精神疾病应用金石类药物的思考  

Treating Psychiatric Diseases with Mineral Drugs

作　　者：唐启盛 孙文军 TANG Qisheng;SUN Wenjun(The Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学第三附属医院,北京100029

出　　处：《世界中医药》2021年第20期3073-3077,共5页World Chinese Medicine

基　　金：国家中医药管理局岐黄学者项目(10400633210001);国家中医药行业专项(201507001-12);北京中医药大学重点攻关项目(2020-JYB-ZDGG-144,2020-JYB-ZDGG-144-2);中国民族医药学会项目(2019KYXM-Z1148-142,2019KYXM-M105-141)。

摘　　要：金石类药物是对中药中的部分矿物药及金属类药物的统称,自先秦时期至当代均广泛应用于临床。金石药物内服具有安神、补虚、清热、收涩的功效,外用则有杀虫、防腐的功效。与草木之品比较,具有重以去怯、重以降逆、重以入肾、金石通神的特征。在临床中应用金石类药物治疗各类精神疾病,通过重镇以安神、坠痰以开窍、平肝以潜阳、清热而除烦、化石以护胃治疗各类神经精神疾病,疗效显著。Mineral drug is a general name of both non-metallic minerals and metallic minerals in traditional Chinese medicine,which has been widely used in clinical practice from pre Qin period to present.Mineral drugs have the effects of calming the nerves,tonifying deficiency,clearing heat and promoting astriction,while during external uses,they have the effects of killing insects and antisepsis.Comparing with herbal drugs,they have characteristics of mental disorder having to be cured with weighty sedatives,reducing adverseness,entering the kidney and communicating the spirit.We are experienced in treating various mental diseases by using mineral drugs.They have the effect of calming the nerves,waking up the patient from unconsciousness by eliminating phlegm,soothing the liver by suppressing yang,clearing away heat to arrest irritability and protecting the stomach by dissolving stones.

关 键 词：金石类药 精神疾病 神魂 癫狂 重以去怯 灯笼病 精神分裂症 紫石英 

分 类 号：R249.2[医药卫生—中医临床基础] R249.7[医药卫生—中医学]