盛蕾教授运用柴胡疏肝散联合重复经颅磁刺激疗法治疗卒中后抑郁经验撷英  

Professor SHENG Lei’s experience of treating post-stroke depression with Chaihu Shugan San plus repetitive transcranial magnetic stimulation

作　　者：周楠[1] 陈权 胡丹[1] 盛蕾[1] ZHOU Nan

机构地区：[1]南京中医药大学第二附属医院,江苏南京210017 [2]南京中医药大学附属医院,江苏南京210029

出　　处：《中医临床研究》2022年第2期90-93,共4页Clinical Journal Of Chinese Medicine

基　　金：国家自然科学基金青年基金(81904136);江苏省卫生计生委科研课题(Z2018005);南京中医药大学第二附属医院科研基金资助项目(SEZ2019004)。

摘　　要：卒中后抑郁是发生于脑卒中后以情绪低落、兴趣减退、睡眠障碍等为主要特征的情感障碍性疾病,临床发病率高,常规抗抑郁药治疗卒中后抑郁疗效局限性较多,中医药治疗可发挥一定优势。文章通过重点阐述卒中后抑郁的现代医学认识、中医核心病机、柴胡疏肝散与重复经颅磁刺激疗法治疗本病的作用机制,总结盛蕾教授治以内调气机、外醒脑神为治疗大法,运用柴胡疏肝散加减联合重复经颅磁刺激治疗卒中后抑郁的临床经验,以期指导临床应用。Post-stroke depression is an affective disorder.It occurs after a stroke.Its main characteristics include depression,loss of interest,sleep disorders,etc.,and its clinical incidence is high.Conventional antidepressants have poor efficacy in treating post-stroke depression,and traditional Chinese medicine has advantages.In this article,the modern medical understanding of post-stroke depression,the core pathogenesis of TCM,the mechanism of action of Chaihu Shugan San(柴胡疏肝散)plus repetitive transcranial magnetic stimulation on post-stroke depression was elucidated.Internal coordinating Qi(气)movement and external restoring consciousness vitality was regarded as the basic treatment method.Professor SHENG Lei’s clinical experience of treating post-stroke depression with Chaihu Shugan San plus repetitive transcranial magnetic stimulation was summarized,in order to guide clinical application.

关 键 词：卒中后抑郁 柴胡疏肝散 重复经颅磁刺激疗法 

分 类 号：R749.4[医药卫生—神经病学与精神病学]