摘要
张怀亮教授认为肝阳虚衰、相火不振是抑郁症发生的重要病机,肝阳的生理及病理意义则从肝的升发、疏泄、温煦、养神等方面论述,且抑郁症的精神情绪以及形体功能的变化与人体阳气尤其是心阳和肝阳密切相关。张教授治疗抑郁症多从肝阳虚论治,从酸补辛泻,体用结合、寒温并施,温下清上而着手,临床仅表现为肝阳虚,而肝血不足的症状不显著时,方用小柴胡汤合桂枝甘草汤;表现为肝阳不足证的同时,往往又形成虚火内扰的征象时,方选乌梅丸。
Professor Zhang Huai-liang thinks that deficiency of liver yang and weak ministerial fire are the important pathogenesis.He states the physiological and pathological significance of the liver yang from the aspects of liver ascending,dispersing,warming and nourishing. He thinks the change of mental mood and body function of depression is closely related to human body yang,especially the heart yang and liver yang. He uses acid to supplement,pungent to disperse,adopts warming and cooling together,warming the lower part of the body and clearing the upper part of the body. For liver yang deficiency with liver blood deficiency symptoms,he often uses Minor Bupleurum Decoction Combined with Cinnamon Twig and Licorice Decoction. For combined with deficiency of liver yang leading to deficient fire disturbing the interior,he often chooses Mume Pill.
作者
徐进
XU Jin(The First Hospital Attached to Henan University of TCM ,Zhengzhou ,Henan,China,45000)
出处
《河南中医》
2018年第6期835-837,共3页
Henan Traditional Chinese Medicine
关键词
抑郁症
肝阳虚
温补肝阳
小柴胡汤
桂枝甘草汤
乌梅丸
张怀亮
名医经验
depression
deficiency of liver yang
warm supplementation of liver yang
Minor Bupleurum Decoction
CinnamonTwig and Licorice Decoction
Mume Pill
Zhang Huai-liang
famous doctor＇s experience
