Research Progress on the Mechanisms and Applications of Active Ingredients in Traditional Chinese Medicine for the Intervention of Exercise-Induced Fatigue
DOI:
https://doi.org/10.54097/021mrq32Keywords:
Traditional Chinese Medicine (TCM), Exercise-induced Fatigue, Multi-target Mechanism, Lactate Shuttle, Oxidative Stress, Application ProgressAbstract
High-intensity or prolonged exercise training easily leads to exercise-induced fatigue, thereby affecting sports performance and increasing the risk of skeletal muscle injury and immunosuppression. In recent years, with the cross-integration of sports pharmacology and natural product chemistry, Traditional Chinese Medicine (TCM) has demonstrated unique clinical advantages in promoting recovery from exercise fatigue due to its "holistic regulation" characteristics, which involve multiple components, multiple targets, and multiple pathways. This article systematically reviews the core mechanisms by which the active ingredients of TCM intervene in exercise-induced fatigue, exploring their molecular pathways in targeting oxidative stress, regulating the immune microenvironment, accelerating the clearance of metabolic waste, and modulating central neurotransmitters. Furthermore, this review evaluates the current application status of single Chinese herbs and classic compound formulas in sports medicine, and prospectively discusses the scientific barriers and methodological limitations in current research. This aims to provide rigorous evidence-based medical support for the development of novel, natural anti-fatigue sports supplements.
Downloads
References
[1] LIU Y, LI C, SHEN X. The use of traditional Chinese medicines in relieving exercise-induced fatigue [J]. Frontiers in Pharmacology, 2022, 13: 969827.
[2] CHEN S, et al. Shuyu decoction exhibits anti-fatigue properties via alleviating exercise-induced immune dysfunction [J]. Journal of Ethnopharmacology, 2024, 319(Pt 1): 117109.
[3] LIU Y, FENG Z, HU Y. Polysaccharides derived from natural edible and medicinal sources as agents targeting exercise-induced fatigue: A review [J]. International Journal of Biological Macromolecules, 2023, 254(Pt 3): 127986.
[4] ZHOU S, et al. Ginseng ameliorates exercise-induced fatigue potentially by regulating the gut microbiota [J]. Food & Function, 2021, 12(9): 3954-3964.
[5] WU X, ZHANG Y, LIU Y, et al. Traditional Chinese medicine Jianpi therapy in exercise-induced fatigue: A protocol for systematic review and meta-analysis [J]. Medicine (Baltimore), 2022, 101(2): e28594.
[6] ALLEN D G, LAMB G D, WESTERBLAD H. Skeletal muscle fatigue: cellular mechanisms [J]. Physiological Reviews, 2008, 88(1): 287-332.
[7] BROOKS G A. The science and translation of lactate shuttle theory [J]. Cell Metabolism, 2018, 27(4): 757-785.
[8] POWERS S K, JACKSON M J. Exercise-induced oxidative stress: cellular mechanisms and impact on muscle force production [J]. Physiological Reviews, 2008, 88(4): 1243-1276.
[9] GOMEZ-CABRERA M C, DOMENECH E, VIÑA J. Moderate exercise is an antioxidant: upregulation of antioxidant genes by training [J]. Free Radical Biology and Medicine, 2008, 44(2): 126-131.
[10] RADAK Z, CHUNG D T, GOTO S. Systemic adaptation to oxidative challenge induced by regular exercise [J]. Free Radical Biology and Medicine, 2008, 44(2): 153-159.
[11] ZHANG M, ZHAO X, LIU Q, et al. Anti-Fatigue Effects of Lycium barbarum Polysaccharide and Effervescent Tablets by Regulating Oxidative Stress and Energy Metabolism in Rats [J]. Foods, 2022, 11(18): 2854.
[12] WANG Y, WANG J, ZHENG X, et al. Structure and potential anti-fatigue mechanism of polysaccharides from Bupleurum chinense DC [J]. International Journal of Biological Macromolecules, 2023, 233: 123533.
[13] TANG X, et al. Cordycepin combined with antioxidant effects improves fatigue caused by excessive exercise [J]. Scientific Reports, 2025, 15(1): 8141.
[14] CAO J, et al. Cordyceps militaris acidic polysaccharides improve learning and memory impairment in mice with exercise fatigue through the PI3K/NRF2/HO-1 signalling pathway [J]. Journal of Ethnopharmacology, 2022, 303: 116035.
[15] CHEN S, TANG X, SHEN J, et al. Shuyu decoction exhibits anti-fatigue properties via alleviating exercise-induced immune dysfunction [J]. Journal of Ethnopharmacology, 2024, 319(Pt 1): 117109.
[16] CAO J, WEI M, KANG Y, et al. Astragalus polysaccharide ameliorated complex factor-induced chronic fatigue syndrome by modulating the gut microbiota and metabolites in mice [J]. Biomedicine & Pharmacotherapy, 2023, 163: 114787.
