从"肝生于左,肺藏于右"探讨季节性情感障碍的病机与防治OA

Based on the statement"the liver is generated on the left,and the lung is stored on the right"in the Plain Conversation,Discussion on Acupuncture Contraindications(《素问·刺禁论篇》),and in combination with the theory of correspondence between humans and nature as well as the dynamics of qi ascent and descent,it is proposed that the pathogenesis of seasonal affective disorder lies in insufficient liver dispersion and regulation in spring and summer,together with excessive lung clearing and descending in autumn and winter.This imbalance leads to restless-ness of the spirit and obstruction of the channels and blood vessels,resulting in seasonal recurrence or aggravation of depression-related symptoms such as low mood,hypersomnia,and fatigue.On this basis,syndrome differentiation and treatment strategies are proposed as follows:the pattern of insufficient liver dispersion and regulation should be treated by soothing the liver,relieving depression,and warming and tonifying kidney yang;the pattern of excessive lung clearing and descending should be treated by soothing the liver,diffusing the lung,and warming and unblocking heart yang;the pattern of qi stagnation and blood stasis should be treated by soothing the liver,regulating qi,and acti-vating blood to resolve stasis;and the emotionally triggered sensitive pattern should be treated by regulating the spirit,guiding qi,and stabilizing the ethereal and corporeal soul.