从心论治抑郁症研究概述  

General Situation of Treatment for Depression from the Heart

作　　者：林晨[1,2] 刘兰英 LIN Chen;LIU Landing

机构地区：[1]浙江中医药大学,浙江杭州310053 [2]宁波市第一医院心身病房,浙江宁波315000 [3]浙江省立同德医院精神卫生科,浙江杭州310000

出　　处：《新中医》2020年第1期15-18,共4页New Chinese Medicine

基　　金：浙江省中医药防治重大疾病攻关计划项目（2018ZY002）

摘　　要：中医认为抑郁症多由情志所伤,与心密切相关,以心主神明、心主血脉的功能失常以及脏腑气血阴阳失调为基本病机。临床治疗以养心安神为主,配合益气、补血、滋阴、健脾、疏肝、活血法治疗抑郁症疗效肯定。基础研究进一步证实养心安神法能改善抑郁症动物行为学等方面的异常,其作用机制与神经-内分泌-免疫系统密切相关。从心论治抑郁症有坚实的理论、临床及基础研究的支持,值得推广应用。Objective: From the perspective of Chinese medicine, depression is mainly resulted from emotions and is closely related to the heart. Its basic pathogenesis is the dysfunction of the heart governing bright spirit and blood vessels as well as qi-blood and yin-yang disharmony in viscera and bowels. The clinical treatment for depression mainly focuses on nourishing the heart to calm the mind,and combines with methods to tonify qi and blood,nourish yin,fortify the spleen,smooth the liver and activate blood,which has definite curative effect. The method of nourishing the heart to calm the mind is further proved by basic researches to improve the abnormalities of ethology and other aspects of patients with depression,whose mechanism is closely related to the nervous-endocrine-immune system. The treatment for depression from the heart is strongly supported by theory,clinical practice and basic research,which is worthy of promotion and application.

关 键 词：抑郁症 从心论治 养心安神 神经-内分泌-免疫系统 文献综述 

分 类 号：R749.41[医药卫生—神经病学与精神病学]