张金生教授基于“肝脑同治”理论对治疗中风后抑郁症的机理探讨

中风后抑郁症是脑中风后较为常见的一种并发症,其发病率为25%~80%且逐年增涨,研究发现抑郁障碍的发生不仅会阻碍患者神经功能的恢复,还会降低患者的生活质量且抑郁症状的不及时诊治也会加重患者的运动功能和认知功能的损害。导师张金生教授结合多年临床经验和现代医学研究,依据“因郁致病”“因病致郁”“脑为元神之府,主持五神,以调节脏腑阴阳,四肢百骸之用”(《锦囊录》)的理论,提出了“从肝脑论治中风后抑郁症”的观点。笔者长期跟师学习,感触良多,因此基于导师“肝脑同治”理论对中风后抑郁症的发病机理进行探讨。

A study on the mechanism of treating post-stroke depression based on the Gannao Tongzhi theory from professor Zhang Jinsheng

Post-stroke depression is a common complication after stroke.The incidence rate is 25%~80%and increases year by year.The occurrence of depression can hinder the recovery of neurological function,reduce the quality of life.If depression is not treated promptly,it will aggravate the motor function and cognitive impairment of patients.Professor Zhang Jinsheng put forward the Gannao Tongzhi(肝脑同治)theory on treating post-stroke depression according to years of the experience and modern medical research,such as the relationship between Wushen,depressio and disease in Jinnang Lu(《锦囊录》).By learning with the teacher for a long time,the mechanism of treating post-stroke depression based on the Gannao Tongzhi theory was discussed.