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方无杰教授基于辨体从肝论治卒中后抑郁经验OA

Prof.Fang Wujie's Experience in Treating Post-Stroke Depression from the Liver Theory Based on Constitution Identification

中文摘要英文摘要

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.

卢威;方无杰

安徽中医药大学附属六安市中医院,安徽六安 237005六安市中医院,安徽六安 237005

中医学

卒中后抑郁体质辨识从肝论治方无杰临证经验

post-stroke depressionconstitution identificationliver-based treatmentFang Wujieclinical experience

《中医康复》 2024 (009)

27-31 / 5

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)

10.19787/j.issn.2097-3128.2024.09.006

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