| 田文杨,张范,李松梅,等.以“虚为始，郁为枢”谈老年情志病中医药治疗策略[J].中国临床保健杂志,2025,28(4):473-477. |
| 以“虚为始，郁为枢”谈老年情志病中医药治疗策略 |
| "Deficiency as the Origin,Stagnation as the Pivot":discussing TCM treatment strategies for geriatric emotional disorders |
| 投稿时间：2025-08-05 |
| DOI：10.3969/J.issn.1672-6790.2025.04.008 |
| 中文关键词: 情志内伤 脏腑失调 气郁主病 中医药疗法 老年人 |
| 英文关键词: Seven emotions stimulating Zang Fu disharmony Diseases of Qiyu Traditional Chinese medicine therapy Aged |
| 基金项目:国家科技重大专项(2024ZD0523500) |
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| 摘要点击次数: 8 |
| 全文下载次数: 6 |
| 中文摘要: |
| 我国已进入老龄化社会,老年抑郁症发病率达26.4%,心理健康成为提升生活质量的重要课题。中医认为,老年情志病以 “虚为始,郁为枢” 为核心病机,以脏腑虚衰为本,尤以肾精亏虚为发病基础；气郁为枢,社会压力、慢性病等引发气机郁滞；痰瘀火为变,气郁化火生痰成瘀,形成“虚-郁-痰-瘀-火”五因交织,病情缠绵。防治策略需 “防治结合,多维干预”,立足于“补虚损、调气机、涤痰瘀、清浮火”四法,加强非药物疗法及家庭关怀、劳动参与等社会支持,达到“形与神俱”的老年健康目标。 |
| 英文摘要: |
| China has entered an aging society,where the prevalence of geriatric depressive symptoms reaches 26.4%.Mental health has become a important issue for improving quality of life.Traditional Chinese medicine (TCM) posits that geriatric emotional disorders follow the core pathogenesis of "Deficiency as the Origin,Stagnation as the Pivot".Organ Deficiency as the Origin,Characterized by decline of Zang-fu functions,particularly Kidney Essence Deficiency as the pathological foundation.Qi Stagnation as the Pivot,Triggered by social stress and chronic diseases,leading to stagnation of Qi movement.Stagnated Qi transforms into Fire,generates Phlegm,and congeals into Blood Stasis,forming an intertwined pathogenic chain of " Deficiency,Stagnation,Phlegm,Stasis,Fire".The prevention and control strategy requires a combination of prevention and treatment,multidimensional intervention,based on the four methods of "tonifying deficiency,regulating qi,dissolving Phlegm-Stasis,and clearing floating fire",strengthening non pharmacological therapies and social support such as family care and labor participation,achieve geriatric wellness through "harmony of body and spirit". |
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