[1]惠波波,张晓乐,陈杰,等.韩祖成主任医师治疗郁病的临床经验[J].西部中医药,2025,38(01):29-32.[doi:10.12174/j.issn.2096-9600.2025.01.07]
　HUI Bobo,ZHANG Xiaole,CHEN Jie,et al.Chief Physician Han Zucheng′s Clinical Experience in the Treatment of Depression[J].Western Journal of Traditional Chinese Medicine,2025,38(01):29-32.[doi:10.12174/j.issn.2096-9600.2025.01.07]
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韩祖成主任医师治疗郁病的临床经验()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年01期
页码:
29-32
栏目:
名医名家
出版日期:
2025-01-15

文章信息/Info

Title:
Chief Physician Han Zucheng′s Clinical Experience in the Treatment of Depression
作者:
惠波波1, 张晓乐2, 陈杰2, 雷亚玲2, 王翠2, 袁捷2, 王渊2, 韩祖成,
1.陕西中医药大学，陕西 咸阳 710046
2.陕西省中医医院，陕西 西安 710003
Author(s):
HUI Bobo1, ZHANG Xiaole2, CHEN Jie2, LEI Yaling2, WANG Cui2, YUAN Jie2, WANG Yuan2, Director: HAN Zucheng,
1.Shaanxi University of Chinese Medicine, Xianyang 710046, China
2.Shaanxi Provincial TCM Hospital, Xi’an 710003, China
关键词:
郁病; 抑郁症; 辨证论治; 韩祖成
Keywords:
melancholia; depression; syndrome differentiation and treatment
分类号:
R277.7
DOI:
10.12174/j.issn.2096-9600.2025.01.07
文献标志码:
A
摘要:
韩祖成主任医师认为，郁病与肝、脾胃、心、肾等脏腑功能密切相关，病机多为肝气郁结、痰湿蕴脾、脾虚湿盛、心脾两虚、心肾阴虚等，核心病机为肝郁脾虚、心神失养，故以疏肝健脾、解郁安神作为主要治法，配伍理气、解郁、化湿、和胃、宁心、安神等治法。郁病之初多为肝郁，故临证时常用疏肝之法，灵活运用逍遥散加减治疗；郁病渐久，木郁克脾土，故注重从后天之本由脾论治郁病，常用二陈汤或参苓白术散加减；心主神明，从心论治郁病亦常为多见，临证常用归脾汤加减；郁病日久，肾主封藏，母病及子，故从肾论治郁病，用六味地黄汤加减。
Abstract:
Chief physician Han Zucheng holds that depression is closely related to the functions of liver, spleen and stomach, heart and kidney, mostly caused by liver Qi depression, phlegm-dampness encumbering the spleen, spleen deficiency with dampness encumbrance, deficiency of both heart and spleen, Yin deficiency of heart and kidney, and the core pathogenesis lies in liver Qi depression and spleen deficiency, nutritional loss of heart spirit, hence, soothing liver and invigorating spleen, relieving depression and tranquilizing the spirit are applied as the main therapeutic methods, combined with regulating Qi, relieving Qi depression, resolving dampness, harmonizing the stomach, calming the heart and tranquilizing. At the initial stage, he employs modified Xiaoyao powder flexibly to soothe liver in clinic as the disease is based on liver Qi depression; modified Erchen Tang or Shenling Baizhu San is adopted to treat the disease from spleen, the foundation of acquired constitution, as the diseases lingered on for a long time, liver-wood depression restricting spleen-earth; it’s common to employ the treatment based on heart, modified Guipi Tang is frequently used in clinic as heart governs spirit; for long-lasting disease, modified Liuwei Dihuang Tang is chosen, and the treatment is based on kidney as the kidney governs storing, the mother diseases affecting the child in terms of five elements.

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备注/Memo

备注/Memo:
惠波波（1994—），男，硕士学位。研究方向：脑病的中医基础与临床研究。陕西省重点研发计划（2018ZDXM-SF-013）；陕西省中医药管理局项目（LCPT011）。
更新日期/Last Update: 2025-01-15