朱丹溪之六郁学说

Six Types of Depression Theory of Zhu Danxi

朱丹溪在五郁理论的基础上,首倡"六郁"学说。其将郁证分为气郁、湿郁、痰郁、热郁、血郁、食郁六种类型分别施治,郁证的脉象多沉,病因与情志因素、外感六淫、饮食不节(洁)等有关,其病机为气血怫郁,治疗上以调畅气机为主,兼以除湿、化痰、清热、行血、消食,并独创名方"越鞠丸""六郁汤"。其"六郁"学说对后世影响极大,至今指导临床实践。

Zhu Danxi firstly proposed the theory of"six types of depression"on the basis of theory of"five types of depression".Depressive syndrome can be divided into qi depression,wet depression,phlegm depression,heat depression,blood depression and food depression,which can be treated respectively.The pulse of depressive syndrome is usually deep.Etiology is related to emotional factors,six exogenous pathogenic factors and improper diet.Its pathogenesis is qi and blood stasis.Treatment is given priority to regulate qi movement,besides to eliminate wet,resolve phlegm,clear away heat,move blood and digest food.He originally created famous formulas called"Yueju pill"and"Liuyu decoction".The theory of"six types of depression"has a great influence on the later generations,so far,it has guided clinical practice.