基于扶阳理论探讨卒中后抑郁的辨治  

Discussion on the Identifying and Treatment of Post-stroke Depression Based on Fuyang Theory

作　　者：王欣欣[1] 柏强 WANG Xinxin;BAI Qiang(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China;不详)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院

出　　处：《中外医学研究》2025年第7期172-176,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：《医理真传》提出:“阳者阴之根也,阳气充足,则阴气全消,百病不作”,调节和保持相对的阴阳平衡是中医诊治疾病的根本大法。本文基于扶阳理论,根据整体观念进行辨治,认为卒中后抑郁的病因病机是以心脑神机失用,肾虚为本;肝脾失温,痰浊瘀血为标。因此,通过温阳开郁,调畅神机;通阳化浊,豁痰化瘀为治则治法,使人体阳气正常发挥调养气血、通畅气机、温煦脏腑、排泄浊毒等功能,进而达到阴平阳秘的机体状态,再借扶阳理论采取未病先防调理体质干预本病发生,以期为临床治疗和预防卒中后抑郁提供理论参考和论治思路。As stated in The True Biography of Medical Science,"Yang is the root of Yin,and if Yang is sufficient,Yin will be eliminated and all diseases will be prevented",and regulating and maintaining the relative balance of Yin and Yang is the fundamental method of diagnosing and treating diseases in traditional Chinese medicine.Based on the theory of supporting Yang and the overall concept of diagnosis and treatment,this paper considers that the etiology and pathogenesis of post-stroke depression is based on the failure of the heart and brain's divine mechanism,with kidney deficiency as the root cause,and the loss of warmth in the liver and spleen,with phlegm and stasis of blood as the target cause.Therefore,this treatment is based on the principle of warming Yang and opening up depression,regulating the divine mechanism,promoting Yang and removing turbidity,and exempting phlegm and removing blood stasis,so as to make the human body's Yang Qi play the functions of regulating Qi and blood,promoting Qi,warming the viscera and excretion of turbid toxins and thus achieve the state of Yin and Yang,then the theory of Fuyang is used to take preventive measures to regulate the body's constitution to intervene in the occurrence of this disease,with a view to providing theoretical references and ideas of treatment for the clinical treatment and prevention of post-stroke depression.

关 键 词：卒中后抑郁 扶阳理论 病因病机 辨治思路 未病先防 

分 类 号：R24[医药卫生—中医临床基础]