对王彦恒老中医温阳开郁法治疗抑郁障碍实践的几点思考

Some Thoughts about WANG Yan-heng,the Old Chinese Medicine Doctor,Treated Treating Depressive Disorder by Tonifying Yang and Smoothing Depression

王彦恒老中医在50年的中医精神科实践中领悟到传统治疗郁证使用以逍遥散、四逆散为代表的舒肝理气为主治疗抑郁障碍效果并不理想,抑郁障碍义上的郁病并不等同于传统中医郁证,辨证也不仅仅是肝郁气滞、痰阻、火扰心神。郁病是一个复杂的全身性疾患,肾不生髓充脑,肾气、肾阳不足导致人体气机不畅、脑神不舒是很多老年性或虚性抑郁障碍郁病的关键病机,是其它证型的基础,所以补肾温阳是治疗老年性和虚性抑郁障碍郁病的重要治法,还可以作为许多其他证型郁病的重要辅助治法。恰当运用温补肾阳方药治疗各种抑郁障碍往往可以提高疗效,改善病人的情绪和活动性,由此改善病人的生活质量。运用温阳开郁法治疗抑郁障碍往往需要与其他治法配合使用。

WANG Yan heng,the old Chinese medical doctor, has realized that the traditional Chinese Medicalmedi- cine （TCM） prescriptions to treat CM Depression, such as Xiaoyao powder, Sini powder,which were used to treat depres- sive disorder couldn＇ t get good effect, because the same word, depression, has different notions in TCMCM and west Western medicine. Depressive disorder contains a wide range of CM TCM pathogenesis, such as liver depression and Qistagnation, phlegm, fire disturbance of mind, and so on. Depressiveon illness is a complex systemic disease, kidney Kidney does not born generate brain marrow,and deficiency of kidney Qi and Yang can cause Qi running sluggishly in body and brain mind disturbance ,. thisThis is the main TCM pathogenesis of depressive disorder of the elder and the weaker. So the method of tonifying Yang and smoothing depression is the most important method to treat depressive disorder of the elder and the weaker,and this method also can be used to other syndromes by an adjunct therapy. Proper use of tonifying Yang herbs to treat various depressive disorders often can enhance the effectiveness and improve the patient＇smood and activity, thereby improving the patient＇s quality of life. The method of tonifying fang and smoothing to treat depressive disorder need other therapies.