基于“肝肾失调”探讨阿片类物质心瘾形成的中医病理基础  

Based on the "Liver and Kidney Disorders" to Analyze Pathological Basis of Drug Addiction in Traditional Chinese Medicine

作　　者：宋月晗[1] 李峰[1] 刘燕[1] 刘晓兰[1] 刘洋[1] 焦莹[1] 赵雪松[1] 

机构地区：[1]北京中医药大学,北京100029

出　　处：《现代生物医学进展》2011年第5期939-942,共4页Progress in Modern Biomedicine

基　　金：教育部高等学校博士学科点专项科研基金(20070026001)

摘　　要：阿片类物质滥用是目前社会及医学领域的一大难题,其戒断复杂而艰难,关键问题在于阿片类物质心瘾难以戒除。阿片类物质心瘾是指物质滥用者对阿片类物质强烈持久的渴求和难以抑制的用药欲望,其形成的核心机制在于成瘾者对于阿片类物质的异常动机。异常动机的形成在于两个方面,即"产生动机不良"以及"控制不良动机能力下降",本研究即从异常动机形成的两个方面切入,通过类比法、引证法及演绎法进行理论研究,分析认为阿片类物质心瘾的形成与肝肾功能的失调相关相关性,研究认为不良动机形成的关键在于阿片类物质引起的肝失疏泄功能的异常,而控制不良动机能力下降则与肝胆主谋略司决断以及肾所藏之志功能的异常相关。Drug addiction,a main problem in modern society,for its complex and difficult symptoms,especially the drug-craving,is difficult to be cured.Drug-craving refers that abusers sustained a strong and unquenchable desire for drugs,the core mechanism of which is the ＂abnormal motivation＂ of abusers to drugs.The formation of ＂abnormal motivation＂ lies in two aspects：formation of ulterior motives and reduction to control the improper motive＂,from the above two aspects,by analogy,citing and deductive method,the study deduced that ＂ in Traditional Chinese Medicine the formation of drug-craving is closely related to ＂liver＂ and ＂kidney＂,the formation of ulterior motives is due to the disorder of ＂liver controlling dispersion＂,and the reduction to control the improper motive is because of the imbalance of ＂liver managing deliberation＂ and ＂kidney controlling aspiration＂.

关 键 词：心瘾 动机 肝主疏泄 肝司谋略 肾藏志 

分 类 号：R241.6[医药卫生—中医诊断学]