从肝阴阳两虚论治抑郁症刍议

A Preliminary Discussion on Treating Depression from Liver Yin and Yang Deficiency

摘要: 历代医家针对抑郁症病机阐述多停留于肝郁脾虚、肝血虚、肝阳虚等证候，论述不一。四川省名中医何俊安老师通过临床实践和古籍研究，阐明肝体阴而用阳，阴血和阳气的充足平衡是肝脏主疏泄条达的生理基础，提出肝脏阴阳两虚是抑郁症的重要发病机制。赵远在何俊安老师指导下，以加减酸枣仁汤治疗抑郁症，论证从肝阴阳两虚论治抑郁症的病机类型，以期为抑郁症的治疗提供新的思考角度。

Abstract: Previous descriptions of the pathogenesis of depression by ancient and modern physicians have largely been confined to patterns such as liver depression with spleen deficiency, liver blood deficiency, and liver yang deficiency, with inconsistent viewpoints. Through clinical practice and research on ancient classics, Professor He Jun’an, a renowned traditional Chinese medicine physician in Sichuan Province, elucidated that the liver possesses the characteristic of “Yin in substance and Yang in function”, and that the sufficiency and balance of Yin blood and Yang qi constitute the physiological basis for the liver’s function of governing free flow and ensuring smoothness. He proposed that liver Yin and Yang deficiency is a key pathogenetic mechanism of depression. Under the guidance of Professor He Jun’an, Dr. ZHAO Yuan treated depression with a modified Suanzaoren Decoction, demonstrating the pathogenetic type of depression from the perspective of liver Yin and Yang deficiency, aiming to provide a new perspective for the treatment of depression.