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全生讲中医(17)----抑郁症的中医防治(8/17/2011)

抑郁症是一种常见的精神疾病,主要表现为情绪低落,兴趣减低,悲观,思维迟缓,缺乏主动性,自责自罪,饮食、睡眠差,担心自己患有各种疾病,感到全身多处不适,严重者可出现自杀念头和行为。
 
抑郁症是一种危害人类身心健康的常见病,约13~20%的人一生中曾有过抑郁的体验,其终生患病率为6.1~9.5%。抑郁症已经成为中国疾病负担的第二大病。引起抑郁症的因素包括:遗传因素、体质因素、精神因素等。随着人们生活压力的加大和工作节奏的加快,会有更多的人感到紧张、疲劳和郁闷,加上经济拮据、失业等因素,发病率会进一步增加。由于抑郁症的发病年龄绝大多数处于工作年龄段,严重的抑郁症中有15%的可自杀而死。也就是说,抑郁症既可以影响人们的工作,又可危及病人的生命。
 
由于抑郁症经常与其它医学问题共存,如心脏病、癌症、糖尿病和其它心理疾病如药物滥用或焦虑症,因而早期诊断和治疗是恢复的关键。同时,患严重抑郁症的女人,比没有抑郁症的女人,更容易发生乳腺癌,这可能与抑郁症引起的荷尔蒙的变化有关。
 
其实,在人的一生中总会有一段时间生活在抑郁中,抑郁的心境是一种忧伤、悲哀或沮丧情绪的体验。有抑郁心境的人经过适当的自我调整和心理治疗,是可以纠正的。只有当抑郁心境发展到一定程度,具备抑郁症的基本特征,并持续一段时间,影响到自己的学习、工作和生活时,才成为抑郁症。也就是说,抑郁不等于抑郁症,但抑郁不及时调整和治疗,是可以发展成为抑郁症的。
 
因此,当我们周围有人出现表情呆滞、愁眉苦脸、懒言少动、情绪低落、对周围事物没有兴趣等表现达两周以上,就应考虑是否患有抑郁症,应劝其去看专业心理医师、中医或中西医结合医师,以便早期发现,及时治疗,避免发生意外。中药和针灸对于抑郁症都有一定的治疗效果。
 
抑郁症相当于中医的“郁证”,由情志不舒,气机郁滞所致。中医认为,郁怒、思虑、悲哀、忧愁等七情所伤,导致气机逆乱,脏腑阴阳气血失调。主要影响心、肝、脾,临床上应辨虚实。治疗上实证以治肝为中心,疏通气机为总原则。根据辩证,分别配以行血、化痰、利湿、清热、消食。虚症则以益气、养血、填精为法。
 
北京名老中医董建华教授,乃国内外知名的中医内科专家。今抄录其舒肝理气解郁法治疗郁证一方,以窥大师之风采。柴胡、枳壳、白芍、川芎、香附、郁金,各10g,青皮6g,甘草6g。结合兼证,随症加减药物。
 
针灸治疗抑郁症,很多临床对照试验多有报道,但对治疗效果褒贬不一。因此,临床上,首先根据病情进行辩证,然后对证用药用穴,是是证,用是药,用是穴,方可取得满意效果。
 
下期敬请关注更年期综合症的中医防治. 更多全生讲中医, 敬请访问卢全生中西医结合博士的网站www.wholelifeherb.com,或直接拨打中文热线电话301-919-9898, 301-340-7682约诊. 全生中医针灸医疗中心地址:  416 Hungerford Dr, Suite 215, Rockville, MD 20850 (1个街区到Rockville地铁站,免费停车). 9801 Georgia Ave, Suite 337, Silver Spring, MD 20902 (2分钟走到Forest Glen 地铁站,).

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