北京中医药大学东方医院 北京 100078
Prof.GUO Rongjuan, Ph.D., Chief Physician, Doctoral Supervisor. Dongfang Hospital, Beijing University of Chinese Medicine, No. 6, District 1, Fangxingyuan, Fengtai District, Beijing 100078. E-mail: dfguorongjuan@163.com
纸质出版日期:2023-12-30,
网络出版日期:2023-10-30,
收稿日期:2023-07-06,
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郭蓉娟. 抑郁症“培元达郁”治则探析[J]. 北京中医药大学学报, 2023,46(12):1629-1636.
GUO Rongjuan. Analysis of the principle of strength origin and unobstruct stagnation for treatment of depression[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023,46(12):1629-1636.
郭蓉娟. 抑郁症“培元达郁”治则探析[J]. 北京中医药大学学报, 2023,46(12):1629-1636. DOI: 10.3969/j.issn.1006-2157.2023.12.001.
GUO Rongjuan. Analysis of the principle of strength origin and unobstruct stagnation for treatment of depression[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023,46(12):1629-1636. DOI: 10.3969/j.issn.1006-2157.2023.12.001.
本文基于抑郁症的“虚气流滞”创新病机,探析“培元达郁”的治疗原则。“虚气流滞”病机指出,抑郁症以“虚气”为本,以“郁滞”为标,“虚气”与“郁滞”相因积损、恶性循环,推动着疾病的发生发展进程。抑郁症的治疗宜以培元为本,依据元气多少,以益气为先,或养血,或温阳,或滋阴等,总以元气充足、精神饱满、精力充沛为重;以达郁为要,依据郁滞程度的不同,以解郁为首,或理气,或化痰,或活血,或清热等,总以精神情志舒畅、气血运行通畅为重。“培元”以补虚、“达郁”以通滞,“培元”与“达郁”相互配合,打破抑郁症因虚致实、因实致虚的虚滞互损的病理状态,共同促进疾病向愈,预防疾病复发,为抑郁症的预防与治疗提供新的策略。
Based on the innovative concept that the pathogenesis of depression may be "deficient qi-induced stagnation"
we explore the possibility to treat depression based on the principle of strength origin and unobstruct stagnation. The pathogenesis of "deficient-qi induced stagnation" suggests that "deficient-qi" is the root cause and "stagnation" is the manifestation of depression. "deficient-qi" and "stagnation" constitute a vicious cycle which promotes the occurrence and development of the disease. The treatment of depression should be based on strength origin. According to the primordial qi of the patient
qi must be replenished first
blood must be nourished
yang must be warmed
or yin must be nourished
but patients must always have sufficient primordial qi
be full of spirit
and be energetic. Regarding unobstruct stagnation
according to the degree of stagnation
to resolve depression
qi must be regulated
phlegm must be resolved
blood circulation must be activated
or heat must be cleared; the spirit and emotions should always be at ease
with qi and blood operating smoothly. Strength origin supplements the deficiency and unobstruct stagnation inhibits stagnation. Strength origin and unobstruct stagnation cooperate with each other to reverse the pathological state of deficiency and stagnation
jointly promote the recovery from the disease
and prevent recurrence
providing a new strategy for the prevention and treatment of depression.
抑郁症虚气流滞培元达郁治则
depressiondeficient-qi induced stagnationstrength origin and unobstruct stagnationprinciple of treatment
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