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中医辨证下的抑郁症病因病机及治疗概述 预览 被引量:1

Research Progress of Etiology Pathogenesis and Treatment of Depression based on TCM Syndrome Differentiation
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摘要 目的:探讨中医辨证下抑郁症发病机制及治疗方法,为抑郁症临床治疗提供新的思路。方法:查阅医藉,整理历代医家观点,从虚、实、虚实夹杂三方面入手,探讨脏腑、气血阴阳失调对于抑郁症发病及其治疗的影响。结果:抑郁症初期多实,以气滞、痰证、血瘀多见,日久可见脏腑气血阴阳亏虚。结论:抑郁症病机复杂,实则气滞、痰凝、血瘀,虚则气血阴阳耗损,病久虚实夹杂,治疗上需辨证审因,但顺气开郁为其总则。 Objective:To explore the pathogenesis and treatment of depression based on dialectic of traditional Chinese Medicine,and to provide new ideas for clinical treatment of depression.Methods:By consulting the medical records and sorting out the views of physicians in the past dynasties,the effects of the disorder of viscera,Qi,blood,Yin and Yang on the pathogenesis and treatment of depression were discussed from three aspects:deficiency,excess,intermingled deficiency and excess.Results:The early stage of depression is more excess,Qi stagnation,phlegm syndrome,blood stasis are common,Viscera,Qi,blood,Yin and Yang deficiency can be seen with the passing of time.Conclusion:The pathogenesis of depression is complex,excess syndrome was mainly caused by Qi stagnation,phlegm coagulation,blood stasis,deficiency syndrome was mainly caused by Qi,blood,Yin and Yang,intermingled deficiency and excess appear in a long illness,treatment needs syndrome differentiation,but Shunqi Kaiyu as its general principle.
作者 朱智羽 郭闫葵 ZHU Zhiyu;GUO Yankui(Shandong University of Traditional Chinese Medicine,Shandong Ji'nan 250012,China;Jinan Municipal Hospital of Traditional Chinese Medicine,Shandong Ji9nan 250012,China)
出处 《中医药临床杂志》 2019年第4期788-791,共4页 Clinical journal of traditional chinese medicine
关键词 抑郁症 虚证 实证 虚实夹杂 辨证 顺气开郁 Depression deficiency syndrome Excess syndrome:Intermingled deficiency and excess Syndrome differentiation Shunqi Kaiyu
作者简介 朱智羽(1994-),女,2017级硕士研究生研究方向是脑血管病的中医药治疗。E-mail:18234142768@l63.com;通讯作者:郭闫葵,女,医学博士,主任医师,硕士研究生导师,第四批全国老中医药专家浦家祚教授学术经验继承人.中华中医药学会脑病专业委员会委员、中国中西医结合学会神经科专业委员会学术部委员、山东中西医结合学会神经内科专业委员会委员、山东中医药学会脑病专业委员会委员 E-mail:gucyankui126@126.com.
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