“血-脉-心-神”视域下产后抑郁的诊疗思路探析  

Analysis of diagnosis and treatment of postpartum depression from perspective of"blood-pulse-heart-spirit"

作　　者：林祥羽 岳斌 张作良 胡安鑫 王婉润 毛海燕[2] 白敏 武权生 LIN Xiangyu;YUE Bin;ZHANG Zuoliang;HU Anxin;WANG Wanrun;MAO Haiyan;BAI Min;WU Quansheng(Clinical School of Traditional Chinese Medicine,Gansu University of Chinese Medicine,Lanzhou,Gansu 730000,China;Department of Traditional Chinese Medicine,Gansu Provincial People's Hospital,Lanzhou,Gansu 730000,China)

机构地区：[1]甘肃中医药大学中医临床学院,甘肃兰州730000 [2]甘肃省人民医院中医科,甘肃兰州730000

出　　处：《上海中医药杂志》2025年第4期35-39,共5页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(81760879,82260949);甘肃省卫健委名中医传承工作室建设项目(甘卫中医函[2023]62号);甘肃省自然科学基金项目(23JRRA1751);甘肃省中医药管理局科研课题(GZKP-2023-21);甘肃省人民医院院内科研基金项目(23GSSYE-1);甘肃省中医药研究中心开放课题(zyzx-2023-09)。

摘　　要：以“心主血脉”与“心主神明”为理论指导,从血、脉、心与神的关系阐述情志病的发病机制。武权生教授认为“血-脉-心-神”功能失调是产后抑郁发病的关键,并从气虚血瘀、神机失用、五脏失和3个方面进行阐述,提出以益气养血、畅脉安神、和调五脏为治疗原则,分析中医药治疗产后抑郁的疗效优势,为中医药治疗产后抑郁提供参考。并附验案1则。Guided by the theory of"the heart dominates blood circulation and vessels"and"the heart controls mental activities",this paper expounds the pathogenic factors of emotional diseases from the relationship between blood,vessels,heart and mental.Professor Wu Quanshen points out that the dysfunction of"blood-pulse-heart-spirit"is the core pathogenesis of postpartum depression,and it is expounded from three aspects:deficiency of qi and blood stasis,loss of nourishing mind and loss of machine,loss of five internal organs.It is proposed that the treatment principle of invigorating qi,nourishing blood,smoothing pulse,calming nerves and regulating five internal organs is the curative effect advantage of traditional Chinese medicine in treating postpartum depression,and providing reference for treating postpartum depression with traditional Chinese medicine.And a proven case is presented.

关 键 词：产后抑郁 整体观念 血-脉-心-神 中医药疗法 临床经验 

分 类 号：R25[医药卫生—中医内科学]