基于“肾脑相济”理论探讨老年抑郁症的中医病机

Discussion on TCM Pathogenesis of Senile Depression Based on Theory of"Kidney and Brain Nourishing Each Other"

老年抑郁症指60岁以上老人出现以持续情绪低落、兴趣减退、精神运动异常等为主要表现的精神疾病。老年抑郁症常以肾虚为基础,多为年老体衰,肾脏亏虚,不能生髄输济于脑,“肾脑失济”以致髓海空虚、神明失养发为抑郁。从中医理论出发,将老年人五脏虚衰,好发情志病的特点以及老年抑郁症的症状相结合,基于“肾脑相济”理论对老年抑郁症的中医病机进行探讨,希冀为中医临床从肾脑论治老年抑郁症提供理论依据与思路。

Senile depression refers to the mental illness of the elderly over 60 years old,which is mainly manifested by continuous depression,decreased interest and psychomotor abnormalities.Senile depression is often based on kidney deficiency,mostly due to old-age physical failure,kidney deficiency,unable to produce blood and nourish the brain."kidney and brain lacking of nourishing"results in marrow deficiencyand loss of spiritual nourishment,leading to depression.Starting from the theory of traditional Chinese medicine,this study combines the characteristics of the deficiency and decline of the five Zang organs,the predisposition to oestrus and the symptoms of senile depression,and discussed the pathogenesis of senile depression based on the theory of"kidney and brain nourishing each other",hoping to provide theoretical basis and ideas for the clinical treatment of senile depression fromkidney and brain.