络病学五字(物质)辨治实践气病通络方治抑郁症(论文)
摘要:运用络病学五字(物质)辨治理论治,用气病通络方治疗抑郁症疗效满意。抑郁症中医发病机制为气机郁滞。故治疗以气病通络散为主方,五和八味汤加减为次方。全面调理以气为中心点的“气、血、精、痰、饮”五字(物质)的整体协调。
关键词:络病;抑郁症;五字(物质)辨证论治;气病;通络方;五和八味
Syndrome differentiation and treatment of five characters (material) of collateral diseases and the practice of qi-disease-tongluo prescription in treating depression
Bao Yonghui, Yueqing Development Area Hospital
ABSRTACT: The theory of five characters (material) of collateral disease is applied to treat depression. TCM Pathogenesis of depression is stagnation of Qi. Therefore, the treatment of Qi-disease Tongluo powder for the main side, five and eight soup to reduce the power. Regulate the whole coordination of Qi, blood, essence, Phlegm and Yin which take Qi as the center point.
Key Words: Collateral Disease; Depression; five-character (material) Syndrome differentiation and treatment; Qibing; Tongluo Recipe; five and eight tastes
1.一般资料
12例患者,男性3例,女性9例,为中医门诊病人。男性3例年龄均为40-50岁,女性9例,其中5例为高考学生,其余为30-40岁。本组患者,女性居多占75%,中年居多30-50岁占66.7%。发病3个月内有7例,病程3-12月内有3例,病程长1-3年有1例,超过3年1例,诊断轻度抑郁的5例,余下7例为中度。有咽喉不适感者4例,有饮食胃口差者8例,有胸闷胀痛者6例,有失眠者10例,有便秘者5例,有腹泻者3例,有情绪低落、闷闷不乐者7例,有思维言语反应迟缓、记忆力减退者6例,有行为活动减退、社交减少者8例。
2.治疗方法与结果
2.1治疗方法:病程1年内的以纯中药治疗为主,以络病学五字(物质)辨治理论,用气病通络方治疗,其组成分两部分。一部分是调治病人一般情况(饮食、睡眠、二便)为主的五字(物质)辨治基础方五和八味汤组成为:柴胡、枳壳、苍术各9(用量单位为克,省略,下同),丹参20,白术、茯苓、泽泻各10,山药20,辨证加减,水煎服,日一剂,日二次。第二部分是气病通络的专攻方为香附、木香、沉香、苏合香按10:8:3:1比例研细粉配合吞服,每次3克,每天2次。五和八味汤加减:咽喉不适感加半夏、厚朴、紫苏叶各10,有饮食胃口差加焦三仙各12,有胸闷胀痛加瓜蒌、薤白、川楝子各10、元胡12,有失眠加酸枣仁、夜交藤各30,有便秘加火麻仁、郁李仁各30,有腹泻加焦神曲15、诃子、石榴皮各9。