诸狂躁癫痰瘀火毒皆属于神——仝小林教授对神系疾病病机的认识及治疗  

Madness, impatience and epilepsy are all spirit-system disorder, owing to phlegm, stasis, fire or poison——Professor TONG xiaolin's understanding of pathogenesis and treatment experience of spirit-system disorder on the

作　　者：杨帆[1,2] 郑玉娇[1,2] 刘彦汶[1,2] 宋珏娴 YANG Fan;ZHENG Yujiao;LIU Yanwen;SONG Juexian(Guang＇anmen Hospital China Academy of Chinese Medical Sciences,Beijing 100053,China;Beijing University of Chinese Medicine,Beijing 100029,China;Xuanwu Hospital Capital Medical University,Beijing 100053,China)

机构地区：[1]中国中医科学院广安门医院,北京100053 [2]北京中医药大学,北京100029 [3]首都医科大学宣武医院,北京100053

出　　处：《吉林中医药》2018年第7期768-771,共4页Jilin Journal of Chinese Medicine

基　　金：2015年度国家中医临床研究基地业务建设第二批科研专项(JDZX2015243)

摘　　要：仝小林教授临床辨治精神疾病多从痰、瘀、火、毒4个方面入手。他认为精神疾病的病位在顶焦,亢奋和不足是其主要病理状态,病性分虚、实两端,如邪犯顶焦,神机逆乱,髓海不足,神机失用,均可导致神系疾病的发生。辨治以刚柔为总纲,刚则泻实,柔则补虚。Professor TONG Xiaolin＇s clinical diagnosis and treatment of spirit-system disorder mostly starts from the four aspects-phlegm,stasis,fire,and poison. He believes that the disease position of spirit-system disorder is on the Dingjiao, hyperactivity and deficiency are the main pathological conditions. And the pathogen of the disease is divided into deficiency and excess,such as the invasion of pathogenic factors to the Dingjiao syndrome, mental disorder syndrome, insufficiency of marrow sea syndrome and mental misuse syndrome, which can both bring about the occurrence of spirit-system disorder. The the main differentiation of this disease is rigidity and flexibility. If is differentiated as rigidity, the treatment is reducing excess. If is differentiated as flexibility, the treatment is tonifying deficiency.

关 键 词：神系疾病 精神疾病 顶焦 病机 仝小林 通腑化痰 镇心安神 补肾益精 

分 类 号：R242[医药卫生—中医临床基础]