| 摘要: |
| 系统阐述国医大师刘祖贻从“杂病调中”理论治疗郁证的临证思路与经验。刘老提出以脾胃为气机枢纽、以“调中”为核心解郁的新范式，强调“脾胃健则脏腑和，脾胃伤则百病生”，主张郁证治疗应重视中焦气机调畅。文中明确了以柴芍六君子汤作为疏肝运脾之主方，并详述其辨证要点与临证加减原则，突出健脾、运脾、疏肝相结合的治法特色。附验案2则，以资佐证。 |
| 关键词: 郁证 杂病调中 疏肝运脾 柴芍六君子汤 学术经验 刘祖贻 |
| DOI： |
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| Clinical experience and cases of National Chinese Medicine Master Liu Zuyi in treatment of depression syndrome based on the theory of regulating the middle Jiao for miscellaneous diseases |
| WU Shihui,LI Zhixin,LIU Fang |
| (Hunan University of Chinese Medicine，Changsha 410208，Hunan，China;Hunan Provincial Hospital of Integrated Traditional Chinese and Western Medicine，Changsha 410006，Hunan，China) |
| Abstract: |
| This article systematically elaborates on the clinical thinking and experience of National Chinese Medicine Master Liu Zuyi in the treatment of depression syndrome based on the theory of regulating the middle Jiao for miscellaneous diseases. Master Liu advocates that activating and harmonizing Qi-movement in the middle Jiao is crucial for the treatment of depression syndrome，and he proposes a new paradigm of strengthening the spleen and stomach as the hub of Qi-movement and regulating the middle Jiao as the core of alleviating depression，emphasizing that healthy spleen and stomach ensure harmony among viscera and bowels，while impairment of spleen and stomach breeds various diseases. In the treatment of depression syndrome，the first step is to differentiate between deficiency and excess. For deficiency syndrome，spleen-tonifying and liver-regulating therapy is the main treatment method，and traditional Chinese medicine drugs with a sweet taste are used to replenish spleen Qi，nourish spleen blood，enrich spleen Yin，and warm spleen Yang，which not only enhances the ability of the spleen and stomach to generate Qi and blood，thereby protecting vital Qi，but also assists the liver in storing blood to moisturize and nourish liver Yin. For excess syndrome，liver-soothing and spleen-activating therapy is the main treatment method，and harmonizing methods are used to clear spleen heat and resolve spleen dampness，ensuring that spleen Qi functions vigorously and smoothly and avoiding stagnation of spleen earth，thereby maintaining the normal transportation function of the spleen. This article clarifies that Master Liu uses Chaishao Liujunzi Decoction as the main prescription for soothing the liver and activating the spleen，elaborates on the key points for syndrome differentiation and the principles for modification in clinical practice，and emphasizes the characteristics of combining the methods of strengthening the spleen，activating the spleen，and soothing the liver. Two proven cases are included for support. |
| Key words: depression syndrome regulating the middle Jiao for miscellaneous diseases soothing the liver and activating the spleen Chaishao Liujunzi Decoction academic experience Liu Zuyi |
