摘要
玄府是气血津液升降流通及神机转运的微细通道,有贵开阖、忌郁闭和以通为顺的生理特点,与抑郁症"通调开郁"的治疗特点具有相合之处.玄府郁闭与风邪、神志疾病联系密切.气机不畅、气血亏虚、痰浊结聚、郁火扰神等因素均可造成玄府郁闭而发抑郁症,故提出玄府郁闭是抑郁症发生发展的基本病机.中医运用风药治疗抑郁症由来已久,风药具有能行、能散、能通、能升、能化的特性,在抑郁症的临床治疗中可发挥理气解郁、补虚养神、化痰醒神、清热散火的作用.文章以"风药开玄"理论为指导论治抑郁症,以期为临床诊治抑郁症提供新的参考思路,丰富抑郁症治疗的理论体系.
Abstract
Xuanfu is a fine channel of ascending and descending circulation of qi,blood and body fluid and the transfer of spirit organs.It has the physiological characteristics of opening and closing,avoiding depression and closing,and smoothing the flow,which is similar to the treatment characteristics of depression,'unblocking,regulating,opening and closing'.The stagnation of Xuanfu is closely related to wind-evil and mental diseases.The factors such as qi stagnation,deficiency of qi and blood,accumulation of phlegm,and disturbance of mind by stagnation of fire can all cause Xuanfu stagnation,leading to depression.It is suggested that Xuanfu stagnation is the basic pathogenesis of depression.Traditional Chinese medicine(TCM)has a long history in the treatment of depression with wind medicine,which has the characteristics of being able to act,disperse,pass,rise and transform into energy,in the clinical treatment of depression can play the role of regulating qi and relieving depression,invigorating deficiency and nourishing the spirit,resolving phlegm and restoring consciousness,clearing heat and dispersing fire.This paper discusses the treatment of depression under the guidance of the theory of'wind medicine opening Xuanfu'in order to provide new reference ideas for clinical diagnosis and treatment of depression and enrich the theoretical system of depression treatment.
国家科技期刊平台
NSTL
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