难治性抑郁症的阴证机转及方药证治探析  

Analysis of the Yin Syndrome Mechanism and Traditional Chinese Medicine Treatment of Refractory Depression

作　　者：王哲 李良松 WANG Zhe;LI Liangsong(Beijing University of Traditional Chinese Medicine,Beijing 102488,China)

机构地区：[1]北京中医药大学国学院,北京102488

出　　处：《四川中医》2024年第3期29-32,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：国务院台湾事务办公室台湾中医药研究基地建设项目(国台七字[2017]170号)。

摘　　要：人体本气亏虚,抗邪能力衰弱,长期服药,失治误治,邪进正退遂成阴证。难治性抑郁症迁延反复,久受药害,阴盛阳衰,邪陷神机,符合《伤寒论》由阳化阴、由表入里、由热生寒、由实转虚的阴证病机演变规律。本文针对难治性抑郁症阴证机转表现出的欲解时、阳虚烦躁、寒热真假等辨证要点,采用温补、温潜、温清、温散的治疗方法,遵循异病同治的原则,指导难治性抑郁症的方药证治。Due to the deficiency of the human body's original qi,the ability to resist evil is weakened.If taken for a long time,it may lead to mistreatment,leading to the formation of yin syndrome.Refractory depression persists and is repeatedly affected by medicine for a long time,causing yin to rise and yang to decline,and evil to sink into the divine mechanism.This is in line with the evolution law of the yin syndrome pathogenesis in the Treatise on Cold Damage,which is characterized by the transformation of yang into yin,the entry of external factors into internal factors,the generation of cold from heat,and the transformation of excess into deficiency.In response to the syndrome differentiation points of difficult to treat depression,such as the desire to relieve symptoms,yang deficiency and irritability,and true or false cold and heat,the treatment methods of warming and tonifying,warming and latent,warming and clearing,and warming and dispersing are adopted.The principle of treating different diseases simultaneously is followed to guide the prescription and treatment of difficult to treat depression.

关 键 词：难治性抑郁症 阴证 欲解时 异病同治 温法 

分 类 号：R749.41[医药卫生—神经病学与精神病学]