Discussion on the Inheritance and Development of ZHU Danxi from Treatment on Depression Syndrome of ZHANG Jingyue
10.16466/j.issn1005-5509.2024.06.011
- VernacularTitle:从张景岳郁证论治谈对丹溪学说的继承与发展
- Author:
Yan ZHAO
1
;
Liangsong LI
Author Information
1. 北京中医药大学国学院 北京 102488
- Keywords:
depression syndrome;
ZHANG Jingyue;
ZHU Danxi;
principle-method-prescription-medicine system;
clinical experience;
Zhejiang school of TCM
- From:
Journal of Zhejiang Chinese Medical University
2024;48(6):704-712
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To explore the inheritance and development of ZHANG Jingyue from ZHU Danxi,a Zhejiang traditional Chinese medicine doctor,in the Ming Dynasty on the diagnosis and treatment of depression syndrome.[Methods]By means of literature research and data mining,the"depression syndrome database"was constructed,ZHANG Jingyue and ZHU Danxi's articles related to depression syndrome were screened and studied,and their academic thoughts were summarized and compared from the aspects of principle-method-recip-medicines based on Jingyue Quanshu and ZHU Danxi Medical Book.[Results]Both recognized the pathogenesis theory of Qi and blood accumulation and lifting,but ZHANG Jingyue attached importance to the role of human Qi movement,which was different from the view that Danxi attached importance to the spleen and stomach.In the syndrome differentiation,based on pathological factors,ZHU Danxi divided the depression syndrome into six types of Qi,blood and dampness,phlegm and heat.ZHANG Jingyue absorbed the theory of"six depressions"and divided it into the depression of five Qi and the depression of emotion.In terms of medication,Danxi started from the spleen,liver and lung meridian,removing evil as the main,coming Qi movement as the key,supplemented by sweet and soothing herbs and nourishing Yin.ZHANG Jingyue mainly used warm and supplementing herbs,and attached importance to nourishing Yin,and used the method of dispelling evil,so it could be summarized as reinforcement and elimination in combination,mainly reinforcement.[Conclusion]Both ZHU Danxi and ZHANG Jingyue agreed that the key to the emergence of depression lied in the disharmony of Qi and blood.ZHU Danxi divided depression into"Six Depressions",dispelling evil as the key;ZHANG Jingyue divided it into the depression of five Qi and the depression of emotion,reinforcing and eliminating in combination,especially nourishing Yin.On the basis of inheriting the theory of ZHU Danxi,ZHANG Jingyue formed a unique system of depression syndrome differentiation.The experience of the diagnosis and treatment of depression syndrome can provide a model for the current treatment of depression syndrome.
