治疗抑郁症应重视温通阳气和温补阳气

Paying Attention to Invigorating Yangqi or Warmly Nourishing Yangqi in Treatment of Tristimania

笔者多年从事抑郁症诊治,发现抑郁症患者有畏寒者占到五分之二以上,舌体淡而胖大,有齿痕,舌苔腻者占到一半以上,其中,相当一部分病人还有肢冷,提示肝脾之阳气失于宣达和肝之阳气虚弱是抑郁症中常见的病机,临证治疗抑郁症时注重温通阳气或温补阳气法的运用,取得了较好疗效。

The author of tiffs thesis has engaged the diagnosis and treatment of tristimania for years. She took part in the ＂National 973 project＂--clinically epidemiological study of syndromic essentials of tristimania （project number： 2003CB517101）. In this study, it is discovered that the patients presented aversion to cold account for over 2/5, and these patients manifested as pale, swollen tongue, teeth marked, and greasy coating account for over 1/2, and considerable patients exhibit cold limbs. The above mentioned symptoms indicate that the common pathogenesis is dysfunction of Yang qi of liver and spleen and Yang deficiency of liver. If the clinically therapeutic methods are focused on invigorating Yang qi or warmly nourishing Yang qi, the effect of treatment should be good.