虞鹤鸣教授基于"形神一体"观辨治郁病经验OA

Conditions such as depression and anxiety can be categorized under depression disease in traditional Chi-nese medicine(TCM).In recent years,the prevalence of depression disease has risen significantly.Given the adverse ef-fects and dependency risks associated with conventional Western pharmacotherapy,exploring safe and effective TCM inter-ventions has become increasingly important.Professor Yu's academic thought on diagnosis and treatment of depression is guided by the theory of"integration of body and spirit".At the pathogenesis level,depression disease is primarily catego-rized into two patterns:"emotional disturbance leading to physical illness"(disorders of the spirit affecting the body)and"physical illness leading to emotional disturbance"(disorders of the body affecting the spirit).In chronic cases,a complex state of"concurrent body-mind dysfunction with coexisting stagnation and deficiency"is commonly observed.In terms of treatment,professor Yu advocates simultaneous regulation of both body and spirit,integrating mental and physical treat-ment:(1)Prioritizing the regulation of the spirit:employing psychological counseling,emotional redirection,and herbs that enter the heart meridian to calm the spirit and stabilize emotions.(2)Addressing the physical aspect as essential:fo-cusing on liver-based treatment—combining dispersing and emolliating strategies—and tailoring prescriptions according to symptoms(e.g.,headache,insomnia)while prioritizing gentle,harmonizing formulas that also protect the spleen and stom-ach;(3)Integrating body and spirit in therapy:combining classical herbal formulas(e.g.,Chaihu Shugan San,Xiaoyao San)with complementary such as psychotherapy and physical exercise.For chronic cases,consolidate constitution and supplementing primordial Qi are also incorporated.A representative case is presented at the end of the paper,detailing the successful management of a patient with anxiety accompanied by headache.The treatment principle was to soothe the liver to relieve depression,strengthen the spleen,and nourish the heart,using a modified combination of Chaihu Shugan San and Tianma Gouteng Yin,supplemented with emotional counseling and exercise recommendations.This case vividly demon-strates the favorable clinical efficacy of the"integrated body-spirit treatment"approach.This comprehensive therapeutic strategy offers significant clinical reference value and holds promise for broader application in the diagnosis and treatment of depression disease.