魏睦新教授治疗郁证的经验探讨.pdfVIP

第 27 卷 第 6期 V ol. 27 N o. 6 2 0 0 9 年 6 月 CH INESE ARCH IVES OF TRAD IT OI NAL CH INESE M ED CI INE Jun. 2 0 0 9 1, 2 1 冯韵凝 , 魏睦新 ( 1. , 210029; 2. , 210046) : 近年来, 中医的郁证, 相当于现代医学的抑郁障碍, 患病率呈 升趋势总结出肝失疏泄, 脾失运化, 心神失养, 脏腑阴阳气血失调是郁病总的发病机理; 辨证论治可分为肝气郁结肝郁化火痰气郁结心脾两虚心 阴亏虚肝肾阴虚六型来治疗魏睦新教授认为治疗本病, 应先疏肝解郁, 再兼顾其他, 要运用中医的整体观念, 辨病与辨证结合, 同时应结合西医的优势, 运用现代化的检测手段及心理疗法针灸疗法以及饮食调理中西医 结合, 既克服了纯西药的副作用, 又可缩短病程, 增强患者同疾病作斗争的信心 : 郁证; 肝郁; 辨证论治; 中西医结合; 其他疗法 : R249 : A : 167 3- 77 17 ( 2009) 06- 1232- 03 The Investigations O f The P rofessor W E I M u- X in s E xperience In Cur ing Th eM elancholia FENG Y un-n ing1, 2, W EI M u-x in ( 1. T he First A ffiliated H osp ital of N anjing M ed ical U n iversity, N anjing 2 10029, J iangsu, Ch ina; 2. N anjing U n iversity of T rad itional C h inese M edicine, N anjing 2 10046, J iangsu, Ch ina) Abstrac:t The inc idence of m elancho lia in trad itiona l Chinese m ed icine, smi ilar to depressiv e d isorder in w estern med ic ine, is in a rising trend recen tly. W e th ink the pathogenes is of m elancho lia is as fo llow s: N o t liver free ly distr ibu- ting, loss of transportation and digestion o f spleen, loss nour ishm ent of the m ind, d iso rders of the Y in Y ang Q i and Xue in Z ang and Fu O rgans. So acco rd ing ly, the syndrom e diffe rentia tion and treatm ent can be c lassif ied as fo llow s: L iver Q i stagnation, pathog en ic f ire derived from stagnation of L iver- Q I, depressive stagnation o f ph legm and Q i, de fic iency of bo th