1.北京中医药大学中医学院 北京 100029
2.北京中医药大学第三附属医院
欧阳欢,女,在读硕士生
#王庆国,男,博士,教授,博士生导师,国医大师,主要研究方向:经方、验方防治常见病、疑难病,E-mail:wqg8558@sina.com
纸质出版日期:2023-12-30,
网络出版日期:2023-11-28,
收稿日期:2023-07-18,
移动端阅览
欧阳欢, 程发峰, 王雪茜, 等. 从少阳少阴主枢探讨郁证证治[J]. 北京中医药大学学报, 2023,46(12):1637-1640.
OUYANG Huan, CHENG Fafeng, WANG Xueqian, et al. Study of the treatment of depression with Shaoyang and Shaoyin pivots[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023,46(12):1637-1640.
欧阳欢, 程发峰, 王雪茜, 等. 从少阳少阴主枢探讨郁证证治[J]. 北京中医药大学学报, 2023,46(12):1637-1640. DOI: 10.3969/j.issn.1006-2157.2023.12.002.
OUYANG Huan, CHENG Fafeng, WANG Xueqian, et al. Study of the treatment of depression with Shaoyang and Shaoyin pivots[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023,46(12):1637-1640. DOI: 10.3969/j.issn.1006-2157.2023.12.002.
本文从《黄帝内经》视角探讨枢机的内涵,阐述少阳枢、少阴枢与郁证之间的关系。基于少阳少阴枢机不利、气机不疏、阳郁不伸是郁证发生的关键病机的观点,阐述郁证治枢的临床辨治理念。调枢起神、转枢启阳、温阳解郁是郁证的主要治疗原则,结合《伤寒论》的临床应用,选择适当方剂进行调整,和调阳枢以柴胡桂枝汤为主方,和调阴枢以麻黄附子细辛汤为主方,并兼顾疾病发展过程间接调枢,灵活加减用药。本文提出郁证的治疗思路,以和调枢机为主,旨在缓解或减轻病情进一步发展,探索郁证的临床治疗新思维。
This article will explore the connotation of pivot from the perspective of
Huangdi Neijing
and elaborate on the relationship between the Shaoyang pivot
the Shaoyin pivot
and depression. Based on the view that the pivots of Shaoyang and Shaoyin are unfavorable
qi is not disordered
and yang is not expressed
which are the key pathogenesis of depression
this article will elaborate on the clinical diagnosis and treatment principles of depression. In addition
it will introduce the main treatment principles of depression
including regulating the pivot to improve spirit
turning the pivot to inspire yang
and warming yang to resolve depression. Based on the clinical application of
Shanghan Lun
appropriate prescriptions will be selected for modification. The main formula for regulating yang pivot is
Chaihu Guizhi
Decoction
while the main formula for regulating yin pivot is
Mahuang Fuzi Xixin
Decoction. At the same time
attention will be paid to indirectly regulating the pivot based on the development process of the disease
with flexible modification of medication. Finally
it will summarize the treatment ideas of depression
emphasizing on regulating pivot
aiming to alleviate or reduce the further development of the disease and explore new clinical treatment ideas for depression.
少阳枢少阴枢郁证柴胡桂枝汤麻黄附子细辛汤调枢
Shaoyang pivotShaoyin pivotdepressionChaihu Guizhi DecoctionMahuang Fuzi Xixin Decoctionadjustment of the pivot
王永炎,严世芸. 实用中医内科学[M]. 2版. 上海:上海科学技术出版社,2009:468-475.
蒋健. 郁证诊疗新体系的构建[J]. 中华中医药杂志,2023, 38(1): 18-25.
张志军. “少阳枢机”的原理及其临床意义初探[J]. 光明中医,2009, 24(6): 998-1000.
吴昆.黄帝内经素问吴注[M].北京:学苑出版社,2012:42.
李杭洲,肖相如. 《伤寒论》中少阳与少阴主枢的关系[J]. 安徽中医学院学报,2011, 30(1): 1-2.
陈萌,王庆国. 国医大师王庆国“通平致和”学术思想解析[J]. 现代中医临床,2023, 30(1): 1-4.
袁书章,薛珂,王诗琦,等. 张金生教授运用柴胡桂枝汤治疗抑郁症经验探析[J]. 浙江中医药大学学报,2021, 45(5): 526-529.
张锡纯. 医学衷中参西录[M]. 李点,张宇清,魏一苇,等,整理.北京:化学工业出版社,2018:230-231.
王洪宇. 柴胡桂枝汤抗小鼠抑郁的实验机理探讨[D]. 济南:山东中医药大学,2016.
刘敏,闫军堂,郭少英,等. 王庆国运用麻黄细辛附子汤经验[J]. 中医杂志,2012, 53(9): 790-791.
张晓乐,程发峰,李婷,等. 基于通法理论探析仲景麻黄应用[J]. 北京中医药大学学报,2022, 45(12): 1230-1235.
张志聪,刘小平.本草崇原[M]. 刘小平,点校.北京:中国中医药出版社,1992:69.
陈聪爱,王雪茜,程发峰,等. 王庆国教授临证运用附子经验总结[J]. 现代中医临床,2021, 28(1): 36-39.
崔红生,毕伟博,朱佳,等. 和调枢机法治疗支气管哮喘的理论基础与临床运用[J]. 中华中医药杂志,2021, 36(11): 6314-6319.
畅洪昇,鲁艺,陈萌,等. 王庆国教授调枢机治疗思路探讨[J]. 北京中医药大学学报,2012, 35(10): 702-704.
0
浏览量
15
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构