[1]王 挺,莫 慧△,林立宇,等.“郁伏少阳”假说探讨抑郁症病因病机及证治*[J].陕西中医,2020,(2):220-222.
　WANG Ting,MO Hui,LIN Liyu,et al.Pathogens and treatment of depressive disorder by the hypothesis of “Yufu Shaoyang”[J].,2020,(2):220-222.
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“郁伏少阳”假说探讨抑郁症病因病机及证治*
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2020年2期
页码:
220-222
栏目:
学术探讨
出版日期:
2020-02-05

文章信息/Info

Title:
Pathogens and treatment of depressive disorder by the hypothesis of “Yufu Shaoyang”
文章编号:
DOI:〖HT5K〗10.3969/j.issn.10007369.2020.02.022
作者:
王 挺; 莫 慧△; 林立宇; 何 苗; 秦永菊; 陈 珑; 文 燕
南京市中医院神志病科(南京 210001)
Author(s):
WANG Ting; MO Hui; LIN Liyu; et al.
Department of Neurology and Emotional,Nanjing Hospital of Chinese Medicine(Nanjing 210001 )
关键词:
抑郁症;  伏邪;  郁证;  少阳;  病机;  神机
Keywords:
Depression;  Fu xie;  Melancholia;  Shaoyang;  Pathogenesis;  Mechanism of shen
分类号:
R749.41
文献标志码:
A
摘要:
根据抑郁症的特点提出病机新探——“郁伏少阳”假说。本文就该假说的提出、病因病机演变及治疗大法做出论述。“伏郁”为郁邪的内伏状态,可被外感或内伤诱发为“显郁”,具有伏而蛰藏、诱而感发的特点,为抑郁症的主要病因。“伏郁”的形成与郁邪易感性、内伤七情、脏腑功能三者相关。“伏郁”病位在少阳,乃为枢机之要,外可出表、内可入里,遂见抑郁症多种神、形病变之证候,并随脏腑经络的传变显示不同的预后和结局。“伏郁”与“显郁”的转化由正邪斗争强弱决定,受诱发因素和脏腑功能的影响。进一步提出“透郁少阳”的治则,拟“清郁汤”为基本方。该假说在发病特点、症状特点、病情转归上均与临床相符。
Abstract:
According to the characteristics of depressive disorder,we propose a new hypothesis of “Yufu Shaoyang”.This article discusses the raising of hypothesis,the etiology and pathogens together with treatment in the hypothesis.“Yu Fu” means an internal state of stagnation,it can be in induced to “Xian Yu” by external or internal injuries.its the major cause of depression with the characteristic of latence normally and encounter the trigger disease attack.This hypothesis says the formation of “Yu Fu” is related to the susceptibility of stagnation,internal emotion injuries,and viscera function.“Fu Yu” stays in Shaoyang which is hinge of channel that can both through outside or inside our body,so we can see many different performance of depression.The transform of “Fu Yu” or “Xian Yu” is determined by the strength of the righteous and evil struggle,influenced by the predisposing factors and the function of the viscera.According to this hypothesis,we proposed “Touyu Shaoyang” as priniciple of treatment and the “Qingyu tang” as basic decoction.This hypothesis is consistent with clinical features in terms of onset characteristics,symptom characteristics,and disease outcome.We believe the hypothesis will open a new chapter for Chinese medicine treatment of depression.

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备注/Memo

备注/Memo:
*江苏省中医药管理局课题(YB201936)；第四批全国优秀人才项目[国中医药人教发(2017)24号]
更新日期/Last Update: 2020-03-31