基于少阳枢机理论探讨小柴胡汤治疗首发抑郁症

Based on Shaoyang Cardinal Theory to Explore the Treatment of First Episode Depression with Xiaochaihu Decoction

摘要: 本文基于少阳枢机理论，从少阳为疾病传变之枢、少阳为营卫运转之枢、少阳为阳气升降出入之枢三方面阐述了少阳之枢在机体内的重要作用。并根据伏邪发于少阳的理论基础，论述首发抑郁症与少阳之间的关系，推论出抑郁症首发于少阳的观点。进而从病因病机出发，以情志内伤、阳气失养以及脏腑经脉功能障碍三方面为论点探究少阳枢机对于抑郁症发生的影响，得出少阳枢机与抑郁症的发生发展之间具有密切联系的结论。最后，根据小柴胡汤有效治疗首发抑郁症的临床诊疗经验，提出首发抑郁症的治疗应以通利少阳枢机为本，并对其理、法、方、药进行了深度的剖析及梳理。为临床上运用少阳枢机理论治疗首发抑郁症提供依据。

Abstract: Based on the theory of shaoyang pivot, this paper expounds the important role of shaoyang pivot in the body from three aspects: shaoyang pivot for disease transmission and change, shaoyang pivot for the operation of battalion and health, shaoyang pivot for the rise and fall of Yang qi. According to the theoretical basis of the occurrence of latent evil in shaoyang, the relationship between the first depression and shaoyang is discussed, and the viewpoint of the first depression in shaoyang is deduced. Then, starting from the etiology and pathogenesis, this paper explores the influence of Shaoyang Cardinal on the occurrence of depression from the three aspects of emotional internal injury, Yang qi loss and zang-fu meridians dysfunction, and concludes that shaoyang cardinal has a close relationship with the occurrence and development of depression. Finally, according to the clinical diagnosis and treatment experience of xiaochaihu Decoction in the effective treatment of first-episode depression, it is proposed that the treatment of first-episode depression should be based on Tongli Shaoyang Cardinal, and its theory, method, prescription and medicine are deeply analyzed and combed. It provides a basis for the clinical treatment of first-episode depression with shaoyang cardinal theory.