王玉英治疗抑郁症经验

Prof.Wang Yuying's Clinical Experiences on Depressive Disorder

王玉英教授认为,抑郁症是以情绪抑郁为主,伴有一系列身体症状,表现为生命力低下的精神性疾病,即睡眠、食欲、性欲、社会适应能力等多方面的衰退。其发病原因是情志内伤、肝气郁结。发病和传变规律是初病在气,久病及血,累及五脏。临证将本病分为气机郁滞、气滞血瘀、心肝血虚和痰气郁结4型。气机郁滞型用丹栀逍遥散或癫狂梦醒汤加减;气滞血瘀型用膈下逐瘀汤加减;心肝血虚型用天王补心丹加减;痰气郁结型用十味温胆汤加减。治疗首重睡眠,次重饮食,再考虑其他症状,临床疗效显著。

Prof. Wang Yuying regards depressive disorder as a kind of psychiatric disease of low vitality. Its manifestations are mainly about depression, accompanied by a series of somatic symptoms such as the decline of sleeping, appetite, sexual desire, so- cial adaptability , and ect. Stagnation of liver qi is the main cause. Its pathological process is that at the beginning qi is affected, then blood, and finally the Five Zang organs. There are four major clinical syndromes ： stagnation of qi, eli and blood stasis, defi- ciency of cardiac and liver blood, and the stagnation of phlegm and qi. Danzhi Xiaoyao San or Diankuang Mengxing Tang is used for syndrome of stagnation of qi ; Gexia Zuyu Tang is used for syndrome of qi and blood stasis ;Tianwang Buxin Dan is used for the syndrome of deficiency of cardiac and liver blood; Shiwei Wendan Tang is used for syndrome of the stagnation of phlegm and qi. Relieving the sleeping trouble is placed in the first place, and then is the appetite, while other symptoms are also considered. The method from professor Wang is of great success in clinical therapy. At the end of the article, two cases were offered for you to comprehend of the essentials of Prof. Wang＇s clinical experiences.