郁证诊疗新体系的构建

Construction of new diagnostic and therapeutic system of depression syndrome

当今精神心理因素所致郁证已成为主要疾病谱。在现代医学背景下,亟待重新审视郁证概念,厘定郁证形态,识别隐性郁证,构建郁证四诊方法,明确从郁论治的内涵外延。重新认识五脏藏神的藏象学说及有关病证的郁证性本质,以此做好构建郁证性病证诊疗新体系的理论准备。文章以“郁证性脾胃病学说”的创建为例,将脾胃病分为郁证性脾胃病与非郁证性脾胃病两类,探讨了郁证性脾胃病的本质及主要的3种亚型,刻画了郁证性脾胃病的临床表现特点与诊断,确立了郁证性脾胃病的基本治疗原则。以此为契机展示了创建郁证诊疗新体系的基本构想。创建郁证诊疗新体系不仅可以更好地满足临床需求,而且可以更好地传承、发扬、创新、推动中医学事业与时俱进发展。

Depression syndrome caused by psychological factors has become the main current disease spectrum.Under the background of the modern medicine,it is urgent to re-examine the new concept of depression syndrome,redefine its forms and manifestations,identify recessive depression syndrome and then reconstruct the new diagnostic and therapeutic system of depression syndrome.By analyzing of the profound connotation and denotation of relieving-depression therapy,and reunderstanding of TCM theory of visceral manifestations and the nature of the related diseases,the theoretical preparation of the new system would be made.In this paper,with the example of the establishment of the theory‘the spleen and stomach diseases of depression syndrome’,the author essentially demonstrates the categories,summarizes its three sub-syndrome differentiations,and represents the clinical features and therapeutic principles.As an illustration,the basic idea of creating a new system of depression syndrome can be shown.In addition,creating the new system of depression syndrome not only can better meet the clinical needs,but also can further inherit and promote the development of TCM with the times.