[1]魏思维,张景明,李影琳芝,等.基于“致中和”探析从脾胃论治抑郁症的机制[J].陕西中医,2023,(9):1269-1272.[doi:DOI:10.3969/j.issn.1000-7369.2023.09.026]
 WEI Siwei,ZHANG Jingming,LI Yinglinzhi,et al.Explore the mechanism of treating depression from spleen and stomach based on “neutralization”[J].,2023,(9):1269-1272.[doi:DOI:10.3969/j.issn.1000-7369.2023.09.026]
点击复制

基于“致中和”探析从脾胃论治抑郁症的机制
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2023年9期
页码:
1269-1272
栏目:
学术探讨
出版日期:
2023-09-05

文章信息/Info

Title:
Explore the mechanism of treating depression from spleen and stomach based on “neutralization”
作者:
魏思维张景明李影琳芝王 爽KWON MIN HO(韩国)
(陕西中医药大学,陕西 咸阳 712046)
Author(s):
WEI SiweiZHANG JingmingLI YinglinzhiWANG ShuangKWON MIN HO
(Shaanxi University of Chinese Medicine,Xianyang 712046,China)
关键词:
“致中和”思想 脾胃 抑郁症 郁证 健脾益气 调畅气机
Keywords:
Depression Depression syndrome Idea of “neutralization” The spleen and stomach Invigorating spleen and qi Regulate the qi machine
分类号:
R 749.41
DOI:
DOI:10.3969/j.issn.1000-7369.2023.09.026
文献标志码:
A
摘要:
中和"思想是儒家思想的核心,它贯穿于中医学的理、法、方、药。抑郁症是一种常见高发的精神心理性疾病,可将其归属于中医学“郁证”范畴。文章在“中和”思想指导下,提出了脾胃功能的正常是以“致中和”为基础,分析了抑郁症的发病与脾胃失其“中和”所致的意伤思乱、纳运失常、升降失宜、经络失衡密切相关。故临床治疗需以“致中和”为目的,通过健脾益气,调理中焦气机,并配合心理疏导、语言劝慰 、移情易性,使情志调和。
Abstract:
The idea of “neutralization” is the core of Confucianism,which runs through the principles,methods,formulas and medicines of traditional Chinese medicine. Depression is a common and high incidence of mental and psychological diseases,which can be classified as “depression syndrome” in traditional Chinese medicine.Under the guidance of the idea of “neutralization”,this article proposes that the normal function of the spleen and stomach is based on “achieving neutralization”,and analyzes the occurrence of depression as closely related to the loss of “neutralization” in the spleen and stomach,resulting in emotional disturbance,abnormal digestion,inappropriate ascending and descending, and imbalances in the meridians. Therefore,clinical treatment should aim to achieve “neutralization” by strengthening the spleen and qi,regulating the the middle-jiao qi engine, and combining psychological counseling,verbal reassurance and empathy to achieve emotional harmony.

参考文献/References:

