摘要
中风后抑郁症(post-stroke depression,PSD)是中风病常见的并发症,对患者康复造成不利影响。基于脏腑理论,正气虚衰是PSD的前提条件,"心-脾-肝"轴及其内生转化贯穿PSD发病始终。肝气不足,肝气郁结是该轴核心,也是PSD的始要病机。治疗应以顺气为先,辅以活血化痰,补益气血等,其中疏肝健脾养心法是治疗PSD的有效方法。
Post-stroke depression（ PSD） is a common complication of stroke,which is disadvantageous to the recovery of patients with stroke. Qi deficiency is a precondition for the occurring of PSD according to the theory of Zang and Fu. Moreover,the change of ＂heart-spleen-liver＂axis,which always involves in the happening of PSD,is an important pathogenesis mechanism.The deficiency and stagnation of liver-qi is not only the core of this axis,but also an key mechanism of PSD. To regulate liver-qi activity is an essential principle for the treatment of PSD. Furthermore,other treatment principles are also needed,such as nourishing blood,supplementing qi,activating blood and loosen phlegm. And the combined therapy of soothing flow of liver-qi,strengthening the spleen and nourishing heart is effective for the treatment of PSD.
出处
《辽宁中医杂志》
CAS
北大核心
2017年第9期1866-1868,共3页
Liaoning Journal of Traditional Chinese Medicine
基金
国家自然科学基金面上项目(81473470)
广东省自然科学基金重点项目(2014A030311033)
关键词
中风
抑郁症
“心-脾-肝”轴
病机
治则
stroke
depression
＂heart-spleen-liver＂ axis
pathogenesis
treatment principle
