中风后抑郁症病机浅析  

Analysis of pathogenesis of post-stroke depression

作　　者：王婷婷[1] 王旭慧[2] 

机构地区：[1]天津中医药大学研究生院,300193 [2]天津中医药大学第一附属医院针灸科

出　　处：《中华针灸电子杂志》2013年第2期31-33,共3页Chinese Journal of Acupuncture and Moxibustion（Electronic Edition）

摘　　要：中风后抑郁症是脑卒中后常见的并发症之一，乃“郁证”与“中风”之合病，是在中风病基础上而发病。故中风后抑郁症属“因病而郁”，脏腑虚衰是本病病理基础、尤以肾虚为先，其基本病机是脑神失调、肝失疏泄，病位在脑、肝，涉及心、脾、肾。其病理性质多属本虚标实。因此，确立其治疗原则为调神疏肝，调神是疏肝的基础，疏肝有助于调神，两者不可分割。Post-stroke depression is one of the most common complications after stroke, which is one simultaneous onset of melancholia and stroke. The melancholia is a disease on the basis of stroke. Therefore, post-stroke depression is caused by the illness. The pathological basis of post-stroke depression is viscera virtual failure, especially the kidney deficiency. The basic pathogenesis of post-stroke depression is the dysfunction of the brain to tranquilize the mind, dysfunction of liver Qi. The location of the disease is in the brain and liver, involved in the heart, spleen and kidney. Its pathological properties are asthenia in origin and excess in superficiality. Therefore, the principle of treatment is to tranquilize the mind and disperse the depressed liver. The tranquilizing the mind is the foundation of soothing the liver. Dispersing depressed liver is helpped tranquilize the mind. The two are inseparable.

关 键 词：抑郁症 卒中 病机 

分 类 号：R255.2[医药卫生—中医内科学]