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陶洪, 舒兰, 喻嵘.舒兰教授基于“怫郁致病”理论论治青少年抑郁症五法[J].湖南中医药大学学报英文版,2026,46(9):1935-1940.[Click to copy
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| 舒兰教授基于“怫郁致病”理论论治青少年抑郁症五法 |
| 陶洪,舒兰,喻嵘 |
| (湖南中医药大学第一附属医院, 湖南 长沙 410007;湖南中医药大学中医学院, 湖南 长沙 410208) |
| 摘要: |
| 青少年抑郁症是影响青少年身心健康的高发疾病之一。舒兰教授认为，青少年抑郁症的核心病机为气机郁滞、脏腑失调，其主要病位在心、肝、脾、肾四脏，病性多属本虚标实。基于此，舒兰教授提出“以疏肝调气为先、以安神定志为要、以运脾和胃为重、以清化痰火为标、以调情养性为辅”的五法联动辨治方案，强调临证须审证求因，注重身心同调、标本兼顾。内治以调和五脏气机为法，灵活化裁逍遥散、导赤散、黄连温胆汤、异功散、平胃散等方剂；外治辅以心理疏导、移情易性、家庭环境调整等综合干预措施。基于“怫郁致病”理论的五法联动辨治方案为青少年抑郁症的中医辨治提供了系统化新思路，并附典型医案一则，以资佐证。 |
| 关键词: 青少年抑郁症|怫郁致病|疏肝调气|安神定志|运脾和胃|五法联动|舒兰 |
| DOI：10.3969/j.issn.1674-070X.2026.09.027 |
| Received:July 19, 2026 |
| 基金项目:国家中医药管理局第七批全国名老中医药专家学术经验继承工作项目(国中医药人教函[2022]76号);国家中医优势专科儿科(国中医药医政函[2024]90号);湖南省医学学科建设项目中医儿科(湘卫医发[2025]7号)。 |
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| Professor SHU Lan's five-method approach in treating adolescent depression based on the theory of “stagnation causing disease” |
| TAO Hong, SHU Lan, YU Rong |
| (The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China;School of Chinese Medicine, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China) |
| Abstract: |
| Adolescent depression is one of the highly prevalent disorders affecting the physical and mental health of adolescents. Professor SHU Lan, a National Famous TCM Physician, posits that the core pathogenesis of adolescent depression lies in qi stagnation and dysfunction of the zang-fu organs, with the primary disease locations being the heart, liver, spleen, and kidney, and the nature of the disease being mostly characterized by deficiency at the root and excess at the manifestation. Based on this, Professor SHU Lan proposes a five-method coordinated approach of differentiation and treatment: "prioritizing soothing the liver and regulating qi, emphasizing calming and settling the mind, focusing on activating the spleen and harmonizing the stomach, resolving phlegm-fire as the manifestation treatment, and supplementing with emotional regulation and temperament cultivation." She stresses that clinical practice should identify the root cause through pattern differentiation, attach importance to simultaneous regulation of body and mind, and give consideration to both root and manifestation. For internal treatment, the principle is to harmonize the qi movement of the five zang organs, with flexible modifications of classical formulas such as Xiaoyao Powder, Daochi Powder, Huanglian Wendan Decoction, Yigong Powder, and Pingwei Powder. For external treatment, comprehensive interventions such as psychological counseling, emotional diversion and temperament adjustment, as well as family environment modification, are supplemented. The five-method coordinated approach based on the theory of "stagnation causing disease" provides a systematic new idea for the Chinese medicine differentiation and treatment of adolescent depression, accompanied by a typical medical case for verification. |
| Key words: adolescent depression|stagnation causing disease|soothing the liver and regulating qi|calming and settling the mind|activating the spleen and harmonizing the stomach|five-method coordination|SHU Lan |
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