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Shen zhi ling oral liquid (also known as Shenzhiling oral liquid or Shen-Zhi-Ling oral liquid) is a traditional Chinese medicine (TCM) compound approved by the China Food and Drug Administration (CFDA) for the treatment of mild-to-moderate Alzheimer's disease (AD) and amnestic mild cognitive impairment (aMCI). Developed by the Shanghai Geriatric Institute of Chinese Medicine at Shanghai University of Traditional Chinese Medicine and manufactured by Shandong Wohua Pharmaceutical, the formulation is composed of ten Chinese herbs: Codonopsis pilosula, Cassia Twig, Paeonia lactiflora, honey-fried Licorice root, Poria cocos, Rhizoma Zingiberis, Radix Polygalae, Acorus tatarinowii, Ossa Draconis, and Concha Ostreae. It is designed to nourish the heart and spleen, benefit qi, warm yang, resolve phlegm, and calm the mind. Preclinical and clinical studies suggest that Shen zhi ling oral liquid exerts neuroprotective effects, protects the myelin sheath, and ameliorates cerebral glucose metabolism disorders, potentially through the PI3K/Akt-mTOR pathway.
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