论抑郁症“虚气流滞”病机  

Pathogenesis of“deficient-qi induced stagnation”in depression

作　　者：郭蓉娟[1] GUO Rongjuan(Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China)

机构地区：[1]北京中医药大学东方医院,北京100078

出　　处：《北京中医药大学学报》2023年第1期5-11,共7页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家自然科学基金重点项目(No.U21A20401);国家自然科学基金项目(No.81874422);北京市自然科学基金项目(No.7202120);北京中医药大学重点攻关项目(No.2020-JYB-ZDGG-121)。

摘　　要：中医对抑郁症病因病机的研究尚不完善,目前多从“肝郁”论治,但不能全面反映和概括抑郁症病机及临床证候特点。笔者在王永炎院士提出的“虚气流滞”病机理论指导下,深入剖析了抑郁症“虚气流滞”创新病机特点,详细阐述了本病以“虚气”为本,以“流滞”为标,气郁为先、痰阻为渐、血瘀为著的病机演变规律,指出“虚气”与“流滞”具有相因积损、恶性循环的特点,为抑郁症执简驭繁地辨“机”论治提供理论依据,为中医药防治抑郁症提供新的思路。The research on the etiology and pathogenesis of depression in traditional Chinese medicine is still incomplete,and the current treatment of“liver depression”does not fully reflect its pathogenesis and clinical symptoms.Here,under the guidance of the“deficient-qi induced stagnation”innovative pathomechanism theory proposed by the academician Wang Yongyan,we conducted an in-depth analysis of the pathogenesis of depression,before elaborating on it using“deficient-qi”as the root,“stagnation”as the symptom,“qi depression”as the first,“phlegm obstruction”as the gradual,and“blood stasis”as the focus.Our result highlight that“deficient-qi”and“stagnation”have the characteristics of mutual causation and vicious circle.These findings provide a theoretical basis for the treatment of depression by identifying the“mechanism”,and provides a new way of thinking for the prevention and treatment of depression in the context of traditional Chinese medicine.

关 键 词：抑郁症 创新病机 虚气流滞 元气亏虚 气血津液 

分 类 号：R277.7[医药卫生—中医学]