再论“郁证”与阳虚的关系  

Further discussion of the relationship between “stagnation” and yang deficiency

作　　者：傅沈康 李丹[1] 任路[1] 

机构地区：[1]辽宁中医药大学,沈阳110032

出　　处：《中国中医基础医学杂志》2013年第12期1388-1389,共2页JOURNAL OF BASIC CHINESE MEDICINE

基　　金：沈阳市科技局应用基础研究专项(F13-318-1-67);辽宁省自然科学基金资助项目(2013020179);国家科技部"973"分课题(2010CB530401);辽宁省教育厅科学研究一般项目(L2012339);辽宁省科技攻关项目(2009225010-36);辽宁省百千万人才项目(2009921032)

摘　　要：历代医家气多以"肝气郁结"来解释郁证病机,忽略了阴盛阳虚脏腑功能低下造成气机郁滞,而气机郁滞又进一步加重脏腑功能低下这一恶性循环式的基本病机。本文着重介绍了中医对阳虚和郁证之间关系的认识,结合临床实践与科学实验提出了阳虚是郁证核心病机的观点,并强调在护阳的基础上,中医辨治郁证,应当首重阳气,通过振奋阳气来治疗郁证。In history, traditional Chinese doctors thought ＂the stagnation of Qi in liver ＂is the basic theory to explain the pathogenesis of depression syndrome. It is easy for them to ignore that Yin Excess and Yang Deficiency could cause viscera hypo-function,and viscera hypo-function could also cause depression and stagnation of Qi. On the other hand, the depression and stagnation of Qi could further damage viscera,and increases the degree of viscera hypo-function. It seems like a vicious circle. This paper introduces the TCM understanding of the relationship between Yang Deficiency and depression syndrome. It combines with clinical practice and scientific experiment to present Yang deficiency is the core pathogenesis of depression syndrome. The paper points out that base on protecting Yang Qi, the TCM syndrome differentiation to depression syndrome should pay attention to Yang Qi; and the treatment should focus on increasing the activities of Yang Qi.

关 键 词：郁证 阳虚 气机 

分 类 号：R749.4[医药卫生—神经病学与精神病学]