血管性抑郁症病机证治探讨  

Discussion of vascular depression on pathogenesis and syndrome-treatment

作　　者：张晓南[1] 黄世敬[1] 

机构地区：[1]中国中医科学院广安门医院中药研发中心,北京硕士研究生100053

出　　处：《环球中医药》2013年第6期465-468,共4页Global Traditional Chinese Medicine

基　　金：国家自然科学基金项目(No.81072801);北京市中医管理局项目(NO.JJ2011-84)

摘　　要：旨在探讨血管性抑郁的病机证治特点,通过文献检索并结合临床经验,总结其核心病机为虚气留滞,病变脏腑主要为肝脾肾,证型为肝郁脾虚,肝肾阴虚,脾肾阳虚,瘀热互结四型,提出培元开郁法是其主要治疗原则,包括益气开郁法,温阳开郁法,养血开郁法,滋阴开郁法,对各型证治进行解释说明举例分析,并特别深入探讨了益气开郁法的应用,以供临床正确辨治血管性抑郁提供参考。Through the way of relative document retrieval and combining with clinical experience, it＇s aid to discuss the pathogenesis and syndrome-treatment of Vascular Depression, and we concluded that the center pathogenesis of VD were Qi deficiency and constraint, the relative viscera being the liver, the spleen and the kidney, The four patterns being liver stagnation and spleen deficiency ,liver-kidney Yin defi- ciency ,spleen-kidney Yang deficiency,blood and heat accumulation. Also therapy law were came up -culti- vating the Yuan and clearing the blockage, which contains invigorating Qi ,wanning Yang,nourishing Blood and Yin while clearing. It is trying to give explanation for all the styles with examples, especially invigorat- ing Qi and clearing blockage manner, so as to guide the clinical application.

关 键 词：血管性抑郁 病机 虚气留滞 辨论论治 培元开郁法 

分 类 号：R74[医药卫生—神经病学与精神病学]