摘要
卒中后抑郁是发生于脑卒中后常见的一种神经精神并发症,可导致患者的神经恢复功能延迟和生活质量大幅下降,从而增加了脑卒中的复发率、致残率、病死率.东红认为,卒中后抑郁的中医病机为本虚标实,可归属于"因病致郁"范畴,患者在发病后气血阴阳皆损,在本体现为脑络瘀阻、心神失养、肝失疏泄、脾失健运、肾髓亏虚等脏腑功能失常;在标体现为气滞、痰浊、血瘀等内外邪气交杂,壅滞脉道,阻塞脑窍,扰及脑神,标实加重本虚.东师主张从心脑论治卒中后抑郁,以养心解郁、通络利窍为基本治则,自拟养心解郁汤,临床治疗中配合醒脑针刺疗法,收效甚好.现将东红治疗该病思路及治法、用药经验整合分享如下.
Abstract
Post-stroke depression is the most common neuropsychiatric complication that occurs after stroke,which can lead to delayed neurological recovery and a significant decrease in the quality of life of patients,thereby increasing the recurrence rate,disability rate and mortality rate of stroke.DONG Hong believes that the pathogenesis of post-stroke depression in traditional Chinese medicine is based on the deficiency and can be attributed to depression due to illness,and its Qi(气),blood,Yin(阴)and Yang(阳)are damaged after the onset of the disease,which is reflected in the dysfunction of the internal organs such as cerebral stasis,mental dystrophy,liver loss and leakage,spleen loss of health,and kidney and medullary deficiency.In the standard,it is manifested as Qi stagnation,phlegm turbidity,blood stasis and other internal and external evil Qi mixed with stagnation of the veins,blocking the brain,disturbing the brain,and aggravating the deficiency.DONG Hong advocates the treatment of post-stroke depression from the heart and brain,with the basic treatment principle of nourishing the heart and relieving depression,and channeling and benefiting the knots,and formulates the Yangxin Jieyu decoction(养心解郁汤),and the clinical treatment is combined with the awakening acupuncture therapy,which has achieved very good results.DONG Hong's ideas,treatment methods,and drug experience in the treatment of post-stroke depression are now integrated and shared as follows.
基金项目
甘肃省联合科研基金一般项目(23JRRA1531)
国家科技期刊平台
NSTL
万方数据