首页|谢道俊教授运用疏肝健脾宁心法治疗郁病经验举隅

谢道俊教授运用疏肝健脾宁心法治疗郁病经验举隅

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现代医学中的焦虑抑郁状态、抑郁症、自主神经功能紊乱等均可归属于中医学"郁病"范畴.谢道俊教授总结临床诊病经验,认为肝、脾、心三脏功能失调与气、火、痰、瘀等病理产物贯穿于郁病治疗的全过程,提出郁病之核心病机为肝气郁结,脾失健运,心神不宁.总以情志不遂、肝脾气机失调为发病之根本,气、火、痰、瘀等产物为病理关键,治则上立足于辨证,重视畅达脏腑气机,调节脏腑功能,消除病理产物,提出"疏肝健脾、宁心安神"治疗大法,以健脾燥湿、理气化痰为基础,活血行气、祛瘀化郁为关键,疏肝解郁、宁心安神为核心.谢道俊教授擅长中西医结合治疗疾病,参考多种评估量表,肯定中药在郁病前期治疗中的作用,根据患者病情酌情加入西药,以达标本兼顾、长治久安之效.
Professor Xie Daojun's experience in treating depression with the method of soothing liver,strengthening spleen and calming heart
Anxiety-depressive state,depressive disorder,autonomic nervous dysfunction and other diseases in modern medicine can be classified as"depression"in traditional Chinese medicine.Professor Xie Daojun sums up his clinical diag-nosis experience and believes that the liver,spleen and heart,as well as the pathological products of Qi,fire,phlegm and blood stasis run through the whole process of the treatment of depression.Prof.Xie proposes that the core pathogenesis of de-pression is stagnation of liver-Qi,dysfunction of the spleen in transport,and restless mind.In general,emotional disorders and dysfunction of Qi activity of liver and spleen are the root cause of the disease,and the products of Qi,fire,phlegm and blood stasis are key pathological factors.Based on syndrome differentiation,the treatment principle focuses on smoothing the Qi activity of zang-fu organs,regulating the function of zang-fu organs and eliminating pathological products.The thera-peutic method of"soothing liver and strengthening spleen,calming heart and tranquilizing mind"is proposed.Invigorating spleen to dry dampness,regulating Qi and eliminating phlegm is the foundation,activating blood circulation and promoting Qi,removing stasis and eliminating depression is the key,and soothing liver and resolving depression,calming heart and tranquilizing mind is the core.Prof.Xie Daojun is good at integrated treatment of traditional Chinese and Western medicine.Referring to a variety of evaluation scales,he affirms the role of traditional Chinese medicine in the early treatment of de-pression.According to the patient's condition,he will add western medicines as appropriate to achieve the effect of address-ing both the symptoms and root causes of the disease and safety of long-term treatment.

depressionanxiety-depressive statetreatment experienceXie Daojun

李祥君、黄辰烨、谢道俊

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安徽中医药大学第一临床医学院,安徽 合肥 230012

安徽中医药大学第一附属医院,安徽 合肥 230601

郁病 焦虑抑郁状态 治疗经验 谢道俊

国家自然科学基金安徽省名中医传承工作室建设项目

818743892019-8-517

2024

山西中医药大学学报

山西中医药大学学报

ISSN:
年,卷(期):2024.25(7)