中医药研究论丛

251.2 中医治疗产後忧郁症之用药规律及特色分析

 TJ TCM.25(1) : 19-34, 2022

中医治疗产後忧郁症之用药规律及特色分析
Study on Rules and Characteristics of Chinese
Medicine Prescription for Postpartum Depression
何元富1 林立伟1 张永庆1* 吴龙源1,2*
1 义守大学学士後中医系,高雄,台湾
2 吴龙源中医诊所,台北,台湾
【摘要】
目的:本研究通过整理、分析《傅青主女科》中治疗产後忧郁症所用的方药,以期阐述傅青主治疗产後忧郁症的用药特点和配伍规律,并和现代中医对於产後忧郁症相关研究观点结合。
材料与方法:本文收集《傅青主女科》,依关键字搜索将所用中药输入Excel 表格,进行频数频率统计,针对药物功效、归经的分布进行统计分析。结果:相关方药共50 味,总频数为186 次;功效分类前三名依序为补益药、解表药、祛湿药。统计前12 味高频数,出现频率占了69.35%,使用前三名分别为当归、川芎、甘草;统计前12 味高频数药物归经,最多为脾经,其次为肺经、胃经。
结论:本研究显示,傅氏认为产後忧郁症病机以产後气血大亏为重,跳脱传统治疗临床忧郁症之疏肝解郁法,应注重产後妇女气血亏损为主要辨证论治核心;从12 味高频药物中发现,所包含的当归、川芎、乾姜、桃仁,四味药组合便是生化汤核心药,方义基本与傅氏治疗产後忧郁症思路一致。常用药物归经主要为脾肺胃经,显示傅氏於大补气血时,同样注重脾肺胃顾护,以恢复後天化生气血功能。并将傅氏常用药与现代药理研究相结合,期许在临床上能提供临床医师诊治叁考,提高中医治疗产後忧郁症的疗效,其相关药理作用机转仍有待中医药同道再进一步阐明。
【关键词】傅青主女科、产後忧郁症、方药、用药规律
Yuan-Fu Ho1Yung-Ching Chang1*Li-Wei Lin1Lung-Yuan Wu1,2*
1The School of Chinese Medicine for Post-Baccalaureate of I-Shou University, Kaohsiung, Taiwan
2Wu, Lung-Yuan Tradition Chinese Medicine Clinic, Taipei, Taiwan
【Summary】
Objective: To analyze and explore the characteristics of formulas used for the treatment of postpartum depression in Fu Qingzhu’s Medical Department for Women. Also connect to modern Chinese medicine view in the postpartum depression.
Materials and Methods: All formulas for postpartum depression from Fu Qingzhu’s Medical Department for Women were imported into Microsoft Excel for statistical analysis, including the frequency, function and classification.
Results: There are 50 Chinese medicine used in Fu Qingzhu’s Medical Department for Women about postpartum depression. All of them were used up to 186 times. According to the function, the most frequently used Chinese medicine are tonics, followed by diaphoretics and diuresis. The top 12 high-frequency drugs aced for 69.35% of the total number of occurrences, of which the top three were Angelica sinensis, Chuanxiong rhizome, and Licorice. 12 Chinese medicine of the highest frequency are classified as the the Spleen Meridian, followed by the Lung Meridian and Stomach Meridian.
Conclusion: The pathogenesis of Fu Qingzhu’s treatment of postpartum depression is mainly based on the great loss of Qi and blood after childbirth. In the treatment, the main purpose is to nourishing Qi and blood. The analysis of 12 high-frequency drugs reveals that the combination of the four herbs Angelica sinensis, Ligusticum striatum, Dried ginger and Peach kernel is Sheng Hua Tang. The formula is basically consistent with Fu’s treatment of postpartum depression. The commonly used drugs are mainly classified as the Spleen, Lung, and Stomach meridians, showing that Fu Qingzhu pays attention to nourish the qi and blood, as well as Spleen, Lung, and Stomach Meridians. We hope this article
【Keywords】Fu Qingzhu; Postpartum Depression; Decoetions and Herbs; Frequency
of Prescription