摘要
卒中后抑郁(PSD)是一种脑卒中后常见的并发症,是躯体症状与多种复杂精神症状并存的疾病,严重影响中风患者的功能恢复和生活质量。方无杰教授认为PSD以中风为本,郁病为标;情志内伤为其病因,肝郁气滞始终贯穿疾病始终,且体质偏颇影响辨证,影响患者治疗及预后。当以辨体从肝论治PSD,以疏肝理气解郁为主,辅以化瘀息风,或健脾养血,或理气化痰等改善体质,从而防治卒中,取得了良好的临床疗效。
Post-stroke depression(PSD)is a common complication after stroke,which is a coexistence of physical symptoms and multiple complex mental symptoms,and seriously affects the functional recovery and quality of life of stroke patients.Professor Fang Wujie believes that PSD is based on stroke and depression is the symptom;the cause of PSD is internal injury of emotions and feelings,and liver qi stagnation are always present in the disease,and the bias of constitutional differentiation affects the identification of symptoms,which influences the treatment and prognosis of the patients.The treatment of PSD should be based on the identification of the constitution from the theory of liver,with the main focus on dredging the liver and resolving qi and depression,supplemented by resolving blood stasis and restoring wind,or strengthening the spleen and nourishing the blood,or regulating qi and resolving phlegm to improve the constitution,thus preventing and treating stroke,and achieved good clinical efficacy.
作者
卢威
方无杰
LU Wei;FANG Wujie(Lu'an Hospital of Traditional Chinese Medicine Affiliated to Anhui University of Traditional Chinese Medicine,Lu'an,Anhui 237005;Lu'an Hospital of Traditional Chinese Medicine,Lu'an,Anhui 237005)
出处
《中医康复》
2024年第9期27-31,共5页
Traditional Chinese Medicine Rehabilitation
基金
安徽省重点研究与开发计划项目(2022e07020056)
安徽中医药大学附属六安市中医院2021年度临床科研项目(2021LAQN005)。
关键词
卒中后抑郁
体质辨识
从肝论治
方无杰
临证经验
post-stroke depression
constitution identification
liver-based treatment
Fang Wujie
clinical experience
