胡玉英运用小柴胡汤加减治疗郁证经验
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摘要
胡玉英教授认为情志不遂,气机郁滞等为郁证发生的主要病机,少阳的枢机运动失常、脏腑生理功能失调、气血运行不畅等可导致郁证的产生,出现各种临床症状,故以和解少阳枢机,疏肝利胆、通达表里及调畅气血等为治疗原则。以小柴胡汤加减为主方辨证论治,可兼顾寒热并用,攻补兼施,在和解少阳枢机不利的同时,又兼顾调畅脏腑。
Professor Hu Yu-ying believes that emotional disorder and stagnation of qi movement are the mainpathogenesis of depression syndrome. Shaoyang's pivot movement disorder,physiological dysfunction of viscera and dysfunction of qi and blood can lead to the occurrence of depression syndrome and various clinical symptoms. Therefore,the treatment principles include reconciling Shaoyang pivot,soothing liver and promoting bile secretion,harmonize exterior and interior,regulating qi and blood circulation. Modified Minor Bupleurum Decoction is mainly used for syndrome differentiation and treatment,which can treat cold and heat together,attack and supplement,harmonize Shaoyang's pivot movement disorder,and dredge viscera.
Professor Hu Yu-ying believes that emotional disorder and stagnation of qi movement are the mainpathogenesis of depression syndrome. Shaoyang's pivot movement disorder,physiological dysfunction of viscera and dysfunction of qi and blood can lead to the occurrence of depression syndrome and various clinical symptoms. Therefore,the treatment principles include reconciling Shaoyang pivot,soothing liver and promoting bile secretion,harmonize exterior and interior,regulating qi and blood circulation. Modified Minor Bupleurum Decoction is mainly used for syndrome differentiation and treatment,which can treat cold and heat together,attack and supplement,harmonize Shaoyang's pivot movement disorder,and dredge viscera.
引文
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[2]牛雁.中西医结合治疗难治性抑郁症68例临床观察[J].光明中医,2018,33(17):2571-2573.
[3]肖榕,吴林,陈炜,等.基于扶阳思想郁病的次第治疗[J].中医药临床杂志,2018,30(7):1187-1190.
[4]高曌,陈畅,夏宝妹,等.浅谈从肝论治抑郁症[J].中国中医药现代远程教育,2017,15(8):53-54.
[5]左明晏,许从莲.胡思荣辨治郁证[J].河南中医,2018,38(8):1159-1162.
[6]谢永芳,王玲,舒坤贤,等.抑郁症遗传因素的研究进展[J].国际精神病学杂志,2018,45(5):775-777,784.
[7]崔红生,毕伟博.论少阳主枢及其临床意义[J].中华中医药杂志,2016,31(9):3433-3438.
[8]毛佩,王鹏龙,张宇忠.《伤寒论》“和”之思想探析[J].吉林中医药,2018,38(1):9-12.
[9]公方雪,刘喜明.谈小柴胡汤的临床应用[J].中医药通报,2015,14(1):17-21.
[10]谢光.论“宣畅少阳”在治疗郁证中的应用[J].甘肃中医,1999,12(3):3-5.
[11]王敏,李宇航.从“血虚”论小柴胡汤及柴胡四物汤妇科应用[J].世界中西医结合杂志,2016,11(12):1742-1745.
[12]王丽敏,张丽艳,谷松.解析小柴胡汤“和法”调节自身免疫性疾病机制[J].中华中医药学刊,2018,36(1):218-221.
[13]方跃坤,李悦伟,董玉山,等.论中医郁证理论[J].辽宁中医药大学学报,22014,16(6):166-168.
[14]涂厚姝,洪静,章文春.郁证从表论治探讨[J].江西中医药,2015,46(3):18-19.
[15]李培生.伤寒论[M].上海:上海科学技术出版社,1985:140-142.
[16]徐昌万.小柴胡汤临床应用体会[J].实用中医药杂志,2017,33(8):989-990.
[17]胡雅凌,游强华,陶姗,等.小柴胡汤类方应用医案处方用药配伍规律探讨[J].中国实验方剂学杂志,2016,22(21):186-190.
[18]牛曾,王芳芳,马丙祥.马丙祥教授运用柴胡类方治疗小儿疑难杂症验案举隅[J].中医儿科杂志,2018,14(5):19-21.
[19]张健,陈俊,丁砚兵.凃晋文教授运用柴胡加龙骨牡蛎汤[J].吉林中医药,2017,37(4):350-352,369.
[20]黄良峰,陈洋洋,赵炳功,等.抑郁症的成因及其新药治疗研究进展[J].现代生物医学进展,2018,18(1):180-185.
[21]潘中瑛,高炎超.小柴胡汤加减联合艾司西酞普兰治疗老年抑郁症疗效观察[J].四川中医,2017,35(7):187-189.
[22]苏光悦.小柴胡汤抗抑郁作用及其调节脑内神经递质、神经营养因子和雌性激素的相关机制研究[D].沈阳:沈阳药科大学,2014.