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ORIGINAL RESEARCH article

Front. Microbiol.

Sec. Microorganisms in Vertebrate Digestive Systems

Volume 16 - 2025 | doi: 10.3389/fmicb.2025.1645190

This article is part of the Research TopicRodent Model Organisms: Therapeutic Treatments and Drugs Interaction with the Gut Microbiome, Volume IIView all articles

Zhi-zi-chi decoction exerts hypnotic effect through gut-brain axis modulation in insomnia mice

Provisionally accepted
  • Henan University of Chinese Medicine, Zhengzhou, China

The final, formatted version of the article will be published soon.

Background: Insomnia, a frequently encountered sleep disorder, boasts a high prevalence rate on a global scale. Currently, Western medications are widely used for its treatment; however, they may cause adverse effects such as dependence and daytime drowsiness. Traditional Chinese medicine (TCM) offers a safer alternative. Zhi-zi-chi Decoction (ZZCD), composed of Fructus gardeniae and fermented soybean, has shown potential in promoting sleep, but its mechanism remains unclear. Methods: A PCPAinduced mice model of insomnia was used to evaluate the therapeutic effects of ZZCD. Behavioral tests, neurotransmitter assays, ELISA for HPA axis and inflammatory markers, 16S rDNA gut microbiota sequencing, and histological analyses of brain and colon tissues were performed. Results: ZZCD significantly improved sleep and reduced anxiety-like behavior. It restored GABA and 5-HT levels while lowering GLU and DA, normalized HPA axis activity, reduced inflammatory cytokines, and increased beneficial gut bacteria such as Ligilactobacillus. Histology confirmed neuroprotective and gut barrier-enhancing effects. Conclusions: ZZCD alleviates insomnia by modulating the gut-brain axis, rebalancing neurotransmitters, and restoring microbial homeostasis. These findings support its use as a safe and effective treatment for insomnia.

Keywords: ZZCD, Zhi-zi-chi decoction, TCM, traditional Chinese medicine, FG, Fructus gardeniae, FS, fermented soybean, HPA, hypothalamic-pituitary-adrenal, CRH, corticotropin-releasing hormone, ACTH, adrenocorticotropic hormone, CORT, cortisol

Received: 11 Jun 2025; Accepted: 14 Jul 2025.

Copyright: © 2025 Wang, Zhang, Guo, Huang, 牛, Huang, Huang, Guo, Wang and Feng. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Shuying Feng, Henan University of Chinese Medicine, Zhengzhou, China

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