Ye Jiajia, Cai Shuhe, Cheung Wai Ming, Tsang Hector W H
Department of Rehabilitation Assessment, Fujian University of Traditional Chinese Medicine Subsidiary Rehabilitation Hospital, Fuzhou, China.
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, China.
Front Psychol. 2019 Mar 28;10:574. doi: 10.3389/fpsyg.2019.00574. eCollection 2019.
Depression, an emotion regulation disorder, is a prevalent mental illness in the world. Meanwhile, traditional Chinese medicine (TCM) has been increasingly regarded as a promising and effective alternative therapy approach for patients with depression. Despite many years of research on depression, the current understanding of the pathological mechanism of depression based on TCM theories is still in its infancy. Due to the lack of scientific evidence in the past, TCM is not fully recognized by researchers around the world. This review firstly summarizes the pathogenesis and etiology of depression in terms of both Eastern and Western medical systems. Secondly, it adopts an integrated Eastern and Western approach to propose some plausible neurophysiological pathways linking the liver, spleen, and heart functions explicated in TCM theory. The aim of this theoretical review is to bridge the knowledge gap between Eastern and Western medicine, which may better explain the pathology of depression.
抑郁症是一种情绪调节障碍,是世界上一种普遍存在的精神疾病。与此同时,中医日益被视为治疗抑郁症患者的一种有前景且有效的替代疗法。尽管对抑郁症进行了多年研究,但目前基于中医理论对抑郁症病理机制的理解仍处于起步阶段。由于过去缺乏科学证据,中医尚未得到世界各地研究人员的充分认可。本综述首先从东西方医学体系的角度总结抑郁症的发病机制和病因。其次,采用中西医结合的方法,提出一些合理的神经生理途径,将中医理论中阐述的肝、脾、心功能联系起来。这篇理论综述的目的是弥合东西方医学之间的知识差距,从而更好地解释抑郁症的病理。