郁证源流考略

Textual research on origin and development of depression syndrome

郁之概念最早源于《黄帝内经》,而“郁证”病名首见于《医学正传》,笔者通过查阅中医药古籍中“郁证”的相关内容,并加以甄别筛选,系统梳理了其起源及演进,可归纳两方面内容:一是从病因病机而言,泛指滞而不得发越之证;二是从发病过程而言,指情志怫郁,导致脏腑功能失调,从而发生以抑郁善忧、情绪不宁等为主症的疾病,前者侧重病因病机,后者侧重发病过程,均属郁证范畴。自《黄帝内经》付梓以降,各代医家不断充实和完善郁证的相关内容,使郁证理论传承有序,日臻完善。

The concept of ‘depression’ originated from Huangdi Neijing, and the name of ‘depression syndrome’ was first seen in Medical Biography. This article looks up and screens the relevant contents of depression syndrome in the ancient books of traditional Chinese medicine, systematically combs its origin and development, and reveals that it covers two aspects. First, in terms of etiology and pathogenesis, it generally refers to the syndrome of stagnation and failure to get over. And second, from the onset of the process, it refers to emotional depression, leading to visceral dysfunction, resulting in depression, anxiety, restlessness and other diseases. One focuses on etiology and pathogenesis and the other on clinical manifestations, but all belong to the category of depression syndrome. Since Huangdi Neijing, doctors of all generations have continuously enriched and improved the relevant contents of depression syndrome, so that the theory of depression syndrome has developed and tends to be mature and perfect.