[摘要] 基于“思”本义理解，历代医家论述及临床实践观察，指出“脾在志为思”不局限于参与思考，尚能调节忧愁悲伤情绪;“思伤脾”亦有内外因，过度思虑及悲伤忧愁等负性情绪刺激以及多思善感的内在性格和先天禀赋可影响脾的功能，“思伤脾”所致症状与抑郁症状相仿;结合脾主静易郁的特性和精神交互枢纽的功能，本文阐述了从脾论治抑郁的理论基础，进而介绍了健脾、养脾、清脾、醒脾、温脾五大从脾论治抑郁的治法原则，常用方药及用药指征，并附验案印证。

    [关键词] 抑郁;郁证;从脾论治;理论探讨

    [中图分类号] R749 [文献标识码] A [文章编号] 1673-7210(2019)09(a)-0130-04

    [Abstract] Based on understanding the original meaning of "thought"， discussions by doctors of all dynasties and clinical practice observation ......