王庆其运用《内经》理论辨治郁证经验撷英  

Wang Qingqi’s experience in treating depression syndrome by using the theory of Huangdi Neijing

作　　者：赵心华[1,2] 王庆其[1,2] 夏梦幻 刘文平 鲍计章[3] ZHAO Xinhua;WANG Qingqi;XIA Menghuan;LIU Wenping;BAO Jizhang(School of Basic Medical Science,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Huangdi Neijing International Research Institute,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Department of Hematology,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200434,China)

机构地区：[1]上海中医药大学基础医学院,上海201203 [2]上海中医药大学《黄帝内经》国际研究院,上海201203 [3]上海中医药大学附属岳阳中西医结合医院血液科,上海200434

出　　处：《上海中医药杂志》2020年第4期72-76,共5页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局全国名老中医药专家传承工作室建设项目[国中医药人教发(2013)47号];国家自然科学基金项目(81774258);上海市教委科研项目(2019WK122);第六批全国老中医药专家学术经验继承人项目[国中医药人教发(2017)29号];上海中医药大学《黄帝内经》国际研究院科研项目(2019);杏林传承型人才培养计划项目(2019);中青年骨干教师教学能力提升资助计划项目(2018)

摘　　要：介绍王庆其教授运用《内经》相关理论辨治郁证的临床经验。认为郁证有广义和狭义之分;根据阴阳辨证,抑郁症属于阴证,焦虑症属于阳证;因郁证和脾的关系密切,提出了"情志相关性脾胃病"的理念,分为抑郁情绪相关性脾胃病、焦虑情绪相关性脾胃病和认知偏差相关性脾胃病三类;强调郁证的治疗遵循"木郁达之""火郁发之"、养心益肾的原则,自拟宣阳化痰开郁汤、栀子消虑汤、养心益肾定志汤临证加减治疗,并结合心理疗法,取得良效。This paper introduces the clinical experience of Professor Wang Qingqi in using the theory of Huangdi Neijing(Yellow Emperor’s Canon of Medicine) to distinguish and treat depression syndrome. Depression syndrome has broad and narrow sense. According to yin and yang syndrome differentiation, depressive disorder belongs to yin syndrome while anxiety disorder belongs to yang syndrome. Because of the close relationship between depression syndrome and spleen, the concept of "emotion-related spleen-stomach disease" is put forward, which is divided into three categories: depression-related spleen-stomach disease, anxiety-related spleen-stomach disease and cognitive bias-related spleen-stomach disease. It is emphasized that the treatment of depression syndrome follows the principle of "wood depression treated by relief therapy ", "fire depression treated by dissipating therapy" and nourishing the heart and tonifying the kidney. And in combination with psychotherapy, the treatment has achieved good results with self-made prescription such as Xuanyang Huatan Kaiyu decoction, Zhizi Xiaolyu decoction, Yangxin Yishen Dingzhi decoction.

关 键 词：郁证 《黄帝内经》 情志相关性脾胃病 抑郁症 焦虑症 名医经验 王庆其 

分 类 号：R249[医药卫生—中医临床基础] R277.7[医药卫生—中医学]