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作 者:陈一铭 张金波 CHEN Yiming;ZHANG Jinbo(First Clinical Medical School,Shandong University of Traditional Chinese Medicine,Jinan,Shandong,China,250013;Traditional Chinese Medicine Hall,Yantai Hospital of Traditional Chinese Medicine,Yantai,Shandong,China,264013)
机构地区:[1]山东中医药大学第一临床医学院,山东济南250013 [2]烟台市中医医院国医堂,山东烟台264013
出 处:《河南中医》2024年第11期1688-1692,共5页Henan Traditional Chinese Medicine
基 金:国家中医药管理局科研基金项目(GZY-KJS-SD-2023-015)。
摘 要:张金波教授认为,抑郁症的总体病机虽为肝气郁结,但病机关键在于腠理玄府闭塞不通,气机阻滞。肺肝在生理及病理上息息相关,肺气宣发肃降腠理玄府有序,有利于肝气的升发条达,肝气的正常疏泄反过来又能促进肺气宣发肃降腠理玄府。张教授将脏腑理论与“玄府-腠理”体系相结合,运用解表宽中法治疗肝气郁结型抑郁症,治则为宣发腠理,解郁安神,方用越鞠丸加麻黄,在疏肝的同时,灵活运用解表药宣通肺腠理玄府,恢复肺正常宣发肃降功能,调畅气机,能够有效缓解抑郁症,达到解表宽中的目的。Professor Zhang Jinbo believes that although the overall pathogenesis of depression involves liver qi stagnation,the key lies in the obstruction of sweat pores and interstitial striae,which leads to stagnation of the qi movement.The lung and liver are closely related in both physiological and pathological aspects.When lung qi disperses and descends in an orderly manner through the sweat pores and interstitial striae,it aids the smooth flow of liver qi.Conversely,the normal dispersing and draining functions of liver qi promote lung qi′s ability to disperse and descend.Professor Zhang combines the theory of zang-fu organs with the"sweat pore-interstitial striae"system and applies the exterior-releasing and middle-soothing method to treat depression due to liver qi stagnation.The treatment principle is to ventilate the interstitial striae,relieve depression,and calm the mind.He uses Constraint-Resolving Pills plus Mahuang(Herba Ephedrae)to soothe the liver while flexibly incorporate exterior-releasing drugs to ventilate the lung′s interstitial striae and sweat pores,restore the lung′s normal dispersing and descending functions,regulating qi flow,and effectively alleviating depression.This achieves the goal of releasing the exterior and soothing the middle.
关 键 词:抑郁症 肝气郁结证 解表宽中法 “玄府-腠理” 越鞠丸 张金波
分 类 号:R259.494[医药卫生—中西医结合]
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