抑郁症相关情志疾病论析.doc

抑郁症相关情志疾病论析摘 要:抑郁症是一种包括多种精神症状和躯体症状的复杂的情感性精神障碍,抑郁症属中医学中的情志疾病。抑郁症虽临床表现不一,但都有共同病因,即情志不遂,气机失调是抑郁症的基本病机,脏腑功能紊乱,产生抑郁症状。中医学虽无抑郁症病名,但有关抑郁症状的论述却见之于古代医籍中,包括:郁证、癫病、梅核气、百合病、脏躁等。就古代抑郁症从七情致病的原因、特点、调摄等诸多方面论述了中医学所包含的丰富的情志学思想和内容。 关键词:抑郁症;情志疾病;古代医籍? 中图分类号:R749.4 文献标识码:A 文章编号:1673-7717(2010)04-0866-03 Analysis of Depression-Related Emotional Diseases LIU Tsing?xian, MA Xiao?ling (Departments of Neurology, Pinghu Hospital of Traditional Chinese Medicine, Pinghu 314200,Zhejiang,China)? Abstract:Depression is a complicated emotional psychosis with various mental and somatic symptoms. Depression remains the emotional disease in Traditional Chinese Medicine (TCM). Although its clinical behaviors are different, there is an identical cause, is motional disturbance. The dysfunction of qi activity is the essential pathogenesis. which lead to a disorder of organs’ function, give rise to a serial depression symptoms. There were may descriptions of syndromes and symptoms relevant of similar to depression in the ancient medical books. Depression-related illnesses in TCM can be found unevenly, They are depressed syndrome, depressed psychosis, globus hysteritis, lily disease and hysteria etc. From the aspects of the reason,characteristics and recuperation, to discusses the plentiful thought and content of psychology in TCM.? Key words:depression; emotional disease; encient medical book 收稿日期:2009-12-17 基金项目:平湖市科技局立项课题(200717) 作者简介:刘庆宪 (1966-),男,浙江平湖人,主任医师,学士,主要从事神经疾病临床与研究。 抑郁症是一种常见情感障碍性疾病,主要表现反复发作的情绪低落,兴趣减退,反应迟钝,睡眠困难,厌世等精神症状,或伴有言行迟缓、头晕头痛、食欲减退、四肢无力、性冷淡等躯体障碍。随着人类生存及社会竞争压力增加,抑郁症的发病率逐年升高,影响社会家庭的稳定与发展,不仅是一个疾病更是一个严重的社会问题,日益引起全社会的重视。? 抑郁症的历史也相当久远,中医相关论述分散在古代医籍中,内容丰富。中医郁证病名首见于明代医家虞抟《医学正传》,与现代抑郁症在症状与病因病机上有一定重合,又存在差异,而抑郁症的表现形式在多种中医病名的症状群中出现,说明两者不是简单的对等关系。本文将对与抑郁症症状关系密切的中医病证,究其异同,挖掘论述。 1 郁 证? 郁者,烦躁郁闷心情不舒,与情志密切相关。《灵枢#8226;口问》:“悲哀愁忧则心动,心动则五脏六腑皆摇。”《素问#8226;举痛论》:“思则心有所存,神有所归,正气留而不行,故气结矣”;《素问#8226;本病论》:“人或患怒,气逆上而不下,即伤肝也”,首先阐明情志致郁的发生机制。明代《医学正传#8226;郁证》首次提出“郁证”病名,谓之病因:“或七情之抑遏,