychosomatic medicine. Tianmeng oral liquid exhibits a multi-target pharmacological profile, modulating central nervous system activity, neuroendocrine regulation, and immune homeostasis. Available evidence suggests that it may improve sleep quality, alleviate anxiety and depressive symptoms, and enhance overall well-being in patients with psychosomatic disorders. The formulation may be used as monotherapy in mild cases or as an adjunct to standard pharmacological and psychological interventions. It is generally well tolerated when administered according to recommended dosing strategies. Tianmeng oral liquid may be considered a complementary therapeutic option within a comprehensive biopsychosocial treatment framework for psychosomatic disorders. Further high-quality randomized controlled trials and mechanistic studies are warranted to strengthen the evidence base and refine clinical application strategies.
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