基于《脾胃论》思想探析抑郁症  

Analysis of Depression Based on Thought from Treatise on Spleen and Stomach

作　　者：滕晶[1] 张玺震 TENG Jing;ZHANG Xizhen(Shandong University of Traditional Chinese Medicine,Jinan 250355,China)

机构地区：[1]山东中医药大学,山东济南250355

出　　处：《山东中医杂志》2023年第6期541-544,共4页Shandong Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局第五批全国中医临床优秀人才研修项目(批文号:国中医药人教函〔2022〕1号);山东省2019-2020年度中医药科技发展计划项目(编号:2019-0038);山东省中西医结合专病防治项目:抑郁障碍防治项目(编号:YXH2019ZXY006)。

摘　　要：运用李东垣《脾胃论》的“内伤脾胃,百病由生”“脾胃受损,升降失调”等精华思想,对抑郁症的发病机制和辨治进行深入拓展性思考和实践,提出脾胃功能失衡是抑郁症产生与发展的关键之一,治疗上应注重调理脾胃功能的平衡,以“补不足,损有余,复升降”等为调平原则,紧扣脾胃功能失常引发的诸多变化论治抑郁症,充分调动和恢复脾胃在形神共调中的重要作用,使情畅、神旺、体健,从而恢复机体“形与神俱”的正常生命状态。Based on the essence of Treatise on Spleen and Stomach by LI Dongyuan,such as“internal injury of spleen and stomach leading to various diseases”and“damage to spleen and stomach leading to imbalance of ascending and descending”,extensive contemplation and practice are conducted in-depth on the disease mechanism,differentiation and treatment of depression.It is proposed that the imbalance of spleen and stomach function is one of the key factors for the occurrence and development of depression.Therefore,in treatment,attention should be paid to regulating the balance of the functions of the spleen and stomach,with“tonifying the deficiencies,purging the excess,and recovering the ascending and descending”as the balancing principle,to treat depression by aiming at various changes caused by the dysfunction of spleen and stomach.The important role of spleen and stomach in the coordination of body and spirit should be emphasized to harmonize mood,stimulate spirit and promote health,so as to restore the normal life state of the body,“body and spirit in harmony”.

关 键 词：抑郁症 《脾胃论》 脾胃功能失衡 调和脾胃 形神共调 李东垣 

分 类 号：R277.749.4[医药卫生—中医学]