老昌辉中西医结合治疗郁证经验介绍  

Introduction of LAO Changhui's Experience in Treating Depression Syndrome with Integrated Chinese and Western Medicine

作　　者：郑梦雪 戴红芳 老昌辉(指导) ZHENG Mengxue;DAI Hongfang;LAO Changhui(Guangdong Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Guangzhou University of Chinese Medicine,Foshan Guangdong 528200,China)

机构地区：[1]广州中医药大学附属广东中西医结合医院,广东佛山528200

出　　处：《新中医》2024年第20期236-240,共5页New Chinese Medicine

摘　　要：介绍老昌辉教授中西医结合治疗郁证的临床经验。老昌辉教授认为,郁证发病病因以肾之精气亏虚为本,情志不遂为诱因。病位在肝、脾,久病可及心、肾,为本虚标实之证。辨病要点为其主诉症状及舌苔。治疗全程中西药相结合,攻补兼施。前期或轻症,治以疏肝解郁为主,以逍遥散为主方加减;中期治以平调寒热阴阳为主,以半夏泻心汤加减为主;后期治以补益气血、肝肾,固护其本,以归脾汤或肾气丸为主。中药治疗旨在固本及减少西药的不良反应,配合口服西药的治疗方案贯穿全程,两者结合,提高患者依从性及临床疗效。This paper introduces Professor LAO Changhui's clinical experience in treating depression syndrome with a combination of Chinese and western medicine.Professor LAO Changhui believes that the cause of depression syndrome is primarily due to the deficiency of the kidney's essence and qi,with emotional distress as the triggering factor.The disease is located in the liver and spleen,and with prolonged illness,it can affect the heart and kidney,presenting a syndrome of deficiency in the root and excess in the branch.The key to diagnosis is the main complaint and tongue coating.The treatment involves a combination of Chinese and western medicine throughout the process,with both elimination and reinforcement.In the early stages or mild cases,the treatment mainly focuses on soothing the liver and relieving depression,with modifications to the main prescription of Xiaoyao Powder;in the middle stages,the treatment mainly focuses on mildly regulating cold and heat,yin and yang,with modified Banxia Xiexin Decoction as the main prescription;in the later stages,the treatment focuses on tonifying qi and replenishing blood,supplementing and boosting the liver and kidney,and protecting the root,with Guipi Decoction or Shenqi Pills as the main prescription.The aim of Chinese medicine treatment is to strengthen the root and reduce the adverse effects caused by western medicine,with the treatment plan of oral administration with western medicine throughout the process.The combination of the two improves patient compliance and clinical efficacy.

关 键 词：郁证 中西医结合疗法 疏肝解郁 平调寒热 补益气血 补益肝肾 老昌辉 

分 类 号：R249[医药卫生—中医临床基础]