基于“肝肾同源”理论探讨滋肾疏肝法治疗围绝经期抑郁症

A brief analysis of the positive effects of the theory of"essence and blood homologous"in the treatment of perimenopausal depression by nourishing the kidney and relaxing the liver

围绝经期抑郁症(perimenopausal depression,PMD)是指发生于女性围绝经期的一种精神障碍性疾病,表现为情感障碍,思维迟缓,容易出现情绪低落和焦虑不安的症状。近年来,随着社会经济不断发展,女性面临的压力明显增加,导致PMD的发病率明显升高,严重威胁生命健康及生活质量。该病属于祖国传统医学“郁证”“脏躁”“百合病”范畴。相对于西医学的激素及抗抑郁药物治疗,中医学治疗本病有着明显优势,但临床辨证治疗中各医家对本病的认识及治疗各有所长,通过文献总结发现,大多数医家认为本病的病位主要在肝肾,根本病因乃天癸耗竭、肾精亏虚,主要病机为肾虚肝郁,根据中医学经典理论“肝肾同源”学说,本文总结了部分医家从滋肾疏肝法治疗围绝经期抑郁症,以期为今后临床辨治围绝经期抑郁症提供一些思路。

Perimenopausal depression(PMD)refers to a mental disorder that occurs in women during perimenopause,manifested as emotional disorders,slow thinking,and easy to have symptoms of low mood and anxiety.In recent years,with the continuous development of social economy,the pressure faced by women has increased significantly,resulting in a significant increase in the incidence of PMD,which seriously threatens women's life and health and quality of life.The disease belongs to the categories of"Yuzheng","Dirty Mania"and"Lily Disease"in traditional medicine of the motherland.Compared with Western medicine hormone and antidepressant drug treatment,traditional Chinese medicine treatment has obvious advantages,but clinical dialectical treatment of each medical practitioner has its own advantages in the understanding and treatment of this disease,through literature summary found that most doctors believe that the disease is mainly in the liver and kidneys,the root cause is depletion,kidney deficiency,the main cause is kidney deficiency and liver depression,according to the classic theory of traditional Chinese medicine"Hepatorenal homologous"theory,this paper summarizes the clinical effect of some doctors from the method of nourishing kidney and liver thinning to treat perimenopausal depression,In order to provide some ideas for the future clinical defense of perimenopausal depression.