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刘铁军教授“调气和解开郁学说”的构建与应用

The construction and application of Professor Liu Tiejun′s theory of regulating qi, reconciliation and relieving depression

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【作者】 黄旭鹏; 苏博扬; 桑子淇; 熊壮; 冷炎; 刘铁军; 邓厚波;

【Author】 HUANG Xu-peng;SU Bo-yang;SANG Zi-qi;DENG Hou-bo;College of Traditional Chinese Medicine,Changchun University of Chinese Medicine;

【通讯作者】 邓厚波;

【机构】 长春中医药大学中医学院; 长春中医药大学附属医院肝脾胃病科;

【摘要】 刘铁军教授基于中医经典理论及现代医学理论创新性地提出了“调气和解开郁学说”,该学说从“六腑以通为用”、“五脏以和为本”构建了郁证的病机理论基础,并提出了“腑郁-脏郁-神郁”的郁证发病观,即郁证具有六腑气郁-五脏气郁-神气郁3个阶段的病机演进过程。临床以“调气和解开郁”为治疗原则,包含通腑开郁、和脏解郁、和解安神3种治法。“调气和解开郁学说”对郁证以及治未病的理论和实践具有指导意义。

【Abstract】 Professor Liu Tiejun innovatively developed the "Regulating Qi, Harmonizing, and Depression-Relieving Theory" by synthesizing classical TCM principles with modern medical theories. This theoretical framework establishes the pathogenetic foundation for depression syndrome through two cardinal axioms: "the Six Fu-viscera must maintain unobstructed functioning" and "the Five Zang-viscera must preserve intrinsic harmony". It proposes a pathogenic perspective of depression syndrome characterized by "fu-viscera depression-zang-viscera depression-shen depression", delineating a triphasic pathogenic progression: qi stagnation in Six Fu-viscera-qi stagnation in Five Zang-viscera-shen-qi stagnation. Clinically operationalized as the therapeutic principle of "regulating qi, harmonizing, and relieving depression", this approach encompasses three distinct treatment modalities: tongfukaiyu, hezangjieyu, and hejieanshen. This theoretical system provides substantive guidance for both theoretical exploration and clinical practice in depression syndrome management and preventive medicine.

【基金】 吉林省教育厅科学技术研究项目(No.JJKH20250640KJ)
  • 【文献出处】 中西医结合肝病杂志 ,Chinese Journal of Integrated Traditional and Western Medicine on Liver Diseases , 编辑部邮箱 ,2025年07期
  • 【分类号】R249
  • 【下载频次】24
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