抑郁症与胆阳  

Depression and Gallbladder Yang

作　　者：孙卉 张题培 陈建[1] SUN Hui;ZHANG Ti-pei;CHEN Jian(Fujian University of TCM, Fuzhou, Fujian, China, 350122)

机构地区：[1]福建中医药大学,福建福州350122

出　　处：《河南中医》2018年第5期665-667,共3页Henan Traditional Chinese Medicine

基　　金：福建省自然科学基金项目(编号:2016J01400)

摘　　要：抑郁症的症状多晨重夜轻,这是因为清晨少阳阳气开始生发,五脏六腑需要借助少阳阳气才能展开新一轮的人体活动,抑郁症患者胆阳不足,无以支撑其消耗的阳气,故清晨疲乏无力,思维迟钝,症状加重,夜晚阳气内收,机体的功能活动也趋于平稳,耗能减少,故症状得以缓解。由此可知,抑郁症与胆阳关系尤为密切。抑郁症的证型,胆郁痰扰证较为多见,即胆阳亏虚,胆气不得浮越,胆汁疏泄功能失职,致使痰浊内生,上扰清窍,病人出现疲劳无力、反应迟钝、心情低落、常感郁闷等症状,即导致安静型抑郁症的发生。若痰浊之邪日久化热,病人还会出现烦躁不安,精神狂乱等症,即躁狂型抑郁症的发生。由此可知,无论是安静型抑郁症还是躁狂型抑郁症,胆阳亏虚是其本质。Most of the symptoms of depression are light in the morning. Because in early morning,young qi of shaoyang begins to send up,the five zang-organs and six fu-organs and six organs need the depend on young qi of shaoyang to carry out a new round of human activity. Depression patients have insufficient gallbladder yang to support their consumption of yang qi,so they are tired,mentally retarded,and their symptoms become worse in the morning. At night,due to yang qi adduction,the body＇s function activities also tend to be stable,energy consumption is reduced,so the symptoms can be relieved. It can be seen that the relationship between depression and gallbladder yang is particularly close,and in clinical practice the basic principle is warming gallbladder and supporting yang combined with calming the nerves and relieving depression,removing phlegm for resuscitation. Indeed,a more ideal effect has been achieved. This article is meant to explore new TCM ideas and new treatments for depression.

关 键 词：抑郁症 胆阳 胆 柴桂温胆定志汤 

分 类 号：R277.749.41[医药卫生—中医学]