《傅青主女科》郁证的学理传承及用药方略探考

Inheritance of concept of academic context of depression syndrome in Fu Qingzhu Nvke and medication strategy probe

郁证是中医辨证理论里的重要理念,它是病因病机与综合病证的统合,文章旨在诠释与挖掘《傅青主女科》治疗妇科郁证的文脉流变及其用药方略。血虚肝郁为《傅青主女科》郁证主要病机,主因在于肝脾气血亏损及肝肾精血虚损;应以养血柔肝健脾与解郁为主要治则,四物汤、四君子汤、逍遥散为施治方剂;用药方略与前贤医家有所区别,白芍等药物呈现大剂量特点,柴胡则使用小剂量,香附则展演于小剂量至中等剂量之间;养血调肝之法是贯穿《傅青主女科》＂郁证＂思想的文脉特色。

Depression syndrome is an important concept in traditional Chinese medicine, and it is integrated with the etiology, pathogenesis and syndrome integration. The purpose of this article is to interpret and excavate the concept of academic context of the gynecological depression syndrome and its medication strategy in Fu Qingzhu Nvke. Blood deficiency and liver depression is the main pathogenesis of depression syndrome, and the main reason is the deficiency of qi and blood of liver and spleen, the deficiency of essence and blood of liver and kidney. The main rule should be nourishing blood, softening liver, invigorating spleen and relieving qi stagnation, and the main prescriptions are Siwu Decoction, Sijunzi Decoction, and Xiaoyao Powder. The medication strategy is different from that of former medical doctors, which reflects in large dose of white peony root, small dose of bupleurum, and small to medium dose of rhizoma cyperi. Nourishing blood and regulating liver is the cultural feature that runs through the idea of ‘depression syndrome＇ in Fu Qingzhu Nvke.