[17] WANG X, et al. Effect of Schisandra chinensis on interleukins, glucose metabolism, and pituitary-adrenal and gonadal axis in rats under strenuous swimming exercise [J]. Chinese Journal of Integrative Medicine, 2014.
[18] ZHANG Y, DONG J, WANG Z, et al. Atractylodes macrocephala Koidz. water extract alleviates exercise-induced fatigue by activating mitochondrial biogenesis via the PGC-1α/NRF1/TFAM axis [J]. Journal of Ethnopharmacology, 2025, 348: 119881.
[19] LI S, WANG Y, ZHANG Y, et al. Shenqi Funeng Xingnao prescription alleviates exercise-induced fatigue by regulating the HIF-1/FoxO signaling pathway [J]. Journal of Ethnopharmacology, 2025, 348: 119881.
[20] CHOI E, OH J, SUNG G H. Beneficial Effect of Cordyceps militaris on Exercise Performance via Promoting Cellular Energy Production [J]. Mycobiology, 2020, 48(6): 512-517.
[21] KIM H, et al. Effect of HX108-CS Supplementation on Exercise Capacity and Lactate Accumulation After High-Intensity Exercise [J]. Journal of the International Society of Sports Nutrition, 2013, 10(1): 21.
[22] LU J, MA Y, WANG X, et al. Moxibustion Reduces Inflammatory Response in the Hippocampus of a Chronic Exercise-Induced Fatigue Rat [J]. Frontiers in Integrative Neuroscience, 2019, 13: 48.
[23] CHEN Y, BA Y, TU Y, et al. Effects of Mongolian Warm Acupuncture on iNOS/NO and Inflammatory Cytokines in the Hippocampus of Chronic Fatigue Rats [J]. Frontiers in Integrative Neuroscience, 2020, 13: 78.
[24] ZHOU S, YUAN X, QI Z, et al. Ginseng ameliorates exercise-induced fatigue potentially by regulating the gut microbiota [J]. Food & Function, 2021, 12(9): 3954-3964.
[25] ZHANG Y, et al. Schisandra chinensis and Rhodiola rosea exert an anti-stress effect on the HPA axis and reduce hypothalamic c-Fos expression in rats subjected to repeated stress [J]. Experimental and Therapeutic Medicine, 2016, 11(1): 353-359.
[26] WIECZOREK M, CHRZANOWSKA O, WITEK K, et al. Effect of Ginseng Supplementation on Exercise Endurance as a Support for Cardiovascular Disease Management: A Systematic Review and Meta-Analysis [J]. Nutrients, 2024, 17(1): 161.
[27] LEE Y, KANG H M, LEE Y H, et al. Short-Term Panax Ginseng Extract Supplementation Reduces Fasting Blood Triacylglycerides and Oxygen Consumption during Sub-Maximal Aerobic Exercise in Male Recreational Athletes [J]. Nutrients, 2024, 16(11): 1561.
[28] LU Y, WEI Y, ZHAO J, et al. The effect of Rhodiola rosea supplementation on endurance performance and related biomarkers: a systematic review and meta-analysis [J]. Frontiers in Nutrition, 2024, 11: 1475510.
[29] ZHANG X, YU S, LIU C, et al. The Effect of Short-Term Rhodiola rosea Supplementation on Simulated Game Time, Perceived Fatigue, and Performance in Basketball Players [J]. Nutrients, 2024, 16(22): 3918.
[30] VALDEZ J, et al. Cordyceps sinensis accelerates stem cell recruitment to human skeletal muscle after exercise [J]. Food & Function, 2024, 15(8): 4010-4020.
[31] PARK S, et al. Effect of Schisandra chinensis Baillon extracts and regular low-intensity exercise on muscle strength and mass in older adults: a randomized, double-blind, placebo-controlled trial [J]. The American Journal of Clinical Nutrition, 2021, 113(6): 1440-1446.
[32] CALDWELL K L, HARRISON M R, BAUMER T G, et al. The Effects of a Korean Ginseng, GINST15, on Perceptual Effort, Psychomotor Performance, and Physical Performance in Men and Women [J]. Journal of Sports Science & Medicine, 2018, 17(1): 92-100.
[33] WANG H, TENG M, FAN Z, et al. Ren-Shen-Bu-Qi decoction alleviates exercise fatigue through activating PI3K/AKT/Nrf2 pathway in mice [J]. Chinese Medicine, 2024, 19: 147.
[34] CHEN C, et al. Rhodiola crenulata- and Cordyceps sinensis-based supplement boosts aerobic exercise performance after short-term high altitude training [J]. High Altitude Medicine & Biology, 2014, 15(3): 371-379.
[35] SHI J, et al. Effect of Saengmaeksan on Fatigue, Liver Function, and Immunity Combined with High-Intensity Training [J]. Journal of Immunology Research, 2023, 2023: 3269293.
[36] CHENG S, LIU M Z, ZHAO Y Z, et al. Clinical massage therapy for patients with exercise-induced fatigue: A protocol for systematic review and meta analysis [J]. Medicine (Baltimore), 2020, 99(26): e20827.
Downloads
Published
Issue
Section
License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

