上海中医药大学基础医学院 上海 201203
金珏,女,博士,助理研究员
# 陈晓,男,博士,教授,博士生导师,主要研究方向:《黄帝内经》临床研究,E-mail:chenxiao2121@126.com
纸质出版日期:2023-08-30,
网络出版日期:2023-05-16,
收稿日期:2022-09-05,
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金珏, 陈晓. 《黄帝内经》“肝风病证”对混合性焦虑与抑郁障碍辨治的启示[J]. 北京中医药大学学报, 2023,46(8):1111-1116.
JIN Jue, CHEN Xiao. Implications of "liver wind disease" in
金珏, 陈晓. 《黄帝内经》“肝风病证”对混合性焦虑与抑郁障碍辨治的启示[J]. 北京中医药大学学报, 2023,46(8):1111-1116. DOI: 10.3969/j.issn.1006-2157.2023.08.009.
JIN Jue, CHEN Xiao. Implications of "liver wind disease" in
《黄帝内经》中的“肝风病证”不同于今日的“肝风”病机。通过挖掘《黄帝内经》“肝风病证”的核心病机及其治则、治法、方药,以启发混合性焦虑与抑郁障碍的临床辨治。《黄帝内经》“肝风病证”是因肝虚受风而发,脏虚与外感并存,以肝虚风动为核心病机,是以悲、怒、憎等多种情志变化并见或交替出现为主要特征的一类情志病证。西医学认为,混合性焦虑与抑郁障碍是抑郁症中特殊的一类,抑郁与焦虑并见或交替出现,复杂多变,辨治困难,尚无明确的治疗措施。中医学将其归属于情志病范畴,此病与“肝风病证”的表现相似,因此,可参考肝虚风动、肝气郁滞逆乱的病机及肝病类风的特征,以补肝治风为基本治则,选用《备急千金要方》补肝汤或《辅行诀脏腑用药法要》大补肝汤治疗。本文借鉴“肝风病证”以肝虚风动为核心病机,阐释混合性焦虑与抑郁障碍这类情志疾病的发病内涵,并参考后世的治法方药,为中医药治疗此类疾病提供新思路。
Today
"liver wind disease" in
Huangdi Neijing
is distinguished from "liver wind" pathogenesis. In this article
we reveal the core pathogenesis of "liver wind disease" in
Huangdi Neijing
as well as its treatment principles
methods
and prescriptions
in order to inspire modern clinical diagnosis and treatment of mixed anxiety and depressive disorder. "Liver wind disease" in
Huangdi Neijing
is a type of emotional and mental illness that is caused by liver deficiency and wind and has a dual pathogenic mechanism of organ deficiency and external evil
with liver deficiency and wind movement as the core pathogenic mechanism
and multiple emotional changes such as sadness
anger
and hatred as the main characteristics. In western medicine
mixed anxiety and depressive disorder is a special category of depression
where the main symptoms of depression and anxiety are seen together
and is complex and variable. This disease is similar to "liver wind disease"
which is characterized by variably emotional manifestations
and can therefore be treated with reference to the key pathogenesis of liver deficiency and wind movement
liver qi stagnation and disorders
and the characteristics of wind. The basic principle is to tonify the liver and treat the wind.
Bugan
Decoction in
Essential Prescriptions Worth a Thousand Gold for Emergencies
or
Dabugan
Decoction in
Auxiliary Verse on Drugs and Method for Zangfu Organs
can be used accordingly. This article aims to illustrate the core pathogenesis of mixed anxiety and depressive disorder by drawing on the key pathogenesis of liver deficiency and wind movement in "liver wind disease" . Taking the method and decoctions of later generations as a reference
this article offers new ideas for the treatment of similar diseases.
黄帝内经肝风病证情志病混合性焦虑与抑郁障碍
Huangdi Neijingliver wind diseaseemotional disordersmixed anxiety and depressive disorder
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