Pathogenesis of "deficient-qi induced stagnation" in depression

GUO Rongjuan

doi:10.3969/j.issn.1006-2157.2023.01.002

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Pathogenesis of "deficient-qi induced stagnation" in depression

Prestigious Forum | 更新时间：2023-02-03

- Pathogenesis of "deficient-qi induced stagnation" in depression
- Journal of Beijing University of Traditional Chinese Medicine Vol. 46, Issue 1, Pages: 5-11(2023)
- 作者机构：
  
  北京中医药大学东方医院　北京　100078
- 作者简介：
- 基金信息：
  
  The National Natural Science Foundation of China Key Support Project(U21A20401);General Program of National Natural Science Foundation of China(81874422);Ceneral Program of Beijing Natural Science Foundation(7202120)
- DOI：10.3969/j.issn.1006-2157.2023.01.002
  CLC： R277.7
- Received：23 May 2022，
  
  Published Online：16 June 2022，
  
  Published：30 January 2023
- 稿件说明：
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GUO Rongjuan. Pathogenesis of "deficient-qi induced stagnation" in depression[J]. Journal of beijing university of traditional chinese medicine, 2023, 46(1): 5-11.
DOI：

GUO Rongjuan. Pathogenesis of "deficient-qi induced stagnation" in depression[J]. Journal of beijing university of traditional chinese medicine, 2023, 46(1): 5-11. DOI： 10.3969/j.issn.1006-2157.2023.01.002.

摘要

中医对抑郁症病因病机的研究尚不完善，目前多从“肝郁”论治，但不能全面反映和概括抑郁症病机及临床证候特点。笔者在王永炎院士提出的“虚气流滞”病机理论指导下，深入剖析了抑郁症“虚气流滞”创新病机特点，详细阐述了本病以“虚气”为本，以“流滞”为标，气郁为先、痰阻为渐、血瘀为著的病机演变规律，指出“虚气”与“流滞”具有相因积损、恶性循环的特点，为抑郁症执简驭繁地辨“机”论治提供理论依据，为中医药防治抑郁症提供新的思路。

Abstract

The research on the etiology and pathogenesis of depression in traditional Chinese medicine is still incomplete

and the current treatment of "liver depression" does not fully reflect its pathogenesis and clinical symptoms. Here

under the guidance of the "deficient-qi induced stagnation" innovative pathomechanism theory proposed by the academician Wang Yongyan

we conducted an in-depth analysis of the pathogenesis of depression

before elaborating on it using "deficient-qi" as the root

"stagnation" as the symptom

"qi depression" as the first

"phlegm obstruction" as the gradual

and "blood stasis" as the focus. Our result highlight that "deficient-qi" and "stagnation" have the characteristics of mutual causation and vicious circle. These findings provide a theoretical basis for the treatment of depression by identifying the "mechanism"

and provides a new way of thinking for the prevention and treatment of depression in the context of traditional Chinese medicine.

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