国医大师刘祖贻运用"杂病调中"理论治疗郁证的临证经验及案例分析OA

This article systematically elaborates on the clinical thinking and experience of National Chinese Med-icine Master Liu Zuyi in the treatment of depression syndrome based on the theory of regulating the middle Jiao for mis-cellaneous diseases.Master Liu advocates that activating and harmonizing Qi-movement in the middle Jiao is crucial for the treatment of depression syndrome,and he proposes a new paradigm of strengthening the spleen and stomach as the hub of Qi-movement and regulating the middle Jiao as the core of alleviating depression,emphasizing that healthy spleen and stomach ensure harmony among viscera and bowels,while impairment of spleen and stomach breeds various diseases.In the treatment of depression syndrome,the first step is to differentiate between deficiency and excess.For deficiency syn-drome,spleen-tonifying and liver-regulating therapy is the main treatment method,and traditional Chinese medicine drugs with a sweet taste are used to replenish spleen Qi,nourish spleen blood,enrich spleen Yin,and warm spleen Yang,which not only enhances the ability of the spleen and stomach to generate Qi and blood,thereby protecting vital Qi,but also assists the liver in storing blood to moisturize and nourish liver Yin.For excess syndrome,liver-soothing and spleen-activating therapy is the main treatment method,and harmonizing methods are used to clear spleen heat and resolve spleen damp-ness,ensuring that spleen Qi functions vigorously and smoothly and avoiding stagnation of spleen earth,thereby maintain-ing the normal transportation function of the spleen.This article clarifies that Master Liu uses Chaishao Liujunzi Decoction as the main prescription for soothing the liver and activating the spleen,elaborates on the key points for syndrome differen-tiation and the principles for modification in clinical practice,and emphasizes the characteristics of combining the methods of strengthening the spleen,activating the spleen,and soothing the liver.Two proven cases are included for support.