胡思荣辨治郁证
|
摘要
胡思荣教授认为郁证患者初起多为肝气有余,便是肝火,即是肝郁的常见病理变化。胡老师认为郁证辨证,应重视气血津液理论,强调"气滞"是郁证最初形成或长期伴随的重要因素,而"痰火"是进一步发展的重要病理因素,临床以痰郁火结证多见,辨治郁证提倡以"本病皆因于痰火"立论,主张调肝胆之气为基础,除病因之痰火为重心,清心豁痰、疏肝利胆以达宁心定志为治则,以礞石化痰丸合半夏厚朴汤加减创制而成的平心忘忧胶囊治疗该病,颇有效验。
In terms of treating depression based on syndrome differentiation syndrome,Professor Hu Si-rong thinks that it is caused by phlegm and fire. For patients with long-time depression,he advocates to regulate liver-gallbladder qi,remove phlegm and fire,so the treatment principle should focus on clearing the heart fire,remove phlegm,dispersing the stagnated liver-qi,promoting bile secretion to calm mind. Professor Hu believes that depression syndrome is mostly caused by excessive liver qi causing liver fire,which is a common pathological change of liver depression. He thinks that attention should be paid to the theory of qi and blood and body fluid,and emphasizes that qi stagnation is an important factor for the first or long period of depression,and " phlegm fire" is an important pathological factor for further development. The clinical symptoms of phlegm stagnation and fire syndrome are more common. The treatment is based on qi,phlegm and fire,focuses on lowering the adverse flow of qi,resolving phlegm,dispersing the stagnated liver-qi,promoting bile secretion to remove phlegm fire and calm mind. He uses Chlorite Phlegm-Removing Pill combined with Modified Pinellia and Officinal Magnolia Bark Decoction to create Ping Xin Wang You Capsule( PXWYC) to treat depression syndrome and has achieved good efficacy.
In terms of treating depression based on syndrome differentiation syndrome,Professor Hu Si-rong thinks that it is caused by phlegm and fire. For patients with long-time depression,he advocates to regulate liver-gallbladder qi,remove phlegm and fire,so the treatment principle should focus on clearing the heart fire,remove phlegm,dispersing the stagnated liver-qi,promoting bile secretion to calm mind. Professor Hu believes that depression syndrome is mostly caused by excessive liver qi causing liver fire,which is a common pathological change of liver depression. He thinks that attention should be paid to the theory of qi and blood and body fluid,and emphasizes that qi stagnation is an important factor for the first or long period of depression,and " phlegm fire" is an important pathological factor for further development. The clinical symptoms of phlegm stagnation and fire syndrome are more common. The treatment is based on qi,phlegm and fire,focuses on lowering the adverse flow of qi,resolving phlegm,dispersing the stagnated liver-qi,promoting bile secretion to remove phlegm fire and calm mind. He uses Chlorite Phlegm-Removing Pill combined with Modified Pinellia and Officinal Magnolia Bark Decoction to create Ping Xin Wang You Capsule( PXWYC) to treat depression syndrome and has achieved good efficacy.
引文
[1]陈瑞玲,赵志刚.抗抑郁症类药物的临床应用研究进展[J].中国临床药理学杂志,2007,23(1):54-57.
[2]瞿伟,谷珊珊.抑郁症治疗研究新进展[J].第三军医大学学报,2014,36(11):1113-1117.
[3]徐春燕.中药复方治疗抑郁症的临床研究[D].北京:北京中医药大学,2013.
[4]李林艳,徐建.抑郁症治疗进展[J].河南中医,2012,32(12):1720-1722.
[5]邱瑞瑾.《金匮要略》情志病治法浅述[J].中医学报,2012,27(12):1571-1572.
[6]李木子,薛博瑜.《丹溪心法》治郁学说浅析[C].北京:中华中医药学会编辑出版分会年会暨中医、中西医结合防治肝病、肝癌高峰论坛,2014:89-92.
[7]王璇,李运伦.浅谈《内经》五郁治疗的内涵及应用[J].中国中医药现代远程教育,2014,12(9):18-19.
[8]畅达.郁证辨治的思考[J].山西中医,2012,28(8):1-4.
[9]齐南.《景岳全书》论情志病变管窥[J].成都中医学院学报,1991,14(2):57-60.
[10]田文敬.简评何梦瑶之《医碥》[J].中国中医基础医学杂志,2006,12(6):479-480.
[11]张庆祥.论《内经》“百病皆生于气”的内涵及其临床意义[J].山东中医药大学学报,2013,37(2):141-142.
[12]郭锦晨,王文静,段雷.“气有余便是火”理论探析[J].江西中医药大学学报,2014,26(2):29-31.
[13]李慧杰,李德新.郁证之症因及证治规律探析[J].辽宁中医药大学学报,2007,9(3):24-25.
[14]陈文恺,周玲,梅晓云,等.571例抑郁症中医证候学临床流行病学调查[J].浙江中医杂志,2007,42(5):262-263.
[15]赵燕,王天芳.抑郁症中医证候及证候要素分布特点的文献研究[J].中医杂志,2006,47(9):691-692.
[16]陈微,赵树华.百合地黄汤治疗脑卒中后抑郁症的疗效观察[J].中国老年学杂志,2004,24(5):417.
[17]文伟.抑郁药的药理及临床应用[J].中国新药与临床杂志,1998,17(2):105.
[2]瞿伟,谷珊珊.抑郁症治疗研究新进展[J].第三军医大学学报,2014,36(11):1113-1117.
[3]徐春燕.中药复方治疗抑郁症的临床研究[D].北京:北京中医药大学,2013.
[4]李林艳,徐建.抑郁症治疗进展[J].河南中医,2012,32(12):1720-1722.
[5]邱瑞瑾.《金匮要略》情志病治法浅述[J].中医学报,2012,27(12):1571-1572.
[6]李木子,薛博瑜.《丹溪心法》治郁学说浅析[C].北京:中华中医药学会编辑出版分会年会暨中医、中西医结合防治肝病、肝癌高峰论坛,2014:89-92.
[7]王璇,李运伦.浅谈《内经》五郁治疗的内涵及应用[J].中国中医药现代远程教育,2014,12(9):18-19.
[8]畅达.郁证辨治的思考[J].山西中医,2012,28(8):1-4.
[9]齐南.《景岳全书》论情志病变管窥[J].成都中医学院学报,1991,14(2):57-60.
[10]田文敬.简评何梦瑶之《医碥》[J].中国中医基础医学杂志,2006,12(6):479-480.
[11]张庆祥.论《内经》“百病皆生于气”的内涵及其临床意义[J].山东中医药大学学报,2013,37(2):141-142.
[12]郭锦晨,王文静,段雷.“气有余便是火”理论探析[J].江西中医药大学学报,2014,26(2):29-31.
[13]李慧杰,李德新.郁证之症因及证治规律探析[J].辽宁中医药大学学报,2007,9(3):24-25.
[14]陈文恺,周玲,梅晓云,等.571例抑郁症中医证候学临床流行病学调查[J].浙江中医杂志,2007,42(5):262-263.
[15]赵燕,王天芳.抑郁症中医证候及证候要素分布特点的文献研究[J].中医杂志,2006,47(9):691-692.
[16]陈微,赵树华.百合地黄汤治疗脑卒中后抑郁症的疗效观察[J].中国老年学杂志,2004,24(5):417.
[17]文伟.抑郁药的药理及临床应用[J].中国新药与临床杂志,1998,17(2):105.