赵吉平从瘀论治抑郁症  

Zhao Jiping Treating Depression from Perspective of Blood Stasis Theory

作　　者：季杰 王艳威 陈晟[3] 赵吉平[3] JI Jie;WANG Yanwei;CHEN Sheng;ZHAO Jiping(Department of Acupuncture and Moxibustion,Yuquan Hospital Affiliated to Tsinghua University,Beijing China 100040;Department of Preventive Medicine,Longfu Hospital of Beijing,Beijing China 100010;Department of Acupuncture and Moxibustion,Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine,Beijing China 100700)

机构地区：[1]清华大学玉泉医院针灸科,北京100040 [2]北京市隆福医院治未病科,北京100010 [3]北京中医药大学东直门医院针灸科,北京100700

出　　处：《中医学报》2025年第5期1070-1074,共5页Acta Chinese Medicine

摘　　要：瘀血是抑郁症发病的重要致病因素,亦是本病发展过程中重要的病理产物。因瘀血阻滞经络,致六腑清阳之气和五脏精华之血不能上荣脑与心神,致思维、情感异常而发病。故临证应通过审证求因,力求辨证精准,采用脏腑辨证、经络辨证等多种辨证方法相结合,具体施治时则依据“虚则补之,实则泻之”的原则,对辨证属实,瘀血较重者,在清泻实邪的同时,予以活血祛瘀,以疏通经络,祛瘀生新,对病因复杂,病程较长者,则多法并举,以“共情”“反思”提高疗效。诊疗过程中思“瘀”之因,辨“瘀”之变,从瘀论治,改善患者临床症状。Blood stasis is an important pathogenic factor in the occurrence of depression and an important pathological product in the development of this disease.Blood stasis blocks the meridians and collaterals,the Qi of the Six Fu and the blood of the Five Zang cannot nourish the brain as well as the heart and spirit,resulting in abnormal thinking and emotion and the onset of the disease.Therefore,the diagnosis should be made by examining the syndrome and seeking the cause,and strive for accurate identification,using a combination of identification methods such as visceral identification,meridian identification,etc.The specific treatment is based on the principle that"tonifying the deficiency and remove the excess".For excess syndrome with heavy blood stasis,in addition to the clearing of excess Eevil Factors,activating blood circulation to remove blood stasis to facilitate the meridian,to remove stasis and to generate new blood.For the case of complex in etiology and long in duration,multiple methods are used to improve the therapeutic effect through methods of"empathy"and"reflection".In the process of diagnosis and treatment,by considering the cause of"stasis",identifying the changes of"stasis",and treating the patients from the theory of blood stasis,the clinical symptoms can be relieved and removed.

关 键 词：抑郁症 针灸 从瘀论治 赵吉平 

分 类 号：R249.27[医药卫生—中医临床基础]