韩为应用柴胡加龙骨牡蛎汤及其合方治疗抑郁症经验总结  

Professor HAN Wei's Clinical Experience in Treating Depression with Chaihu Longgu Muli Decoction

作　　者：许民栋 张利达 卢秋伶 郜丽 茅伟 韩为 XU Mindong;ZHANG Lida;LU Qiuling;GAO Li;MAO Wei;HAN Wei(Guangzhou Medical University Affiliated Brain Hospital,Guangdong Guangzhou 510000,China)

机构地区：[1]广州医科大学附属脑科医院,广东广州510000

出　　处：《中医药临床杂志》2024年第8期1444-1447,共4页Clinical Journal of Traditional Chinese Medicine

基　　金：广州市中医药临床核心技术建设项目(穗卫中医[2022]7号);广州市针灸医院“1+N”建设项目(穗卫函[2022]2644号);广州市科技计划项目(NO.2023A03J0855)。

摘　　要：抑郁症已经成为全球公共卫生难题,具体病理生理机制目前尚未明确,传统抗抑郁药物有诸多不良反应,越多证据表明中药对减轻抗抑郁药物副作用、改善抑郁症状效果显著。韩为教授专研仲景经方,守正创新,对经方治疗抑郁症有着独到的见解,认为抑郁症的主要病因是阴阳失调,阳气郁滞,失于宣发,不能濡养脑神,影响七情五志等神的活动。治疗上以和解少阳,调畅枢机为主,并确立柴胡加龙骨牡蛎汤为临床治疗抑郁症的主方,随证加减合方运用栀子厚朴汤、半夏厚朴汤、甘麦大枣汤、桂枝茯苓丸等,效果显著。Depression has become a global public health problem, and the specific pathological and physiological mechanisms of depression are currently unclear. Traditional antidepressants have many adverse reactions, and more evidence shows that traditional Chinese medicine has a significant effect on reducing the side effects of ant idepressants and improving depressive symptoms. Professor Han Wei dedicated to study the Zhongjing classic prescription. Adher-ing to integrity and innovation, with unique insights into the treatment of depression with classic prescription. Professor Han Wei blieving that the main cause of depression is yang qi depression and the Shaoyang Shuji not move smoothly. In terms of treatment, he advocates mainly reconciling Shaoyang and regulating the Shuji, the main prescription chosen are Chai Hu Jia Long Gu Mu Li Tang, coordinate Zhi Zi Hou Po Tang, Ban Xia Hou Po Tang, Gan Mai Da Zao Tang, Gui Zhi Fu Ling Wan when necessary.

关 键 词：柴胡加龙骨牡蛎汤 名医经验 抑郁症 调畅枢机 和解少阳 

分 类 号：R749[医药卫生—神经病学与精神病学]