仝小林院士态靶辨治重度抑郁验案一则  

A case study on the treatment of severe depression by Academician Tong Xiaolin based on the"reinforcing yang and dispelling haze"theory

作　　者：杨浩宇 韦宇 谢鹏飞 周凌 燕艳 YANG Haoyu;WEI Yu;XIE Pengfei;ZHOU Ling;YAN Yan(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]中国中医科学院广安门医院,北京100053

出　　处：《吉林中医药》2024年第12期1437-1439,共3页Jilin Journal of Chinese Medicine

基　　金：中国中医科学院广安门医院临床医学研究中心建设专项(2022LYJSZX01)。

摘　　要：抑郁症是一种常见的慢性精神疾病,目前主要通过抗抑郁药物治疗,但药物副作用常导致患者中断治疗。仝小林院士首次提出“诸颓抑郁,易感易疲,皆属于霾”,提出抑郁症属于“霾”病,病机主要为阳气不足。本案是仝小林院士采用“扶阳散霾”理论,态靶辨治重度抑郁患者一例,疗效显著。在治疗过程中,仝小林院士根据患者处于“寒态、虚态”,治疗中采用淫羊藿、黄芪、鸡血藤等药物调节阳气,结合大剂量川黄连、知母、赤芍降血糖,并辅以生姜温胃,逐步改善患者的综合症状。仝小林院士通过补阳调态,使患者情绪大幅度好转、血糖下降,显示出中医“扶阳散霾”在抑郁症治疗中的潜力和优势。Depression is a common chronic mental illness.At present,it is primarily treated with antidepressants,but their side eff ects often lead to patients interrupting treatment.Academician Tong Xiaolin first proposes categorizing depression as a"haze"disease with a core pathogenesis of insufficient yang qi.This case report presents a patient with severe depression who is successfully treated by Academician Tong Xiaolin using the theory of"reinforcing yang and dispelling haze",based on the diff erentiation of her states and targets.During the treatment,Tong Xiaolin interferes with the patient's"cold state and deficient state"with herbs such as epimedium herb,milkvetch root,and suberect spatholobus stem to regulate yang qi,coupled with high-dose Chuanlian,common anemarrhena rhizome,and peony root to lower blood sugar,and supplemented with fresh ginger to warm the stomach,gradually improving the patient's overall symptoms.By reinforcing yang qi and adjusting states,the patient's mood improves significantly,and his blood sugar levels decrease,demonstrating the potential and advantages of the traditional Chinese medicine theory of"reinforcing yang and dispelling haze"in the treatment of depression.

关 键 词：重度抑郁 阳气不足 淫羊藿 寒态 仝小林 

分 类 号：R277.7[医药卫生—中医学]