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基于"阳动而散"理论探析抑郁症的辨治OA北大核心CSTPCD

Analysis on the differentiation and treatment of depression based on the theory of "yang moving and dispersing"

中文摘要英文摘要

抑郁症作为世界范围内常见的精神类疾病,困扰着数亿患者,影响患者正常生活、工作,严重者会出现自杀倾向.抑郁症可归属于中医学"郁证""奔豚病""百合病"等范畴,病机多与郁、滞有关,临床上常出现情绪低落、胸闷等症状.基于张景岳提出的"阳动而散"理论,抑郁症在"阳动而散"的病理状态下,阳散而虚、虚而不动,进而成郁,最终导致阳郁而发病.临床上当以通阳解郁、温补阳气、调畅气机为基本治疗方法,对抑郁症进行辨证论治.

Depression,as a common mental illness in the world,has troubled hundreds of millions of patients,affecting the normal life and work of patients,and in serious cases,suicidal tendencies may occur. Depression can be classified into the categories of stagnation syndrome,running piglet,lily disease,and other diseases in traditional Chinese medicine,the mechanism of the disease is mostly related to depression and stagnation,and the clinical symptoms such as low mood and oppression in chest often appear. Based on ZHANG Jingyue's theory of "yang moving and dispersing",under the pathological state of "yang moving and dispersing",yang disperses and is deficient,leading to yang immobile,and then becomes depression,which ultimately leading to yang depression and the onset of the disease. Clinical treatment should be based on the basic therapeutic method of promoting yang and resolving depression,warming and tonifying yang qi,and regulating qi movement,so as to carry out the syndrome differentiation and treatment of depression.

李一鸣;许心奕;刘玥芸;赵歆

北京中医药大学中医学院 北京 100029

中医学

阳动而散阳化气阳郁通阳解郁抑郁症

yang moving and dispersingyang transforming qiyang depressionpromoting yang and resolving depressiondepression

《北京中医药大学学报》 2024 (008)

1070-1074 / 5

国家自然科学基金面上项目(No.82174278);北京市自然科学基金面上项目(No.7212182) National Natural Science Foundation of China(No.82174278)

10.3969/j.issn.1006-2157.2024.08.007

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