北京中医药大学学报2025，Vol.48Issue(10)：1345-1351,7.DOI:10.3969/j.issn.1006-2157.2025.10.003
从"水寒土湿木郁"探讨抑郁症伴躯体化障碍的病因病机及治法
Exploring the etiology,pathogenesis,and treatment methods of depression with somatization disorder from the perspective of"cold water,damp earth,and stagnant wood"
摘要
Abstract
Depression is primarily characterized by persistent low mood,emotional disorders,and loss of interest.Somatization disorder is a type of neurotic disorder,primarily featuring recurrent,varied,and non-organic physical discomfort symptoms.In traditional Chinese medicine,depression with somatization disorder can be classified under the category of"depression"and"hysteria"according to its clinical symptoms.This article focuses on the dynamic evolution of the functions of the kidney,spleen,and liver,and explains the core pathogenesis of depression with somatization disorder based on the theory of"cold water,damp earth,and stagnant wood"proposed by HUANG Yuanyu.It explores the causes and related manifestations.Symptoms mainly characterized by cramps and convulsions can be attributed to the liver;symptoms primarily characterized by heaviness,distension,and dull pain accompanied by weakness can be attributed to the spleen;symptoms primarily characterized by stiffness,reluctance to move or inability to move,and reluctance to extend outward can be attributed to the kidney.Liver depression and spleen dampness,as well as wood depression and earth congestion,are treated by strengthening the spleen and soothing the liver,drying dampness and calming wind,and the modified Xiaoyao Powder combined with Yueju Pill is recommended.Spleen dampness and kidney coldness,earth failure and water overflow,are treated by tonifying the spleen and kidney,warming water and transforming dampness,and the modified Jingui Shenqi Pill combined with Linggui Zhugan Decoction is recommended.Kidney coldness and liver hyperactivity,water not nourishing wood,are treated by warming the kidney and enriching essence,replenishing water and nourishing wood,and the modified Dihuang Yinzi is recommended.This article explores the corresponding etiology,pathogenesis,treatment methods,and prescriptions for depression with somatization disorder,with the aim of providing new insights for clinical diagnosis and treatment.关键词
抑郁症/躯体化障碍/病因/病机/治法Key words
depression/somatization disorder/etiology/pathogenesis/treatment method分类
中医学引用本文复制引用
刘智慧,郑洪新,鞠宝兆,董野,巩雪,丁思元..从"水寒土湿木郁"探讨抑郁症伴躯体化障碍的病因病机及治法[J].北京中医药大学学报,2025,48(10):1345-1351,7.基金项目
全国名老中医药专家传承工作室建设项目(国中医药人教发[2022]75号) （国中医药人教发[2022]75号）
第六批全国老中医药专家学术经验继承人项目(国中医药人教发[2017]29号) （国中医药人教发[2017]29号）
辽宁省中医大师传承工作室基金项目(辽中医药发[2022]1号) National Project for the Inheritance Studio of Famous and Senior Experts in Traditional Chinese Medicine(National Administration of Traditional Chinese Medicine on Education and Personnel[2022]75) （辽中医药发[2022]1号）
