1.北京中医药大学东方医院 北京 100078
2.北京中医药大学深圳医院
3.北京中医药大学中医学院
王喜红,女,在读博士生
# 陈家旭,男,博士,教授、主任医师,博士生导师,E-mail:chenjiaxu@hotmail.com
纸质出版日期:2022-03-30,
收稿日期:2021-04-26,
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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.
Xihong WANG, Zhenyun HAN, Jiaxu CHEN, et al. Treatment of hypodynamic symptoms in depression from the spleen[J]. Modern Chinese Clinical Medicine, 2022,29(2):52-55.
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. DOI: 10.3969/j.issn.2095-6606.2022.02.012.
Xihong WANG, Zhenyun HAN, Jiaxu CHEN, et al. Treatment of hypodynamic symptoms in depression from the spleen[J]. Modern Chinese Clinical Medicine, 2022,29(2):52-55. DOI: 10.3969/j.issn.2095-6606.2022.02.012.
抑郁症低动力症状是指抑郁症患者表现出劳累感增加、活动减少、稍事活动即感明显倦怠等症状。肝与抑郁症的关系已得到历代中医的认可,但单纯疏肝解郁并不能完全改善抑郁症低动力患者的不适症状。脾作为后天之本,脾主运化、脾胃为气机升降之枢纽、脾藏意,为后天活动提供物质基础,调理脾胃在抑郁症低动力症状的治疗中发挥着重要作用。从肝郁是抑郁症发病的关键病机、脾病是低动力症状发病的基础对抑郁症低动力症状的病机进行分析。从健脾则助肝升、醒脾则助肝疏探讨从脾治疗抑郁症低动力。辨治抑郁症低动力症状,应在疏肝理气的基础上,联合应用健脾法、醒脾法等。
Hypokinetic symptoms in depression refer to symptoms such as increased fatigue
decreased activity
and obvious fatigue after exertion in patients with depression. The relationship between the liver and depression has been recognized in traditional Chinese medicine in the past
but simply soothing the liver and relieving depression can not completely improve the uncomfortable symptoms of depression patients with low motivation. The spleen is the foundation of the postnatal exsitence
the spleen governs the transportation and transformation
the spleen and the stomach are like the hub for the lifting and lowering of the Qi
and the spleen stores the intention
providing a material basis for acquired activities. Hence
regulating the spleen and stomach plays an important role in the treatment of low dynamic symptoms of depression. The pathogenesis of hypodynamic symptoms of depression is analyzed from the perspective of liver depression
which is the key pathogenesis of depression and spleen diseases. From strengthening the spleen to help the liver to rise
and waking up the spleen to help the liver to sooth the liver
the treatment of depression with low motivation from the spleen is explored. Differentiating and treating depression with hypodynamic symptoms should be combined with the method of strengthening the spleen and waking up the spleen on the basis of soothing the liver and regulating qi.
抑郁症疏肝健脾醒脾低动力症状
depressionsoothing the liverinvigorating the spleenregulating the spleenhypodynamic symptoms
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