中医学报2024，Vol.39Issue(2)：354-358,5.DOI:10.16368/j.issn.1674-8999.2024.02.059
马云枝诊治抑郁症经验
Ma Yunzhi's Experience in Diagnosis and Treatment of Depression
摘要
Abstract
The main causes of depression are emotional trauma and weak physical constitution.The key pathogenesis of Liver dysfunc-tion,Spleen dysfunction,lack of nourishment of the mind,and imbalance of Qi,blood,Yin,and Yang in the organs are the key factors.Its main location is in the Liver,but it can involve the Heart,Spleen,and Kidney.According to the differentiation of Zang and Fu as well as deficiency or excess in clinical practice,corresponding treatment principles are adopted:treating from the perspective of Liver in-cludes the methods of soothing the Liver and relieving depression,regulating Qi and promoting circulation,relieving Liver and Heat,cal-ming the mind,regulating Qi and relieving depression,promoting blood circulation and removing stasis,regulating the Liver and relieving depression,strengthening the Spleen and nourishing blood.The treatment based on the Heart includes nourishing blood and the Heart,e-liminating upset and calming the mind,nourishing Yin and calming the mind as well as nourishing the Heart and blood.The treatment based on the Spleen includes the methods of strengthening the Spleen and nourishing the Heart,nourishing Qi and generating blood,pro-moting Qi circulation and removing stagnation as well as resolving Phlegm and dispersing nodules.The treatment of deficiency includes nourishing Yin Essence,tonifying Liver and Kidney,strengthening Spleen and Kidney,warming Yang and supplementing Qi.At the same time,making good use of the herbal medicine Chaihu(radix bupleuri)combined with Baishao(radix paeoniae alba)to relieve depres-sion and soothe the Liver;Banxia(minellia ternata)paired with Houpo(magnolia officinalis)can promote Qi circulation and disperse knots;Xiangfu(cyperus rotundus)combined with Chuanxiong(ligusticum wallichii)can regulate Qi and promote blood circulation;Su-anzaoren(sour jujube kernels)combined with Hehuanpi(albizia bark)can relieve depression and calm the mind;Yujin(radix cur-cumae)paired with Qingpi(pericarpium citri reticulatae viride)can regulate Qi and relieve depression.All of above combining emo-tional regulation can achieve remarkable effect.关键词
抑郁症/从肝论治/从心论治/从脾论治/从虚论治/药对/马云枝Key words
depression/treatment from the Liver/treating from the Heart/treating from the Spleen/treating from the perspective of defi-ciency/drug pair/Ma Yunzhi分类
医药卫生引用本文复制引用
史继鑫,张君君..马云枝诊治抑郁症经验[J].中医学报,2024,39(2):354-358,5.基金项目
国家中医药管理局全国名老中医药专家传承工作室建设项目{豫中医业函[2014]86号} （）
