马骏从脏腑论治郁病经验

MA Jun’s Experience in Differentiation Treatment of Depression Based on Zang-fu Theory

总结全国名老中医马骏教授从脏腑论治郁病的经验及特色。马老认为郁病与肝、脾胃、心、肾的功能密切相关,郁病的病机多为脾胃失和、心脾两虚、肝脾同病、心肾不交,其中脾胃为郁病之本,故治以调脾、疏肝、养心、护肾,兼以对药“七情相合”,根据临床辨证以柴胡疏肝散、越鞠丸、四逆散、芩连温胆汤、甘麦大枣汤、百合地黄汤、六味地黄丸、二仙汤等为主方加减用药,临床疗效显著。附验案3则。

This paper summarizes the experience and characteristics of Professor MA Jun,a national famous and old traditional Chinese medicine doctor,in treating depression syndrome from Zang-fu organs.Professor MA believes that depression is closely related to the functions of liver,spleen and stomach,heart and kidney.The pathogenesis of depression is mostly disharmony of spleen and stomach,deficiency of heart and spleen,simultaneous diseases of liver and spleen and imbalance between heart-yang and kidney-yin.Among them,spleen and stomach are the root of depression syndrome.Therefore,the treatment methods are respectively to regulate the spleen,soothe the liver,nourish the heart and protect the kidney.At the same time,the drugs are“combination of seven emotions”,Chaihu Shugan Powder(柴胡疏肝散),Yueju Pill(越鞠丸),Sini Powder(四逆散),Qinlian Wendan Decoction(芩连温胆汤),Ganmai Dazao Decoction(甘麦大枣汤),Baihe Dihuang Decoction(百合地黄汤),Liuwei Dihuang Pill(六味地黄丸)and Erxian Decoction(二仙汤)are the main prescriptions,and the clinical curative effect is remarkable.Three successful medical cases are attached.