首页|从"因郁致病"和"因病致郁"探讨情志与妇科疾病的关系

从"因郁致病"和"因病致郁"探讨情志与妇科疾病的关系

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通过梳理情志致病的主要病因病机源流,揭示"情志-结气-病机之郁-情志之郁"的演变历程;指出不良情志是导致妇科病的重要因素,"郁"是情志与妇科疾病之间的重要中介.从"情志之郁所致妇科疾病"和"妇科疾病所致情志之郁和病机之郁"展开探讨,总结导致妇科疾病的情志之郁以怒郁、思郁和忧郁为主,涉及肝、心、脾等脏,病机有实有虚,或虚实夹杂.其中,病在肝之病机有肝气郁结、肝郁化火、肝郁气逆、肝不藏血等,病在心脾之病机有心气郁闭、心脾阴血耗伤、脾虚血滞、脾不统血等,具体表现为妇人经、带、胎、产、乳等生理的失调或癥积等妇科杂病的产生.其中的核心内涵与"因郁致病"和"因病致郁"的郁病理论相一致.
Discussion on the relationship between emotion and gynecological diseases from the perspectives of disease caused by depression and depression caused by disease
By sorting out the main causes and pathogenesis of emotional illness,this study reveals the evolutionary process of"emotions,stagnation of qi,depression of pathogenesis,and depression of emotions".It is pointed out that negative emotions are important factors leading to gynecological diseases,and"depression"is an important mediator between emotions and gynecological diseases.Starting from the discussion of"emotional depression leading to gynecological diseases"and"emotional depression and pathogenetic depression caused by gynecological diseases",it is summarized that emotional depression leading to gynecological diseases mainly includes anger depression,worry depression,and sadness depression,involving the liver,heart,spleen,and other organs,and the pathogenesis can be either excess or deficiency,or intermingled deficiency and excess.Among them,the pathogenesis of the liver includes stagnation of liver qi,liver depression transforming into fire,liver depression and qi stagnation,and inability of liver storing blood.The pathogenesis of the heart and spleen includes heart qi stagnation,injury of yin-blood in heart and spleen,spleen deficiency and blood stagnation,and spleen falling to manage blood.The specific manifestation is the occurrence of gynecological miscellaneous diseases such as zhengji,and physiological disorders or symptoms in women's menstruation,vaginal discharge diseases,pregnancy,childbirth,and lactation.The core connotation is consistent with the theory of"disease caused by depression"and"depression caused by disease".

disease caused by depressiondepression caused by diseaseemotiongynecological disease

马昊天、赵瑞华

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中国中医科学院广安门医院,北京 100053

因郁致病 因病致郁 情志 妇科疾病

中医药传承与创新"百千万"人才工程(岐黄工程)岐黄学者资助项目

国中医药人教函[2018]284号

2024

长春中医药大学学报
长春中医药大学

长春中医药大学学报

CSTPCD
影响因子:0.916
ISSN:1007-4813
年,卷(期):2024.40(2)
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