郭立中教授从扶阳论治抑郁症经验探讨

Professor GUO Lizhong's Experience of Treating Depression with Strengthening Yang-Qi

[目的]总结导师郭立中教授从扶阳论治抑郁症的经验,为抑郁症治疗提供新视角。[方法]通过随诊郭师,整理其医案、验方并收集讲课资料、专题讲座、论文和著作,分析其辨证思路、用方和用药;通过中医古籍的检索以及对郭师影响较大的名老中医学术思想的分析,总结归纳郭师从扶阳角度诊治抑郁症的学术思想和效验方药,并举验案两则以佐证。[结果]郭师从扶阳论治抑郁症思想源自《内经》等经典著作,认为阳气不足为抑郁症发病之本,精血不足是其关键环节,虚火妄动为其诱因,辨证施治之时,当先温潜浮阳,或扶阳益气,终以扶阳添精收功,方选四逆汤合潜阳封髓丹、归脾汤及自拟添精汤,常能收到较好疗效。所举验案中两例抑郁症患者经扶阳添精、潜阳安神治疗后均恢复正常工作和生活。[结论]郭师治疗抑郁症经验独到,其辨证思路、选方用药有临床实用价值。采用郭师的经验,从"阳虚气弱,精血亏虚,阴火上浮"论治抑郁症,运用"扶阳益气,养血添精,温潜阴火"的原则确能明显改善抑郁症患者的临床症状,显著提高患者生活质量。

[Objective]Summarize the Professor GUO Lizhong＇s experience of treating depression with strengthening Yang-Qi,providing a new perspective for the treatment of depression.[Methods]Through observing and recording the clinical work with Professor GUO,organizing medical records,prescriptions and collecting lecture materials,theses and writings,analyzing its dialectical ideas,prescription and medication;by retriving ancient TCM books and analyzing famous TCM doctors＇ academic thoughts,to summarize Professor GUO＇s point of treating depression academic ideas and prescription drugs by strengthening Yang-Qi.That choosing Sini soup combined with Guipi soup and Tianjing soup receives good effect.[Results]Professor GUO Lizhong＇s thought mainly originates from classical works,such as "Internal Classics",who thinks that Yang-Qi deficiency is the root cause of depression,the essence and blood deficiency are the key links,frivolous virtual fire is its incentive,treatment of warming or diving Yang-Qi is the first,then support essence and Yang-Qi.Two cases of depression returned to normal work and life after treatment of warming and diving Yang-Qi and supporting essence and Yang-Qi.[Conclusion]It＇s unique of Professor GUO＇s experience in the treatment of depression,it is worthy of further study and experience of the dialectical ideas and election of prescription clinical value.To take GUO＇s experience for treating depression from the "Yang weakness,essence and blood deficiency,Yin fire up",and apply his rule can markedly relieve depression patients＇ clinical symptoms and obviously improve patients＇ life quality.