诸眠焦躁 烦倦压抑 皆属于心——仝小林教授治疗心因性精神障碍  

Any syndromes like insomnia, anxiety, fatigue, and depression are indicated heart——Professor TONG Xiaolin in the treatment of psychogenic mental disorders

作　　者：高泽正[1,2] 杨映映 李青伟[1,2] 宋珏娴 GAO Zezheng;YANG Yingying;LI Qingwei;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10期1131-1134,共4页Jilin Journal of Chinese Medicine

摘　　要：心因性精神障碍,即心理因素导致的精神障碍,中医归于"情志病"的范畴,主要由五脏气机逆乱而产生。仝小林教授认为该病多责之于心,与肝脾肾联系密切,气机不畅是核心病机。该病初发为实,久病多虚。临床辨治此类疾病,多从"调理气机"入手,并结合虚实辨证对心因性精神障碍作出区分。其辨治以虚实为总纲,实则泻,虚则补。实证多用四逆散、丹栀逍遥散、黄连温胆汤或白金丸等理气清热化痰之方消除体内气滞郁热痰浊之病机;虚证多用归脾汤、安神定志丸、黄连阿胶汤或二仙汤等补益之方温补脏腑之虚损。经临床验证,通过虚实辨证对心因性精神障碍进行整体论治,卓有成效,为中医治疗心因性精神障碍开阔思路。Mental psychogenic disorder is caused by psychological abnormalities, which is attributed to the category of ＂emotional illnesses＂ by Traditional Chinese Medicine. The disease is mainly caused by the qi chaos of five organs. Professor TONG Xiaolin believes that the disease is attributed to heart, and related closely to liver, spleen and kidney, the primary pathogenesis is irregular flow of the qi. The initial occurrence of the disease is excessive, and longer is deficient. Clinical diagnosis and treatment of these diseases is adjusting qi activities, combined with excessive and deficient syndrome differentiation. The treatment of the disease is principle of rigidity and flexibility. Specifically speaking, for the syndrome of excess, using Sini decoction, Danzhi Xiaoyao decoction, Huanglian Wendan decoction, or Baijin Pills to eliminate the internal stagnation of qi, heat and turbidity of phlegm; For the syndrome of deficiency, using Guipi decoction, Anshen Dingzhi pills, Huanglian Ejiao decoction and Erxian decoction to compensate the deficiency of the viscera. After clinical verification, the holistic treatment of Psychogenic mental disorders is carried out through the syndrome differentiation of deficiency and excess and the clinical effect is significant, which provides the specific thinking for the treatment of psychogenic mental disorders by traditional Chinese medicine.

关 键 词：心因性精神障碍 情志病 病机 中医药疗法 仝小林 

分 类 号：R749.4[医药卫生—神经病学与精神病学]