卒中后焦虑抑郁共病病机及异病同治治法探讨  

Pathogenesis of Post-stroke Comorbid Anxiety and Depression and Discussion on Treatment Method of Treating Different Diseases with Same Therapy

作　　者：李海涛 徐美玲 徐向青[1] LI Haitao;XU Meiling;XU Xiangqing(Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China;Shandong University of Traditional Chinese Medicine,Jinan 250355,China)

机构地区：[1]山东中医药大学附属医院,山东济南250014 [2]山东中医药大学,山东济南250355

出　　处：《山东中医药大学学报》2023年第5期603-606,共4页Journal of Shandong University of Traditional Chinese Medicine

基　　金：山东省中医药科技发展计划项目(编号:2019-0173);山东省名老中医药专家传承工作室建设项目(批文号:鲁卫中发展字〔2018〕1号);第四批全国中医优秀临床人才研修项目(编号:J20184832009)。

摘　　要：卒中后焦虑抑郁共病(PSCAD)是卒中后常见并发症,患者同时存在焦虑障碍及抑郁障碍,可归属于中医郁病范畴。深入探讨郁病的理论渊源、病因病机及异病同治治法,认为PSCAD的发生与心、肾两脏密切相关,瘀血阻络、神失所养为发病基础,肾虚志衰、心肾不交为发病关键。治疗以异病同治为主要指导原则,活血通脉、益肾强志、清心解郁,一法同治卒中后焦虑、抑郁。Post-stroke comorbid anxiety and depression(PSCAD)is a common complication after stroke.Patients with both anxiety disorder and depression disorder can be classified into the category of depression in traditional Chinese medicine.This paper discusses the theoretical origin,etiology and pathogenesis of depression as well as the treatment method of treating different diseases with the same therapy.It holds that PSCAD is closely related to heart and kidney.Blood stasis obstructing collaterals leading to disturbed mind is the pathogenesis basis.Kidney deficiency and will declining,non-interaction between heart and kidney are the pathogenesis key.Treating different diseases with the same therapy as the main guiding principle,promoting blood circulation and activating pulse,replenishing kidney and strengthening will,clearing heart and relieving depression,are the methods of treating both post-stroke anxiety and depression.

关 键 词：卒中后焦虑抑郁共病 瘀血阻络 神失所养 肾虚志衰 心肾不交 异病同治 

分 类 号：R255.2[医药卫生—中医内科学]