首页|基于"五脏元真通畅"探讨经方在抑郁症中的运用

基于"五脏元真通畅"探讨经方在抑郁症中的运用

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文章基于《金匮要略》中"若五脏元真通畅,人即安和"探析经方在抑郁症中的运用.抑郁症属于中医的情志病、郁证范畴.文章梳理《金匮要略》中与郁证相关的条文以及相关方药,结合相关中医文献进行深入理解,并分析临床医案加以佐证.五脏元气充盈和畅达是人体安和的先决条件,五脏相通,气血按照相生次序流通,相互资生,若某一脏元真亏损,则虚处留邪,邪气会影响其所胜之脏.《金匮要略》中所述情志疾病,其病位在脏,五脏元真不充盈、不通畅是病机所在,故对于神志异常治宜从补和疏入手.文章通过两则医案分别阐述临床运用经方的所感所悟,对四逆散、百合类方、柴胡加龙骨牡蛎汤和甘草干姜汤做了方药分析,并概述了虫类药物的使用范畴和优势病证.神志病已经给人类健康和社会带来了不可忽略的损失,中医药治疗神志病具有绝对的优势,充分体现了中医药简便廉验的特点.
The clinical application of classical prescriptions in the treatment of depression based on the theory of"When the five viscera Yuanzhen is unobstructed,the body is harmony"
Based on the theory of"When the five viscera Yuanzhen(元真)is unobstructed,the body is harmony"in Jingui Yaolue(《金匮要略》),the clinical application of classical prescriptions in the treatment of depression is analyzed here.Depression belongs to the category of emotional disease and depression syndrome in traditional Chinese medicine.This paper reviews the items and prescriptions related to depression syndrome in Jingui Yaolue,combines with the relevant traditional Chinese medicine literature for in-depth understanding,and analyzes clinical medical cases to support.The full Yuanzhen and smooth vitality of five viscera is the prerequisite for human body peace and harmony,when the five viscera are unobstructed,Qi(气)and blood in the body circulate in accordance with the order of mutual growth.When Yuanzhen in a certain viscus is deficient,the evil will be remained in the deficiency organs and affect the organ it conquers.The diseases described in Jingui Yaolue are located in the viscera.Unreplenished and obstructed Yuanzhen of the five viscera is the pathogenesis,which causes abnormal consciousness,the treatment should start from the aspects of supplement and unchoking.Based on two medical cases,this paper expounds the perception and enlightenment of the clinical application of classical prescriptions,analyzes the classical prescriptions such as Sini San(四逆散),Baihe(Bulbus Lilii)-ralated prescriptions,the Chaihu Longgu Muli decoction(柴胡加龙骨牡蛎汤),and the Gancao Ganjiang decoction(甘草干姜汤),and briefly summarizes the medication scope and dominant diseases of insect drugs.Psychosis has brought great losses to human health and society.Traditional Chinese medicine has absolute advantages in treating psychosis,which fully embodies the characteristics of simple and inexpensive testing of traditional Chinese medicine.

Classic of traditional Chinese medicineClinicClassical prescriptionDepressionMedical case

潘赐明、任雪、刘妤、刘耶露、刘宗雳、王为

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云南中医药大学名医馆,云南 昆明,650500

云南医药健康职业学院,云南 昆明,650106

上海中医药大学,上海,201203

安徽省第二人民医院,安徽 合肥,230000

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中医经典 临床 经方 抑郁 医案

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(28)