从湿论治抑郁症的理论探讨

A Theoretical Discussion on the Treatment of Depression from the Perspective of Dampness

摘要: 抑郁症是一种病情复杂、异质性很大的精神疾病，可归属中医学“郁证”范畴。中医“郁证”一般多从肝入手论治，治疗主要以疏肝理气为主，较少侧重除湿治疗。气机郁滞为郁证的基本病机，但痰湿是气机郁滞的病理产物，同时也是引发郁证病证的继发病因；另外湿邪性质与郁证表现比较吻合，湿性体质是郁证易发的体质基础。故抑郁症的治疗亦可从调理湿气着手。本文则以湿易致郁为切入口，探讨袪湿法对情绪的调节作用，以期为临床从湿论治抑郁提供新的思路。

Abstract: Depression is a complex and heterogeneous psychiatric disorder that can be classified under the category of “yu zheng” in Chinese medicine. In Chinese medicine, the treatment of “yu zheng” is usually based on treatment of the liver, with the main focus on soothing the liver and regulating Qi, and less on removing dampness. Qi stagnation is the basic pathogenesis of depression, however, phlegm and dampness are the pathological products of qi stagnation and are also the secondary causes of yu zheng. In addition, the nature of dampness is more compatible with the manifestations of depression and dampness is the physical basis for the proneness of depression. Therefore, treatment of depression can also begin with the regulation of dampness. This article explores the role of dampness in regulating mood, with a view to providing new ideas for the clinical treatment of depression from the perspective of dampness.