中医郁证学说发展溯源

Tracing the Source and Development of Depressed Syndrome Theory in Chinese Medicine

中医郁证学说肇端于《内经》，发展并完善于后世医家。自《内经》阐发五运之郁的病变及治疗后，历代医家不断充实与丰富中医郁证学说的学术内涵，使其日臻成熟与完善。如王冰对五郁之治的发挥、陈无择首论情志致郁、张从正的“气血通流”理论、朱震亨的六郁之说、王履对五郁之治的拓展、戴思恭的“升降失常”说、王纶的气血痰郁关系说、赵献可的“凡郁皆肝病”说、孙一奎的五脏本气自郁说、王士雄的“人身气贵流行”说等，均逐渐将中医郁证学说的研究引向深入。本文试对中医郁证学说的发展过程做一择要介绍。

Depressed syndrome theory in Chinese Medicine originated from Huang Di Nei Jing and was developed and consummated by later doctors. Since the pathological changes and treatment of five essences depressed syndrome were elucidated in Huang Di Nei Jing, doctors from successive generations had continuously been improving and enriching the academic essential of depressed syndrome theory in Chinese Medicine, which made the theory more mature and flawless. All the theories, including Bing Wang＇s improvement in the theory of treatment in five essences depressed syndrome, the first time Wuze Chert pointing out emotion leading to depressed syndrome, Qi-Blood-Flow-Smoothly theory raised by Congzheng Zhang, the opinion of six depression by Zhenheng Zhu, the development on the theory of treatment in five essences depressed syndrome by Lv Wang, the posed of Abnomal-Rising-and-Failing-of-Vital-Energy by Sigong Dai, Lun Wang＇s version of relationship of Qi, Blood and phlegmatic stagnation, the idea from Xianke Zhao of all depressed syndrome belonging to liver disease, Yikui Sun＇s talking about Qi itself in five viscera is depressive, and Shixiong Wang＇s discussion about the＇most important character of Qi in body is flowing, gradually guided the research on depressed syndrome theory in Chinese Medicine moving forward. In this paper, the author emphasizes the development of depressed syndrome theory in Chinese Medicine.