从阳论治老年抑郁症探析

Analysis on the treatment of geriatric depression from the theory of yang

老年抑郁症发生率较高,加强对其的研究和防治势在必行。笔者在临床实践中发现,老年抑郁症以情绪低落、思维迟缓、主动性下降等表现为主,呈现一派阳气不足(阳虚)之候,辨证属于阴证、柔证。经过探析认为阳气不足是老年抑郁症发病的重要因素,结合临床症状、四逆散的应用、抗抑郁西药的不良反应3个方面,提出温补肾阳心阳治疗老年抑郁症的思路,并采取内外治结合方法进行临床治疗验证,尝试为治疗老年抑郁症提供新的思路与方法。

The incidence rate of geriatric depression is high, and it is imperative to strengthen its research, prevention and treatment. In the author′s clinical practice, it has been found that geriatric depression is mainly characterized by depressed mood, slow thinking, and decreased initiative, and the symptom of a lack of yang（yang deficiency） is shown.The dialectical syndrome belongs to the negative and soft syndromes. After analysis, it is believed that the lack of yang is an important factor in the onset of geriatric depression. Combined with clinical symptoms, application of Sini Powder,and adverse reactions of anti-depression Western medicine, the concept of warming kidney-yang and heart-yang in the treatment of geriatric depression has been put forward. Also, the combined internal and external treatment is applied in clinical treatment verification, trying to provide new ideas and methods for the treatment of geriatric depression.