摘要
本文从《黄帝内经》视角探讨枢机的内涵,阐述少阳枢、少阴枢与郁证之间的关系。基于少阳少阴枢机不利、气机不疏、阳郁不伸是郁证发生的关键病机的观点,阐述郁证治枢的临床辨治理念。调枢起神、转枢启阳、温阳解郁是郁证的主要治疗原则,结合《伤寒论》的临床应用,选择适当方剂进行调整,和调阳枢以柴胡桂枝汤为主方,和调阴枢以麻黄附子细辛汤为主方,并兼顾疾病发展过程间接调枢,灵活加减用药。本文提出郁证的治疗思路,以和调枢机为主,旨在缓解或减轻病情进一步发展,探索郁证的临床治疗新思维。
This article will explore the connotation of pivot from the perspective of Huangdi Neijing,and elaborate on the relationship between the Shaoyang pivot,the Shaoyin pivot,and depression.Based on the view that the pivots of Shaoyang and Shaoyin are unfavorable,qi is not disordered,and yang is not expressed,which are the key pathogenesis of depression,this article will elaborate on the clinical diagnosis and treatment principles of depression.In addition,it will introduce the main treatment principles of depression,including regulating the pivot to improve spirit,turning the pivot to inspire yang,and warming yang to resolve depression.Based on the clinical application of Shanghan Lun,appropriate prescriptions will be selected for modification.The main formula for regulating yang pivot is Chaihu Guizhi Decoction,while the main formula for regulating yin pivot is Mahuang Fuzi Xixin Decoction.At the same time,attention will be paid to indirectly regulating the pivot based on the development process of the disease,with flexible modification of medication.Finally,it will summarize the treatment ideas of depression,emphasizing on regulating pivot,aiming to alleviate or reduce the further development of the disease and explore new clinical treatment ideas for depression.
作者
欧阳欢
程发峰
王雪茜
王庆国
OUYANG Huan;CHENG Fafeng;WANG Xueqian;WANG Qingguo(School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China;Beijing University of Chinese Medicine Third Affiliated Hospital,Beijing 100029,China)
出处
《北京中医药大学学报》
CAS
CSCD
北大核心
2023年第12期1637-1640,共4页
Journal of Beijing University of Traditional Chinese Medicine
基金
国家自然科学基金项目(No.82004327,No.81774122)
国家中医药管理局中医学术流派传承工作室第二轮建设项目(国中医药办人教函[2019]62号)
国家中医药管理局全国名中医传承工作室建设项目(国中医药办人教函[2018]119号)。
关键词
少阳枢
少阴枢
郁证
柴胡桂枝汤
麻黄附子细辛汤
调枢
Shaoyang pivot
Shaoyin pivot
depression
Chaihu Guizhi Decoction
Mahuang Fuzi Xixin Decoction
adjustment of the pivot