从阳虚论治老年抑郁症  

TreatingSenile Depression Syndrome Based on Yang Deficiency

作　　者：赵娟 韦倩倩 常卓 林珊珊 周雪明[1] ZHAO Juan;WEI Qianqian;CHANG Zhuo(Heilongjiang University of Chinese Medicine,Harbin Heilongjiang 150040,China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040 [2]北京市昌平区中医医院,北京102200

出　　处：《四川中医》2024年第4期39-42,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：国家自然科学基金青年科学基金项目(编号:81803999);黑龙江省博士后科研启动基金(编号:LBH-Q21193);黑龙江省中医管理局科研项目(编号:ZHY18-071)。

摘　　要：老年抑郁症是老年时期以持续心境不佳为主要临床表现的精神障碍疾病。随着社会人口老龄化的进程加快,老年抑郁症的发病率逐年增高,严重影响老年人的生活质量。多数医家认为老年抑郁症的发病机制为肝失疏泄,治疗以疏肝解郁为主。然而,笔者结合其临床表现和老年人体质,从中医基础理论出发,查阅文献,认为老年抑郁症与人体阳气关系密切,其中以脾肾二脏阳虚为主,兼有痰凝、血瘀,治疗上应以温肾健脾为主,兼以滋阴,活血,祛痰凝。Senile depression is a mental disorder with persistent bad mood as the main clinical manifestation in the elderly.With the acceleration of the aging process of the social population,the incidence of geriatric depression is increasing year by year,seriously affecting the quality of life of the elderly.Most doctors believe that the pathogenesis of senile depression is liver dysfunction,and the treatment is mainly to soothe the liver and relieve depression.However,combined with the clinical manifestations and the physique of the elderly,starting from the basic theory of traditional Chinese medicine and consulting the literature,the author thinks that there is a close relationship between senile depression and yang-qi,including yang deficiency of spleen and kidney,phlegm coagulation and blood stasis.The treatment should be based on warming the kidney and invigorating the spleen,nourishing yin,promoting blood circulation,removing phlegm and coagulation.

关 键 词：老年抑郁症 阳虚 温肾健脾 

分 类 号：R749.41[医药卫生—神经病学与精神病学]