梅成基于“血者，神气也”论治郁证经验探析

Mei Cheng’s Experience in Treating Depression Syndrome Based on “Blood, Spirit”

摘要: 文章介绍龙江名医梅成教授基于“血者，神气也”理论从“血分”论治郁证的临证思路与临床特色。梅教授认为，血为神志活动的物质载体，郁证虽多责于气机郁滞，然“久郁必及血分”，血虚、血瘀等皆可导致神失所养，发为情绪低落、倦怠乏力等症。其临证主张“调血以安神”，以养血活血为法，兼疏肝、健脾、通络，注重气血互化，善用血府逐瘀汤、逍遥散、温胆汤等方化裁，配合董氏奇穴针药结合，使血充脉和而神自安。此治法突破传统“郁证重气”思路，凸显“血–神”关联的临证思路，为郁证的中医辨治提供新视角。

Abstract: This paper introduces the clinical thinking and clinical characteristics of Professor Mei Cheng, a famous doctor in Longjiang, in treating depression syndrome from “blood division” based on the theory of “blood is also arrogant”. Professor Mei believes that blood is the material carrier of mental activity. Although depression syndrome is mostly attributed to qi stagnation, “long-term depression must be related to blood”, and blood deficiency and blood stasis can lead to mental loss, resulting in depression, fatigue and fatigue. His clinical practice advocates “regulating blood to soothe the nerves”, nourishing blood and promoting blood circulation, soothing the liver, strengthening the spleen and dredging collaterals, paying attention to the interaction of qi and blood, making good use of Xuefu Zhuyu Decoction, Xiaoyao Powder and Wendan Decoction, and combining acupuncture and medicine at Dong Shi’s odd points to make blood fill the pulse and calm the mind. This treatment breaks through the traditional thinking of “depression syndrome with heavy qi”, highlights the clinical thinking of “blood-spirit” relationship, and provides a new perspective for TCM differentiation and treatment of depression syndrome.