Exploration of Pathogenesis and Treatment of Geriatric Depression from Perspective of"One-Qi Circulation"Theory
LIU Tianjiao
YU Ruotong
REN Chenghuan
LONG Linzi
FU Changgeng
Abstract：This article discusses the pathogenesis and treatment of geriatric depression based on HUANG Yuanyu's"One qi circulation"theory.It is believed that the core pathogenesis of geriatric depression is the failure of the central earth to transport,the depression of wood and the suppression of vitality,the decline of fire and the failure of long-term control,the deficiency of water and the depression of yang qi and the failure of the utilization of the spirit,which prevent the circulation of qi and lead to various symptoms of depression.In treatment,guided by the theory of"One qi circulation",and in accordance with the pathogenesis,the earth is strengthened and wood is raised respectively to regulate qi and relieve depression.The fire is tonified to support the earth,yang qi is raised to relieve depression.The earth is cultivated to benefit the kidneys,yang qi circulation is promoted to dispel depression,and treatment is given based on syndrome differentiation.It is proposed that the prescription and treatment of medicine in clinical practice should be based on nourishing and regulating the central earth,so as to achieve the regulation of wood qi by the combination of Dayu Decoction(达郁汤)and Xiaoyao Powder(逍遥散).Huangya Decoction(黄芽汤)and Jinding Decoction(金鼎汤)are used to nourish the earth,benefit the heart,lower the stomach and consolidate the lungs.Tianhun Decoction(天魂汤)nourishes the middle to benefit the kidneys and boost yang qi,while Dipo Decoction(地魄汤)nourishes the earth to consolidate the spirit and store essence.The goal is to regulate the central earth,mediate the central qi,and coordinate the four sides,so as to make the circulation of qi,blood,yin and yang throughout the body orderly,promote the smooth flow of qi for growth and nourishment,restore the normal state of qi transformation and essence generation,regulate the smooth flow of qi and blood,and make the spirit clear,in order to alleviate various depressive symptoms and provide ideas for the diagnosis and treatment of geriatric depression with traditional Chinese medicine.
Keywords：geriatric depressionOne qi circulationmiddle qiEssentials of Four SaintsHUANG Yuanyu
Publication Date：2025-11-05
Online Publishing Date：2026-05-22(First online date of this platform, not the publication date of the document)
Pages：6( 1205-1209,1249 )