Discussion on Syndrome Differentiation and Treatment of Post-stroke Depression from the View of"Heart-Blood-Vessels"Integration
10.13359/j.cnki.gzxbtcm.2025.05.033
- VernacularTitle:从"心-血-脉"一体论探讨卒中后抑郁的辨治
- Author:
Chaoyi WANG
1
;
Zijun HAO
;
Xiangyu LONG
Author Information
1. 广州中医药大学针灸康复临床医学院,广东 广州 510006
- Keywords:
post-stroke depression;
view of"heart-blood-vessels"integration;
deficiency of heart qi;
unsmoothed circulation of the vessels;
blood stasis causing depression of spirit;
protecting vessels and regulating blood;
nourishing heart and tranquilizing
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2025;42(5):1266-1271
- CountryChina
- Language:Chinese
-
Abstract:
Post-stroke depression(PSD)is one of the commonly-seen complications after stroke,which seriously affects patients'quality of life and outcome of disease.Traditional Chinese medicine(TCM)classifies PSD as the co-morbidity of stroke and depression.This paper explored the pathogenesis and therapeutic principles of PSD from the view of"heart-blood-vessels"integration.It is proposed that PSD originates from the lesions of blood and vessels,and then the heart-body is involved;the lesions of heart,blood and vessels can cause the disorders of spirit.The core pathogenesis is due to the deficiency of heart qi,unsmoothed circulation of the vessels,and blood stasis causing depression of spirit.The principle of intervention of PSD should be focused on protecting vessels and regulating blood,nourishing heart and tranquilizing.Protecting vessels can be achieved by generating vessels,soothing vessels,and unblocking vessels through the application of Shengmai San,Zhi Gancao Decoction,and Tongmai Sini Decoction respectively.Regulating blood can be achieved by activating blood and generating blood.For activating blood,Danshen Decoction and Xuefu Zhuyu Decoction can be employed;for generating blood,Bazhen Decoction,Renshen Yangrong Decoction and Danggui Buxue Decoction can be employed.For nourishing heart and tranquilizing,the modified Gan Mai Dazao Decoction and Guipi Decoction can be employed.The view of"heart-blood-vessels"integration makes up for the disadvantages in separating the physique from the spirit,and in separating the structure from the function in the theory of the vessels and collaterals,and expands the approach of TCM treatment for PSD.