[1] 郝 伟,陆 林.精神病学[M].8版.北京:人民卫生出版社,2018:105-106.
[2] 尹一淑,刘军莲,王佳平,等.抑郁症相关发病机制研究进展[J].医学综述,2022,28(12):2368-2372.
[3] 张 悦,赵德语.基于微生态学理论浅析“调理脾胃”在治疗抑郁症中的作用[J].中国微生态学杂志,2023,35(2):234-238.
[4] 陈思源,杨正望,张楠楠,等.从中医学“脾胃为后天之本”理论探讨肠道菌群与多囊卵巢综合征[J].云南中医中药杂志,2023,44(5):126-129.
[5] 王喜红,韩振蕴,陈家旭,等.从脾论治抑郁症低动力症状[J].现代中医临床,2022,29(2):52-55.
[6] 郭孝伟,耿 强.袁红霞教授基于“中和平衡”思维治疗脾胃病经验[J].环球中医药,2022,15(2):269-272.
[7] 李凌江,等.中国抑郁障碍防治指南[M].北京:中华医学电子音像出版社,2015:2-3.
[8] 苏 芮,郭蓉娟,韩振蕴.从中焦论治抑郁症[J].中医学报,2020,35(1):43-45.
[9] 曾 萍,李世勇,乔利军,等.从脾胃论治抑郁症理论探析[J].广州中医药大学学报,2022,39(9):2190-2194.
[10] 滕 晶,张玺震.基于《脾胃论》思想探析抑郁症[J].山东中医杂志,2023,42(6):541-544.
[11] 刘凌云,严 灿,吴丽丽.从脾藏意主思理论探讨肠道菌群与抑郁症的相关性[J].中医药导报,2019,25(8):21-23.
[12] 张广玉,牛学恩,牛 越,等.从《黄帝内经》看抑郁症论治思路[J].陕西中医,2018,39(1):107-109.
[13] 于晓雯,李国强,王中琳.从脾胃探讨抑郁症的发病机制[J].四川中医,2017,35(6):33-35.
[14] 曲 淼,孙文军,唐启盛.“枢轴运动”理论与产后抑郁症辨治[J].北京中医药大学学报,2021,44(7):631-634.
[15] 邢玉瑞,何 伟,胡 勇.中医心与阳明胃病症关系的历史演变[J].中华中医药杂志,2020,35(4):2093-2095.
[16] 刘枫凤,李 瑞.论“独闭户塞牖而处”与抑郁症[J].中国针灸,2018,38(3):315-318.
[17] 李益东,许二平,康丽杰,等.归脾汤及其合方治疗抑郁症研究新进展[J].中华中医药学刊,2023,41(1):1-13.
[18] 张传龙,王桂彬,庞 博.经方论治肿瘤相关性抑郁[J].陕西中医,2022,43(3):342-344.
[19] 陈 潇,刘红梅,袁惠民,等.卒中后抑郁中药药对探析[J].陕西中医,2023,44(3):383-386.
[20] 梁 玉,李艳芳,王小波.逍遥散联合重复经颅磁刺激治疗肝郁脾虚型抑郁症疗效及对患者血清FGF-22、BDNF水平的影响[J].陕西中医,2021,42(1):33-36.
[21] 潘 嘉,胡 强,杨君君,等.半夏泻心汤加减治疗围绝经期抑郁症的机制作用[J].中国实验方剂学杂志,2020,26(3):15-20.
[22] 鲍婷婷,任风英,张玉龙,等.李跃华治疗抑郁症常用药队举隅[J].中医学报,2021,36(9):1932-1936.
[23] 肖 凌,王 洋,钱建新,等.生脉饮合沙参麦冬汤联合西药治疗晚期非小细胞肺癌疗效研究[J].陕西中医,2021,42(12):1696-1699.
[24] 马星月,焦 杰,高书春,等.基于网络药理学探究苓桂术甘汤治疗抑郁症的作用机制及实验验证[J].今日药学,2021,31(12):893-904.
[25] 郑 娆,张山雨,王 耘.香砂六君子汤通过缓解胃炎治疗抑郁症的机制研究[J].中华中医药杂志,2020,35(9):4676-4679.

相似文献/References:

[1]王文娟,邓 鑫,郭文斌,等.从“甘温建中”探讨糖尿病相关肌少症治疗思路[J].陕西中医,2020,(12):1790.[doi:DOI:10.3969/j.issn.1000-7369.2020.12.029]
[2]谢兆桃,周卓宁,郑 鹏,等.从中焦论治2型糖尿病患者餐后血糖波动[J].陕西中医,2021,(6):764.[doi:DOI:10.3969/j.issn.1000-7369.2020.06.022]
[3]周雯怡,苏 励.苏励教授治疗干燥综合征经验撷要[J].陕西中医,2022,(5):640.[doi:DOI:10.3969/j.issn.1000-7369.2022.05.023]
 ZHOU Wenyi,SU Li.SU Li's experience in the treatment of Sjogren's syndrome[J].,2022,(9):640.[doi:DOI:10.3969/j.issn.1000-7369.2022.05.023]
[4]刘伟锋,蒋玉萍,黄菊芳.基于六经辨证理论论治胃脘痛[J].陕西中医,2022,(8):1086.[doi:DOI:10.3969/j.issn.1000-7369.2022.08.024]
 LIU Weifeng,JIANG Yuping,HUANG Jufang.The treatment of epigastric pain based on six channels syndrome differentiation theory[J].,2022,(9):1086.[doi:DOI:10.3969/j.issn.1000-7369.2022.08.024]
[5]袁月松,王兴臣,姬 琳,等.名中医王兴臣从脾胃论治帕金森病经验[J].陕西中医,2022,(11):1605.[doi:DOI:10.3969/j.issn.1000-7369.2022.11.027]
 YUAN Yuesong,WANG Xingchen,JI Lin,et al.Professor WANG Xingchen's experience in treating parkinson's disease from the spleen and stomach[J].,2022,(9):1605.[doi:DOI:10.3969/j.issn.1000-7369.2022.11.027]
[6]郑佳雯,冯子芹,郑 瑀,等.因虚致郁论治灼口综合征[J].陕西中医,2024,(2):239.[doi:DOI:10.3969/j.issn.1000-7369.2024.02.020]
 ZHENG Jiawen,FENG Ziqin,ZHENG Yu,et al.Treatment of burning mouth syndrome due to the theory of deficiency causing depression[J].,2024,(9):239.[doi:DOI:10.3969/j.issn.1000-7369.2024.02.020]

备注/Memo

备注/Memo:
基金项目:陕西省中医体质与疾病防治研究重点实验室建设项目[陕科基发(2012)1号]; 陕西省中医药管理局中医藏象理论重点实验室建设项目(SZDYJS-2)
更新日期/Last Update: 2023-09-08