抑郁症与中医“郁证”的关系探讨

Investigation on the Relationship Between Depression and TCM Depression Syndrome

结合古代文献及临床研究 ,从文献记载和临床症状、病因病机等方面论述抑郁症与郁证的差异及共性。认为中医“郁证”本身含有两层含义 ,一为以病机而立病名 ,二为情志之病 ,中医有关抑郁症的描述只见于后者 ,而且有关抑郁症的描述也在多种中医病名的症状群中出现 ,因此抑郁症与郁证二者不是简单的等同关系。并提出抑郁症中医辨证应以虚证为纲 ,结合临床观察 ,以益肾补虚为大法治疗抑郁症 。

In this paper, the difference and commonness between depression and TCM depression syndrome are discussed from on the basis of medical literature, clinical symptoms, etiology and pathogenesis. The authors hold that TCM depression syndrome include many diseases of various kinds of pathogenesis, including the disease caused by emotional factors. The description of depression in TCM is only the latter, and depression and the TCM depression syndrome should not be considered as the same. The authors put forward that in the TCM differentiation of depression, emphasis should be put on the aspect of deficiency, and the therapy of tonifying kidney and supplementing deficiency can achieve rather good clinical results in treating depression.