抑郁症心肝同治理论探讨

Discussion on Theory of Treating Depression with Simultaneous Treatment in the Heart and the Liver

抑郁症是最常见的精神障碍之一,临床以心情抑郁、兴趣减退等为主要表现,目前临床缺乏有效药物治疗。笔者认为,心肝失调是导致抑郁症致病的关键原因;肝气郁结、心火上炎是抑郁症的基本病机之一;疏肝解郁、清心安神为治疗抑郁症的基本法则;并提出应用院内制剂解郁颗粒进行治疗,可为抑郁症的诊治提供新的思路。

Depression is one of the most common mental disorders, mainly manifested in clinical depression and decreased interest. Currently,there is no effective drug treatment in clinical practice. The authors think that disharmony of the heart and the liver is the major cause of depression,binding constraint of liver qi and heart fire flaming upward are its basic pathogenesis, and that the basic therapeutic principles lie in soothing the liver and resolving constraint as well as clearing heart heat and calming the mind. In addition, it is proposed to use Jieyu granules, hospital-made preparations, for treatment,which provides a new idea for the diagnosis and treatment of depression.