益肾调气法治疗产后抑郁症的思考

Treatment of postpartum depression with therapy of tonifying kidney and regulating qi

产后抑郁症以女性特殊的生理以及产褥期的病理为发病基础,病位多涉及心、肝、脾脏,以气虚、血虚为主。通过对产后抑郁症病因病机分析,指出肾虚在产后抑郁发病中的重要作用,肾虚肝郁为其常见病机,治疗以益肾调气为法,进而分析本病的用药特点及临证化裁方法。

The pathological basis of postpartum depression is woman＇ s unique physiology and puerperal pathology, and the disease positions involve mainly heart, liver and spleen with qi deficiency and blood deficiency. The authors indicated that kidney deficiency plays an important role in the onset of postpartum depression, and common pathogenesis is kidney deficiency and liver depression through analyzing etiology and pathogenesis. The therapy for the disease is to tonify kidney and regulate qi. The paper analyzed further the characteristics of medicinal administration and formula modification in the treatment of postpartum depression.