|本期目录/Table of Contents|

[1]张晓南,黄世敬.血管性抑郁症病机证治探讨[J].环球中医药,2013,6(06):465-0.
 ZHANG Xiao nan,HUANG Shi jing..Discussion of vascular depression on pathogenesis and syndrometreatment[J].,2013,6(06):465-0.
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血管性抑郁症病机证治探讨()
     
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《环球中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
第6卷
期数:
2013年06期
页码:
465-0
栏目:
综述
出版日期:
2013-06-06

文章信息/Info

Title:
Discussion of vascular depression on pathogenesis and syndrometreatment
作者:
张晓南;黄世敬;
Author(s):
ZHANG XiaonanHUANG Shijing.
Traditional Chinese medicine R & D Center, GAM Hospital, China Academy of Chinese Medical Sciences, Beijing 100053,China
关键词:
血管性抑郁病机虚气留滞辨论论治培元开郁法
Keywords:
Vascular depressionPathogenesisQi deficiency and constaintSyndrometreatmentCultivating Qi and clearing blockage.
分类号:
R74
DOI:
-
文献标志码:
A
摘要:
旨在探讨血管性抑郁的病机证治特点,通过文献检索并结合临床经验,总结其核心病机为虚气留滞,病变脏腑主要为肝脾肾,证型为肝郁脾虚,肝肾阴虚,脾肾阳虚,瘀热互结四型,提出培元开郁法是其主要治疗原则,包括益气开郁法,温阳开郁法,养血开郁法,滋阴开郁法,对各型证治进行解释说明举例分析,并特别深入探讨了益气开郁法的应用,以供临床正确辨治血管性抑郁提供参考。
Abstract:
Through the way of relative document retrieval and combining with clinical experience, its aid to discuss the pathogenesis and syndrometreatment of Vascular Depression,and we concluded that the center pathogenesis of VD were Qi deficiency and constraint, the relative viscera being the liver, the spleen and the kidney,The four patterns being liver stagnation and spleen deficiency 、liverkidney Yin deficiency、spleenkidney Yang deficiency、blood and heat accumulation. Also therapy law were came up cultivating the Yuan and clearing the blockage,which contains invigorating Qi、warming Yang、nourishing Blood and Yin while clearing. It is trying to give explanation for all the styles with examples,especially invigorating Qi and clearing blockage manner, so as to guide the clinical application.

参考文献/References:

[1]Tiemeier H, bakker SL, Hofman A. Cerebral haemodynamics and depression in the elderly [ J ] . J Neurosurg Psychiatry, 2002,73(1):34 39.
[2]Alexolzoulos GS,Meyers BSYoung RC,et al,‘Vascular depression’.hypothesis.Arch Gen Psychiatry,1997,54:915922.
[3]高向丽,过伟峰.中风后抑郁症病机特点探析[J].辽宁中医药大学学报,2007,9(2):4142.
[4]杜玉玲,钱仁义.安神舒郁疗法治疗中风后焦虑状态60例[J].中医杂志,2000,41(3):185.
[5]黄世敬,吴萍.“虚气留滞”与血管性抑郁症[J].中国中医基础医学杂志,2006,12(12):901902.
[6]闫咏梅,刘力.卒中后抑郁症中医辨治初探[J].陕西中医学院学报,2000,23(5):4950.
[7]王鹏,王洪菊.从肝论治脑卒中后抑郁症42例临床观察[J],实用中医内科杂志,2006,20(4):381382.
[8]张滨斌,唐启盛.脑卒中后抑郁症与中医肾脏的关系[J].中国临床康复,2005,9(12):166168.
[9]徐晔,张怀亮.从脾肾虚损论治中风后抑郁症[J].中医临床研究,2011,3(6):61,63.
[10]唐永祥,王晓玲,贺君,等.脑卒中后抑郁症“因虚致郁”病机探讨[J],湖南中医杂志,2012,28(3):103104.
[11]刘庆宪,王九东,宋永建.固本解郁法论治脑卒中后抑郁症162例[J].安徽中医学院学报,2001,20(6):1215.
[12]唐胜修,徐祖豪.针刺干预中风后抑郁状态的发生[J].广西中医,2002,24(1):141142.
[13]吴巍,黄世敬.血管性抑郁症的证候分布规律研究[J].世界科学技术中医药现代化,2011,13(6):974976.
[14]樊蔚,程凯.卒中后抑郁症的相关因素及中医常见症状研[J].中国中医基础医学杂志,2009,15(17):853855.
[15]常学辉,张良芝.柴胡疏肝散为主治疗卒中后抑郁50例[J].辽宁中医杂志,2010,37(10):19731974.
[16]苗治国,吕聪枝,李明,等.加味补中益气汤治疗卒中后抑郁45例[J].中国中医急症,2012,21(3):460461.
[17]杨迎民.加味四逆散治疗缺血性脑中风后抑郁症临床研究[J].天津中医药,2009,26(2):110112.
[18]何小琦,罗承锋,张霄霖.从痰浊论治中风后抑郁症的临床观察[J].中国中医药科技,2008,15(3):222223.
[19]裴清华,唐启盛,程远,等.益肾调气法治疗脑卒中后抑郁(血瘀型)临床研究[J].吉林中医药,2008,28(7):487488.
[20]周波,曾启全,彭卓嵛,等.益肾疏肝颗粒配合西药治疗中风后抑郁症30例[J].陕西中医,2009,30(5):520521.
[21]孙伟,包祖晓,张远怀,等.益气温阳活血法治疗脑卒中后抑郁34例临床观察[J].福建中医药,2008,39(1):12.
[22]董子强.温阳奋志振颓汤治疗中风后抑郁症40例临床研究[J].河南中医,2004,24(7):2930.
[23]张秀梅.化郁汤治疗卒中后抑郁症临床观察[J].中医药临床杂志,2010,22(3):237238.
[24]陈群雄,周穗文.双六丸治疗中风后抑郁症的临床观察[J].长春中医药大学学报,2007,23(3):4142.
[25]金曦.中风后抑郁中医证候及病损部位的相关性研究[J].中国医药指南,2011,9(24):127128.
[26]黄宏敏.地黄饮子合四逆散治疗中风后抑郁症38例[J],辽宁中医杂志,2008,35(6):890891.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金项目(No.81072801); 北京市中医管理局项目(NO.JJ201184)
作者单位:100053 北京,中国中医科学院广安门医院 中药研发中心[张晓南(硕士研究生)、黄世敬]
作者简介:张晓南(1988 ),女,2011级在读硕士研究生。研究方向:中医脑病。Email:zhangxiaonanz@126.com
通讯作者:黄世敬(1964),博士,研究员。研究方向:中医脑病。Email:gamhsj@126.com
更新日期/Last Update: 1900-01-01