孙颖哲　郭颖　高扬　孙远征　赵永厚

摘要 抑郁症是一种常见的精神障碍，由于中医辨证思路的不同形成了多种治疗思路，大致分为从调神论治、从调和脏腑论治、从调整经络论治、从六经辨证论治、从营卫论治5种，此5种思路虽然不同，但是总体离不开脏腑、经络、营卫。只有脏腑经络功能正常，营卫调和，最终才可以达到阴平阳秘、精神乃治的目的。

关键词 中医;抑郁症;治疗;调神;调和脏腑;调整经络;六经辨证;调和营卫

Abstract Depression is a common mental disorder.Due to the different discriminate thinking of traditional Chinese medicine，various ways of treatment have been formed，which can be roughly divided into 5 kinds：adjusting spirit：it is based on the treatment of adjusting spirit，the reconciliation of the viscera，the adjustment of the meridians，the differentiation of symptoms and signs from the six meridians，and the management of nutrient qi and defensive qi.Although these 5 kinds of thinking are different，they are inseparable from the viscera，meridians，and nutrient qi and defensive qi.Only when the functions of the viscera and meridians are normal and nutrient qi and defensive qi are harmonized，can the goal of relative equilibrium of yin-yang be achieved in the end，and the spirit can be cured.

Keywords Traditional Chinese medicine; Depression; Treatment; Adjusting spirit; Harmonizing viscera; Harmonizing meridian; Six meridians identification; Harmonizing nutrient qi and defensive qi

中圖分类号：R277.7文献标识码：Adoi：10.3969/j.issn.1673-7202.2021.18.015

抑郁症是指一组由多种原因引起的以情感低落为主要临床表现，并有愉快感减退、食欲减轻、思维迟缓及性欲下降等伴随症状的疾病的总称[1]。抑郁症发病机制复杂，临床表现多样，因此其病因病机有多种学说，形成了多种治法，大致有从调神论治、从调和脏腑论治、从调整经络论治、从六经辨证论治、从营卫论治等5种，此5种治法之间又存在着内在联系。

1 从调神论治

《灵枢·本神》云：“……故生之来谓之精，两精相搏谓之神，随神而往来谓之魂，并精而出入谓之魄。”即将组成生命的原始物质称为“精”，将阴与阳2种属性的“精”相互结合产生的生命活动称为“神”，将“神”主宰的生命活动出现的感知功能称为“魂”，精气出入运动产生的运动功能称为“魄”[2]。而周正武在《人身通考·神》中云：“神者，阴阳合德之灵也……阳神曰魂，阴神曰魄……意志思虑之类皆神也。”可见“神”在中医学的内涵是双重的，一方面“神”是广义上的一切生命活动的加和，另一方面“神”在狭义上与人的精神含义对等[3]。