[1]黄秀山,龙 丹,朱 莹.名中医朱莹从“土郁夺之”论治抑郁症经验[J].陕西中医,2024,(7):959-962.[doi:DOI:10.3969/j.issn.1000-7369.2024.07.022]
　HUANG Xiushan,LONG Dan,ZHU Ying.Famous Chinese doctor ZHU Ying's experience in treating depression by “Tuyu Duozhi”[J].,2024,(7):959-962.[doi:DOI:10.3969/j.issn.1000-7369.2024.07.022]
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名中医朱莹从“土郁夺之”论治抑郁症经验
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2024年7期
页码:
959-962
栏目:
名中医经验
出版日期:
2024-07-05

文章信息/Info

Title:
Famous Chinese doctor ZHU Ying's experience in treating depression by “Tuyu Duozhi”
作者:
黄秀山; 龙 丹; 朱 莹
(湖南中医药大学第一附属医院,湖南 长沙 410021)
Author(s):
HUANG Xiushan; LONG Dan; ZHU Ying
(The First Hospital of Hunan University of Chinese Medicine,Changsha 410021,China)
关键词:
郁证;  抑郁症;  土郁夺之;  土壅木郁;  气机;  天人相应
Keywords:
Yu syndrome;  Depression;  Tuyu Duozhi;  Tuyong Muyu;  Qi movement;  Tianren Xiangying
分类号:
R 749.4
DOI:
DOI:10.3969/j.issn.1000-7369.2024.07.022
文献标志码:
A
摘要:
抑郁症是一个与多种因素有关,多重机制参与形成的复杂病症。而《内经》提出的“土郁”理论与其病证特点高度契合。朱莹认为抑郁症以“枢机不利”为病郁之始,致痰浊内生为患,久病则中虚气郁,生化无源,发为虚实夹杂之证,加之“土郁”太盛而壅遏肝木,情志不畅更促进病程发展,故病机的关键始终在于中焦“郁滞不畅”。朱莹以“夺之”为指导原则,探析抑郁症的具体治法应用,根据证候特点不同,包含“升清降浊,豁痰开郁”“健运脾胃,养脏安神”“运土疏木,调畅情志”。形成了疏夺为重、寓夺于补及调神养慎等治疗特色。
Abstract:
Depression is complex disease associated with various factors and multiple mechanisms involved in its formation.The theory of “Tuyu” according to Nei Jing is highly compatible with characteristics of the disease.ZHU Ying believes that depression begins with unfavorable pivot-causing phlegm and turbidity to generate internally.Prolonged illness leads to deficiency in the middle Jiao and Qi stagnation.There is no source of generation and transformation,resulting in syndrome of mixed deficiency and excess.In addition,the “Tuyu” is too exuberant and blocks the liver Mu,and lack of emotional well-being further advances the course of disease.Therefore,the key to pathogenesis is always “stagnation” in the middle Jiao.Thus,the guiding principle of “Duozhi” is used to explore specific treatments for depression.Depending on characteristics of the patterns,it includes “ascending the nutrients and descending the turbid,transforming phlegm and relieving stagnation”“strengthening the spleen and stomach,nourishing the Zang organs and calming the mind”“promoting Tu and soothing Mu,regulating the emotions and moods”.It formed treatment characteristics of emphasizing soothing and removing,combining removing with tonifying,regulating spiritand taking prudence.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金资助项目(81874466); 全国名老中医药专家传承工作室建设项目[国中医药人教函(2022)75号]
更新日期/Last Update: 2024-07-09