郁证发微(十八)——郁证虚劳论

探讨郁证性虚劳的病脉证治。虚劳是对以脏腑气血阴阳不足为主要病机的慢性虚衰性病证的总称,但其中有缘于七情五志所致者,看似一般虚证虚劳,实为郁证之变形。虚劳五志伤五脏论以劳心为先,抑郁可成劳损;虚劳五劳七伤论包括五志七情伤及脏腑,显为情志之病;虚劳脱营失精论乃生活际遇落魄所致;室女童男思窦初开失当、鳏寡僧尼恨愁结肠曲思不达,亦致忧郁成劳。郁证性虚劳有显性郁证和隐性郁证。治疗郁证性虚劳除补益以外,应重视开郁安神、疏通气机;在药物治疗以外,更需改心革志、消遣情怀、知命乐天。情志调摄与医养结合对防治郁证性虚劳十分重要。

Consumptive diseases due to depression syndrome

This paper investigated the therapy and syndromes of consumptive disease due to depression syndrome. Consumptive disease is a general term for chronic deficiency diseases due to consumption of yin,yang,qi and blood in viscera. A part of consumptive disease,which is caused by emotional factors,always manifests as ordinary deficiency syndrome, but actually belongs to the deformation of depression syndrome. The reasons include the facts that five excessive minds influence the five viscera especially the heart,seven emotions such as anger,sadness,over-thinking and fear lead to psychological diseases,changes in life circumstances cause the consumption of ying qi and loss of essence,and the emotional upset of the girls and boys at puberty,the divorced and nuns can arouse consumptive disease. Consumptive disease due to depression syndrome contains two forms as dominant depression syndrome and recessive depression syndrome. As for the treatments,besides of nourishing therapy,the principles of relieving depression,tranquilizing the mind and regulating qi should also be taken seriously. In addition to medication,regulation of mind and spirit is also essential to avoid consumptive diseases. Combination of these two aspects is very important for the prevention and treatment of consumptive disease due to depression syndrome.