培元开郁法对血管性抑郁症的治未病思想探讨

培元开郁法为血管性抑郁症的主要治法,文章旨在探讨其对血管性抑郁症元气亏虚,气血郁滞病机演变不同阶段的防治原则。通过文献研究,挖掘名老中医经验,结合临床实践,对培元开郁法的分期应用进行了系统阐述。未病先防,重脾肾培元固本,调气血开郁防滞;既病防变,强调早期诊断,早期治疗,培元开郁,顺气化痰,防传杜渐;病后止遗,培元开郁,化瘀解毒,通络疗损;病后调养,培元开郁防复发。总之培元开郁防治血管性抑郁症,充分体现了中医治未病思想。

Discussion on the ideas of treating predisease of cultivating Yuan and dissipating depression in vascular depression

Cultivating Yuan and dissipating depression is the main therapeutic method of vascular depression.The article discussed about prevention and treatment principle in different phases of vascular depression caused by the changes of archaeus deficiency and Qi-blood stasis.Through literature study,mining the traditional Chinese medicine experiences of famous old doctors and combining with clinical practice,the staging application of Cultivating Yuan and dissipating depression was systematically described.Preventive treatment before the occurrence of diseases,on both spleen and kidney are important for cultivating Yuan,yet both qi and blood are important for dissipating depression.Preventing deterioration after the occurrence of diseases,with cultivating Yuan and dissipating depression,promoting qi is the first,reducing phlegm is important for preventing deterioration.Preventing sequelae after the occurrence of diseases: about cultivating Yuan and dissipating depression,removing blood stasis and disintoxicating,and removing obstruction in collaterals and treating injuries are importent.Recuperating after an illness: cultivating Yuan and disspating depression are vital for avoiding the possibility of relapse.In short,the idea of TCM treating predisease is fully showed off by using of cultivating Yuan and dissipating depression for preventing and treatment of vascular depression.