论产后抑郁症“补虚祛瘀,颐脑醒神”治法

Investigation of treatment on postpartum depression with methods of reinforcing deficiency and removing phlegm-dampness and blood stasis,nourishing brain and inducing resuscitation

产后抑郁症是女性精神障碍中最为常见的类型之一,应用中医药针对本病的防治已成为目前医学界和社会普遍关注的课题。文章对古籍医典中有关产后抑郁的论述进行总结,阐述其"多虚多瘀"的病机特点,并在此基础上强调调整脑神在本病论治中的重要性,同时分析现代医家对本病治疗用药的特点,阐释现代基础研究中中医药对本病有关神经递质及激素的影响作用。提出"气血亏虚,瘀浊闭阻,脑神失司"为产后抑郁症的基本病机,"补虚祛瘀,颐脑醒神"乃本病的根本治疗大法。

Postpartum depression（PPD） is one of the most common mental disorders in women,applying Chinese medicine for preventing and curing PPD has become the general concerned topic in medical and social fields.Based on the summary of ancient medical books on descriptions of PPD,we explain the pathological characteristic which is full of deficiency and stasis,as well,emphasize the importance of adjusting consciousness on the pathological basis mentioned above,furthermore,analyze the features on treatment from modern Chinese medical physicians for this disease and elucidate the influence of Chinese medicine for relevant neurotransmitters and endocrine in PPD in modern foundational researches.Finally,we advocate that the theory of deficiency of qi and blood,blockage of phlegm-dampness and blood stasis,consciousness without control is the basic pathogenesis of PPD,and thus take methods of reinforcing deficiency and removing phlegm-dampness and blood stasis,nourishing brain and inducing resuscitation as the fundamental treatment rule.