从“六郁”论治抑郁症

Discussion on the treatment of depression from the'six stagnations'

抑郁症属于中医学“郁证”范畴。气机郁滞是抑郁症的基本病机,气郁影响脏腑功能和气血津液运行,进而导致血郁、火郁、湿郁、痰郁、食郁诸郁继生或并见。各种原因导致的痰浊、瘀血、水湿等六郁相关病理产物积聚,是形成诸多临床症状的基础。故抑郁症可从“六郁”论治,调气为先,兼解诸郁。对于诸郁并见的复杂局面,则需视具体病机联合运用活血化瘀、泻火逐热、燥湿化痰、消积化滞等法。此外,湿郁、痰郁、食郁的形成与中焦密切相关,因此在抑郁症诊治中还要注意调护中焦。

Depression belongs to the category of depression syndrome'in traditional Chinese medicine.Qi stagnation is the basic pathogenesis of depression.Qi depression affects the function of the viscera and the operation of qi,blood,and body fluids,leading to the secondary or concurrent occurrence of blood stagnation,fire stagnation,dampness stagnation,phlegm stagnation,and food stagnation.The accumulation of pathological products related to the six stagnations,such as phlegm turbidity.blood stasis,and water dampness,caused by various reasons,is the basis for the formation of many clinical symptoms.Therefore,depression can be treated based on the theory of'six stagnations',with regulating qi as the priority and simultaneously resolving various types of stagnation.For complex situations where various types of stagnation coexist,it is necessary to use methods such as promoting blood circulation and resolving stasis,purging fire and heat,eliminating dampness and phlegm,and resolving accumulation and stagnation based on the specific pathogenesis.In addition,the formation of dampness stagnation,phlegm stagnation,and food stagnation is closely related to the middle burner.Therefore,we must also pay attention to regulating the middle burner in the diagnosis and treatment of depression.