唐启盛教授治疗抑郁障碍的学术经验

Experience in the treatment of depressive disorder of Professor TANG Qi-sheng

关键词:  唐启盛  抑郁障碍  益肾调气  肾虚肝郁  颐脑解郁方

Key words:  TANG Qi-sheng  depressive disorder  tonifying kidney and smoothing Qi  kidney essence deficiency and liver Qi stagnation  Yinao Jieyu prescription

摘要:

唐启盛教授认为抑郁障碍与中医的"郁病"关系密切,情志之郁与气血痰食火等病机之郁有所区别,初起多为情志不遂而肝气郁结、痰气郁结,久则暗耗肾精,以致肾精亏虚,水不生木,因此提出"肾虚肝郁"的病机。通过数据挖掘,分析了抑郁障碍的中医证候规律,发现肾虚肝郁是抑郁障碍最常见的证候类型。治疗上运用益肾调气法,创立颐脑解郁方,用以治疗抑郁障碍,疗效显著。

Abstract:

Professor TANG Qi-sheng considers that the relationship between depressive disorder and "Yu Bing" in Chinese Medicine is extremely close. Emotional stagnation is different from pathogenesis stagnation such as the stagnation of Qi, blood, sputum, food, fire, etc. It is usually results from emotional upset at the beginning, and then stagnation of liver Qi, then stagnation of phlegm and Qi. For a long time, consumption of kidney essence will occur, then deficiency. Thus he suggested the pathogenesis of "Kidney essence deficiency and liver Qi stagnation". He analyzed the syndrome principles by dataming, and found it is the most frequent syndrome of depressive disorder. He used the method of tonifying kidney and smoothing Qi, herb of Yinao Jieyu, to treat the disease, and it is effective.