抑郁症中医病因病机探讨

抑郁症临床分为初、中、末三期,初期病位在肝脾,病变涉及少阳,病性为实,主要病机为肝失疏泄、脾失健运;中期肝气郁滞较重,其病位涉及肝胆脾胃,病性亦为实证,主要病机为肝气郁滞,可伴痰浊内生;末期虚证多见,病位涉及心肺肝肾等,可兼痰浊瘀血阻滞,也有因虚致实之证。

The Study of the Pathogenesis of Depression

Depression should be divided into the early,the middle and the end of stage in the clinic. It is at the liver and spleen in the early stage,involving Shaoyang. Its nature of disease is excess. The main pathogenesis is the liver failing to maintain the normal flow of qi and dys-splenism. Liver stasis is heavier in the middle stage,involving the liver,gallbladder,spleen and stomach. Its nature of disease is excess too. The main pathogenesis is stagnation of qi due to depression of the liver that accompanied sputamentum. Mostly deficiency in the end of stage,the disease location was involving the liver,kidney,heart and lung. The pathogenesis would appear blood stasis and phlegm blocking,some times there were appear excess syndrome caused by deficiency.