吴鸿教授运用柴胡加龙骨牡蛎汤治疗焦虑抑郁症经验

The experience of Professor WU Hong in treating anxiety and depression with the Chaihu Longgu Muli decoction

柴胡加龙骨牡蛎汤出自张机(字仲景)《伤寒论》,原方主治伤寒下后邪陷少阳阳明兼正伤证之伤寒往来寒热、胸胁苦满、烦躁惊狂不安、时有谵语、身重难以转侧者,虽然本方看似只为少阳病而设,但自古以来,作为抗抑郁方在临床上的应用非常广泛。笔者在跟随吴鸿教授临床学习时,发现吴师擅用本方治疗焦虑抑郁状态下失眠的患者,且疗效显著,遂结合经典条文、多位医家的论述以及临床从师心得,将其经验总结介绍如下。

The Chaihu Longgu Muli decoction comes from TCM master Zhang Zhongjing’s Shanghan Lun(《伤寒论》).The original prescription is mainly used to treat diseases caused by typhoid fever,such as hot and cold weather,fullness of chest and flank,restlessness,delirium from time to time,and the body weight is difficult to turn sideways.Although this prescription seems to be only for treating the Shaoyang diseases(少阳病),it has been widely used in clinic as an antidepressant since ancient times.The author was fortunate to learn from Professor WU Hong in clinic,and found that Professor WU was good at applying this prescription to treat insomnia in patients with anxiety and depression,and the effect was remarkable.Then,based on the classic terms,the discussions of many doctors,and learning experience of the author,the experience of Professor WU Hong was summarized and introduced as follows.