从《伤寒论》太阴病探讨抑郁症辨治

Analysis of Differentiation and Treatment of Depressive Disorder from Taiyin Disease of Treatise on Cold Pathogenic Diseases

抑郁症患者常见疲乏、腹泻、纳差等太阴里寒征象,太阴里寒导致的肠道菌群失衡,常通过脑肠轴作用于脑神经,引发脑神紊乱,出现抑郁症。以四逆辈方药或温法温运太阴,对具有倦怠嗜卧、面色萎黄或淡白、乏力纳差、腹胀腹泻、舌质淡胖或有齿痕等特点的抑郁症患者具有良效。根据《伤寒论》六经辨证整体性、动态性的特点,临床常合以温壮少阴、和解少阳,以达标本兼治、治病求本的目的。

Patients with depressive disorder often have the symptoms of interior cold of Taiyin such as fatigue,diarrhea,poor appetite,etc.The intestinal flora imbalance caused by interior cold of Taiyin often affects the brain through the brain-gut axis,leading to brain dysfunction and depressive disorder.Using the Sini formula group or warming method to warm and active Taiyin can be effective for depressive patients with symptoms such as lethargy,sleepiness,pale or light complexion,fatigue,poor appetite,abdominal distension and diarrhea,pale and enlarged tongue with teeth marks,etc.According to the holistic and dynamic characteristics of syndrome differentiation based on six meridians in Treatise on Cold Pathogenic Diseases,warming and nourishing Shaoyin and harmonizing Shaoyang are often combined to achieve the goal of treating the symptom,root cause and curing the disease.