从“郁病多杂”论治亚健康  

An Analysis of Sub-health from the Perspective of "Depression with Miscellaneous Syndromes"

作　　者：周丽平[1] ZHOU Li-ping(Nanjing University of Chinese Medicine,Nanjing,Jiangsu,China,210029)

机构地区：[1]南京中医药大学,江苏南京210029

出　　处：《河南中医》2022年第2期195-197,共3页Henan Traditional Chinese Medicine

摘　　要：亚健康与郁病密切相关,首先,亚健康是一种以不同症状组合出现的症状集合,与郁病之诸种证候群有多处重叠,二者病因有多处交叉。其次,二者临床症状不仅繁杂多变、难以辨别,而且涉及周身上下、多个系统,常无实质性病变,难以具体定位、定性。最后,二者确有相通之处,郁病大多迁延难愈,耗损正气,久病入络,气血不调,易衍生、兼夹他邪,多因复合,甚则变生内毒(癌毒),难以调治。亚健康病性以实证居多,久者可见虚实夹杂证和虚证,治疗以畅通气机、改善症状为重点,既要清脏腑之郁火,又需注意火热之邪易伤阴化燥,兼顾润燥。根据病情灵活运用理气化浊法、降火润燥法、解郁调神法,补虚扶正法。同时,对亚健康日久入络,正虚络瘀者,可酌情加用凉血化瘀药。Sub-health is closely related to depression.Firstly,sub-health is a collection of symptoms with different symptom combinations,which overlaps with various syndrome groups of depression,and the etiology of the two overlaps in many places.Secondly,their clinical symptoms are not only complex and difficult to distinguish,but also involve multiple systems around the body,often without substantive lesions,which is difficult to locate and characterize.Finally,there is something in common between the two.Depression diseases are mostly protracted and difficult to heal,consume healthy qi,enter the collaterals for a long time,and the qi and blood are not coordinated.It is easy to derive other pathogens and combine with other ones.Due to multiple causes,they even become internal toxin(cancer toxin)and are difficult to be treated.The majority of sub-health diseases are manifested as excess syndrome,and for a long time,it can be seen that there are deficiency syndrome and excess syndrome in complexity,and deficiency syndrome.The treatment focuses on ventilating qi movement and improving symptoms,not only clearing the stagnated fire in the viscera,but also paying attention to the pathogen of fire and heat,which is easy to hurt yin and resolve dryness,and giving consideration to moistening dryness and nourishing yin fluid of the body.According to the patient′s condition,the methods of regulating qi and removing turbidity,reducing fire and moistening dryness,relieving depression and regulating mind,tonifying deficiency and strengthening the healthy qi should be flexibly used.At the same time,for patients with long-time sub-health which enters the collaterals with deficient healthy qi and blocked collaterals,drugs for cooling blood and removing blood stasis can be appropriately added.

关 键 词：亚健康 郁病 “郁病多杂” 理气化浊法 降火润燥法 解郁调神法 补虚扶正法 

分 类 号：R256.49[医药卫生—中医内科学]