基于“情志伏邪”治疗寒地青少年阈下抑郁的经验  

Experience in the treatment of subthreshold depression of young people in cold areas based on“emotions and latent pathogen”

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作  者:秦雯 杨阳 王有鹏[3] QIN Wen;YANG Yang;WANG Youpeng(Graduate School,Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin150040,China;Department of Pediatrics,Heilongjiang Delirious Hospital,Heilongjiang Province,Harbin150036,China;Department of Pediatrics,the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin150001,China)

机构地区:[1]黑龙江中医药大学研究生院,黑龙江哈尔滨150040 [2]黑龙江神志医院儿科,黑龙江哈尔滨150036 [3]黑龙江中医药大学附属第二医院儿科,黑龙江哈尔滨150001

出  处:《中国医药导报》2025年第10期147-150,共4页China Medical Herald

基  金:黑龙江省中医药管理局省级名中医专家传承工作室建设项目。

摘  要:阈下抑郁(SD)为抑郁症新的一个亚范畴,近年其发病率逐年上升,但因其尚未达到抑郁症诊断标准常被忽视,尽早干预、治疗SD,可有效阻止其发展为抑郁症。寒地青少年SD,因受寒地地理位置、饮食习惯的影响,其病机与“情志伏邪”有契合之处。本文总结王有鹏教授治疗寒地青少年SD的经验,认为先天伏邪是发病之基、脾虚邪伏是发病之本、痰郁内伏是发病之标;治疗上健脾扶正,以断发病之本,化痰解郁,以治发病之标。文后附验案1则,以飨读者。Subthreshold depression(SD)is a new subcategory of depression,its incidence rate has increased year by year in recent years,but it is often ignored because it has not yet reached the diagnostic criteria for depression,early intervention and treatment of SD can effectively prevent it from developing into depression.The pathogenesis of SD of young people in cold areas is in accord with“emotions and latent pathogen”due to the influence of geographical location and eating habits.This article summarizes Professor Wang Youpeng’s experience in the treatment of SD of young people in cold regions,believes that congenital latent pathogen is the basis of the disease,spleen deficiency pathogen latent is the root of the disease,and phlegm depression and internal stagnation is the standard of the disease;in terms of treatment,invigorating spleen and strengthening vital qi is essential to break the root cause of the disease,dissipating phlegm and resolving stagnation is the standard to treating the disease.One case is attached to the article for readers’enjoyment.

关 键 词:“情志伏邪” 寒地青少年 阈下抑郁 

分 类 号:R249[医药卫生—中医临床基础]

 

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