摘要
抑郁症是一种较为常见的精神障碍,是由各种原因引起的以情绪低落为主要症状的一种疾病。抑郁症属于中医“郁病”范畴,多为情志不舒所致,《证治汇补》中提出:“郁病虽多,皆因气不周流”。张福利教授对抑郁症的辨治具有独到的见解和临证经验,认为“肝气郁结”是该病的发病基础,“气机郁结、升降失司”是疾病形成的关键,提出“开气畅郁、调复升降”为病的主要治则,治疗时注重性味组方立法的应用,以“微苦微辛”法为基本立法,结合肝木郁旺日久所化之“肝气”“肝阳”“肝火”的不同,处以不同的微苦微辛组合,进而气机畅达、升降得复、形神俱和,效果显著。
Melancholia is a common mental disorder caused by various reasons,with low mood as the main symptom.Melancholia belongs to the category of“depression disease”in traditional Chinese medicine,and its pathogenesis is mostly caused by emotional distress.The bookZhengzhiHuibu proposes that“although there are many depression diseases,they are all due to the lack of circulation of Qi”.Professor ZHANG Fuli has unique insights and clinical experience in the diagnosis and treatment of depression.He believes that“liver Qi stagnation”is the basis of this disease,and“Qi stagnation,ascending and descending dysfunction”is the key to the formation of this disease.He proposes the main treatment principle of“opening Qi and promoting depression,regulating ascending and descending”.When treating this disease,attention should be paid to the application of legislation on sex and taste composition,using the“slightly bitter and slightly pungent”method as the basic legislation,combined with the differences of“liver Qi”“liver Yang”and“liver fire”that have been transformed by liver wood gloomy for a long time,different combinations of micro-bitterness and micro-bitterness are used everywhere,and then the Qi and organs are smooth,the rise and fall are restored,and the form and spirit are harmonious,and the effect is remarkable.
作者
王春英
常铭熙
刘雅芳
张福利
WANG Chunying;CHANG Mingxi;LIU Yafang;ZHANG Fui(Heilongjiang University of Chinese Medicine,Harbin 150040,Heilongjiang,China;The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150001,Heilongjiang,China)
出处
《辽宁中医药大学学报》
CAS
2024年第3期120-123,共4页
Journal of Liaoning University of Traditional Chinese Medicine
基金
全国中医临床优秀人才研修项目(国中医药办人教函[2022]234号)。
关键词
微苦微辛
抑郁症
郁证
slightly bitter and slightly pungent
melancholia
syndrome of depression
