从肾论治老年焦虑症的理论初探  

Theoretical investigation of treating senile anxiety from the kidney

作　　者：刘林 王冬梅[1] 陈娟[1] 祁宇[1] 陈悦[1] 刘爱琪[1] 孙丽丽 周宇馨 李志更[2] 岳利峰 Liu Lin;Wang Dongmei;Chen Juan;Qi Yu;Chen Yue;Liu Aiqi;Sun Lili;Zhou Yuxin;Li Zhigeng;Yue Lifeng(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700;Institute of Basic Theory for Chinese Medicine,China Academy of Chinese Medical Sciences)

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]中国中医科学院中医基础理论研究所

出　　处：《现代中医临床》2021年第6期63-66,共4页Modern Chinese Clinical Medicine

基　　金：国家自然科学基金项目(No.81302960);北京中医药大学杰出青年人才项目(No.BUCM-2019-JCRC007);北京中医药大学青年名医培育项目(No.BUCM-2019-QNMYB011)。

摘　　要：老年焦虑症是发生于老年期的一种心理障碍,其焦虑无具体的内容,并与现实不符,与常见的焦虑症相比,老年焦虑症躯体症状更为明显。这种疾病困扰着患者的身心健康,尤其新冠疫情以来,老年焦虑症人群呈现井喷式上升。焦虑症多从心肝论治,老年患者向来注重补益肾脏,但对于该病的治疗孰轻孰重并未有明确认知。老年焦虑症患者以易受肾志影响及肾虚髓减为理论基础,肾阴阳精气亏虚、脏腑功能失调为总病机,治疗上医家擅长以补肾为根基,兼以他法。本文依据老年焦虑症的病因病机,结合中医名家从肾论治老年焦虑症的临床经验以及西医学研究成果,探讨从肾论治老年焦虑症的合理性,为临床治疗提供借鉴。Senile anxiety disorder is a psychological disorder that occurs in old age.Its anxiety has no specific content and is not in line with reality.Compared with common anxiety disorders,the physical symptoms of elderly anxiety are more obvious.This disease seriously disturbs the physical and mental health of patients,especially after experiencing an epidemic,the population of elderly anxiety disorder has shown a blowout.Currently,most anxiety disorders are treated from the heart and liver,and elderly patients tend to tonify the kidney,but they fail to have a clear understanding of priority in the treatment of elderly anxiety.Susceptibility to the influence of the kidney-will and the reduction of kidney deficiency and marrow are considered as the theoretical foundation for senile anxiety disorders,while deficiency of yin and yang of the kidney and viscera dysfunction are the underlying disease mechanism.As for treatment,TCM physicians are good at taking the kidney as the foundation,supplemented by other methods at the same time.Based on the etiology and pathogenesis of senile anxiety disorder,combined with the clinical experience of famous TCM physicians and modern medical research results,this paper discusses the rationality of treating senile anxiety disorder from the kidney,so as to provide reference for clinical treatment.

关 键 词：从肾论治 老年焦虑症 病因病机 临床应用 理论探讨 

分 类 号：R256.29[医药卫生—中医内科学]