抑郁症“三期五脏十候”的中医诊疗模式探讨  

Discussion on traditional Chinese medicine treatment models of depression named ＂three phases, five internal organs and ten syndromes＂

作　　者：王建军[1,2] 孔繁鑫[3] 林松俊[2] 刘璇[2] 李晋芳[2] 刘红敏[2] 虢周科[1,2] Wang Jianjun;Kong Fanxin;Lin Songjun;Liu Xuan;Li Jinfang;Liu Hongmin;Guo Zhouke(Department of Neurology and Psychology, the Fourth Clinical College/Shenzhen Hospital of Chinese Medicine, Shenzhen 518033, China)

机构地区：[1]广州中医药大学第四临床医学院,深圳518033 [2]广东省深圳市中医院脑病心理科,深圳518033 [3]广州中医药大学,510006

出　　处：《国际中医中药杂志》2018年第6期481-485,共5页International Journal of Traditional Chinese Medicine

基　　金：深圳市科创委自由探索项目（JCYJ20170307154620600）;深圳市科创委学科布局（JCYJ20160428174825490）;广东省中医药局建设专项（201707060738）

摘　　要：在传承基础上以＂五脏神＂为理论基础,总结抑郁症3个典型病期的病机传变规律,形成包括中药、针灸及中医特色心理干预在内的捆绑式分期治疗单元,形成扶正祛邪兼顾、主被动治疗统一、躯体治疗与心理治疗协调的分期序贯治疗方案;同时,通过回顾性分析,形成以＂证素因子＂为模型的10个典型证候规范,构成抑郁症＂三期五脏十候＂的辨证体系,使抑郁症的辨证论治更系统、规范、统一,促进中医药治疗抑郁症的经验、方法及时总结及传承.Based on the inheritance, the research group summarized the transmissive pathogenesis of depression in three typical stages, formulating the stepward treatment units which included Chinese medicine, acupuncture and TCM characterized psychotherapy, and formed a sequential treatment plan that balanced the principle of strengthening healthy Qi to eliminate pathogens, active and passive treatment, physical therapy and psychotherapy. Based on the retrospective analyses, ten typical clinical syndromes have been formed, constituting the pattern differentiation of ＂Three Phases, Five internal organs and Ten syndromes＂ for depression, which sysmatically showed the TCM syndrome differentiation. This work promoted the experiences and methods of treating depression by Chinese medicine.

关 键 词：抑郁症 中医药 三期五脏十候 分期辨证 五脏神 

分 类 号：R277.7[医药卫生—中医学]