老年抑郁症从脾论治

摘要

老年抑郁症是发生在老年期的以情绪低落为主要临床表现的一类情感障碍类疾病。多数医家认为肝失疏泄为其主要病机，多从疏肝解郁论治，然而根据老年人的生理病理特点，认为脾虚与老年抑郁症的发病密切相关，脾虚日久导致水液运化无力，痰浊阻窍或气血亏虚，脑髓失养，治疗上以健脾为主，兼以疏肝、养心、补肾、祛痰。%The senile depression is a type of emotional disorders disease which manifestations on low mood or down in spriits . Most physicians in TCM thought the main pathogenesis of liver depression syndrome is liver failure to convey and disperse,so the treatment is based on the therapeutic methods of soothing liver - qi. Moreover,according to the physiological and pathological characteristics of old people,the senile depression is closely related to spleen deficien-cy. Long course of spleen deficiency will lead to liquid water failure to transport,phlegm resistant the orifice,qi and blood deficiency in meridian vessels,which finally result in brain marrow deprived of nourishment. Therefore,the treatment is primary to tonifying the spleen,and meanwhile to soothing liver,nourishing heart,tonigying kidney and eliminating phlegm.