经方六经辨证治疗脏躁的临床体会  

Clinical Experience of Classical Prescriptions in Treating Hysteria with Syndrome Differentiation of Six Channels Theory

作　　者：朱芮[1] 完家进 孙宁宁 杨联河[1] ZHU Rui;WAN Jiajin;SUN Ningning;YANG Lianhe(School of Basic Medicine,Henan University of Traditional Chinese Medicine,Henan Province,Zhengzhou 450008,China)

机构地区：[1]河南中医药大学基础医学院,河南郑州450008

出　　处：《中国中医药现代远程教育》2019年第5期97-99,共3页Chinese Medicine Modern Distance Education of China

基　　金：国家自然科学基金【No.81373535】

摘　　要：脏躁是指患者情志不舒,心中烦乱,无故悲伤欲哭,苦笑无常,呵欠频作等为主要临床表现的病症,多发于中青年女性。本病多为情志不遂,五志化火,伤及脏阴所致,临床以"阳躁"较为多见,亦可见"阴躁"者。经方治疗脏躁有其独特的优势,先辨阴阳,次辨归经,再辨方证,以求得方证对应。本文结合近五年的临床案例探讨经方六经辨证在治疗脏躁方面的临床体会。Visceral agitation refers to the patient's emotional discomfort,heart trouble,no reason to sadness,crying,ridiculous,yawning and other major clinical manifestations,mostly happened in young and middle-aged women.The main cause of this disease is the injured visceral yin caused by affect-mind dissatisfaction and five minds transforming into fire.Clinically,"yang agitation"is more common,and"yin agitation"is also seen.Therefore,the first step to treat the disease is to distinguish the difference between yin and yang pattern.The classical prescriptions have its unique advantages in the treatment of visceral agitation.The first step is to distinguish yin and yang,and the second is to distinguish its channel tropism,and finally we need to identify the syndrome.In this paper,the author combines the clinical cases of the past five years to specifically discuss the clinical experience of the treatment of visceral agitation by syndrome differentiation of six channels theory.

关 键 词：经方 六经辨证 脏躁 

分 类 号：R256[医药卫生—中医内科学]