北京中医药大学学报2025，Vol.48Issue(10)：1333-1338,6.DOI:10.3969/j.issn.1006-2157.2025.10.001
卒中后抑郁火-气-神病机演变及防治思路探讨
Evolution of fire-qi-spirit pathogenesis and strategies of prevention and treatment for post-stroke depression
摘要
Abstract
Post-stroke depression,a common complication after stroke,severely affects the physical and mental rehabilitation of patients.Currently,the treatment of depression after stroke has limitations,such as limited efficacy and numerous adverse reactions.Preventing and treating depression after stroke have specific effects;however,the optimal intervention timing and duration remain unclear.Based on the principle of preventive treatment of diseases and the theory that"excessive fire consumes qi"(Huangdi Neijing),this article explores the influence of the stroke etiology and pathogenesis on secondary depression.The article proposes the pathogenesis of post-stroke depression as"wind and fire interacting-excessive fire consuming qi-spirit decline and qi depression,"where fire is the pathological cause,qi is the fundamental pathogenesis,and spirit is the disease manifestation.The disease can be prevented after the occurrence of stroke,but treatment should occur before"excessive fire consumes qi."Clearing fire,preserving the body's normal functions,and reducing fire to protect qi and prevent depression are advisable.After"excessive fire consumes qi,"which results in spirit decline and qi depression,dispersing stagnated liver qi for relieving qi stagnation,nourishing the spirit,and relieving depression to treat it are recommended.This article elaborates on the pathogenesis of post-stroke depression as"fire-qi-spirit,"based on the theory of"excessive fire consumes qi"and"preventing disease from exacerbating."This study proposes reducing fire to protect qi and nourishing the spirit to relieve depression to prevent and treat post-stroke depression,with the aim of providing a novel theoretical basis and practical guidance for preventing and treating post-stroke depression in traditional Chinese medicine.关键词
卒中后抑郁/壮火食气/治未病/既病防变Key words
post-stroke depression/excessive fire consumes qi/preventive treatment of disease/preventing disease exacerbation分类
中医学引用本文复制引用
杜芸,曲淼..卒中后抑郁火-气-神病机演变及防治思路探讨[J].北京中医药大学学报,2025,48(10):1333-1338,6.基金项目
国家自然科学基金项目(No.82274444) （No.82274444）
北京市自然科学基金项目(No.7232269) National Natural Science Foundation of China(No.82274444) （No.7232269）
