国医大师柴嵩岩“肾之四最”学术思想在女性精神病治疗中的应用  

The guiding role of CHAI Songyan’s “Four Most of the Kidney” theory in female psychiatric treatment

作　　者：贾竑晓[1,2] 郑思思 佟庆 JIA Hongxiao;ZHENG Sisi;TONG Qing(The National Clinical Research Center for Mental Disorders&Beijing Key Laboratory of Mental Disorders,Beijing Anding Hospital,Capital Medical University,Beijing 100088;Advanced Innovation Center for Human Brain Protection,Capital Medical University;Dongfang Hospital,Beijing University of Chinese Medicine)

机构地区：[1]首都医科大学附属北京安定医院,国家精神心理疾病临床研究中心,精神疾病诊断与治疗北京市重点实验室,北京100088 [2]首都医科大学人脑保护高精尖创新中心 [3]北京中医药大学东方医院

出　　处：《现代中医临床》2023年第1期43-47,共5页Modern Chinese Clinical Medicine

基　　金：国家自然科学基金面上项目(No.81873398);北京市医院管理中心重点医学专业发展计划(No.ZYLX202129);北京市医院管理中心“登峰”人才培养计划(No.DFL20191901);北京市自然科学基金资助项目(No.7212050)。

摘　　要：国医大师柴嵩岩“肾之四最”学术思想概括了女子不同阶段的生理特点,并提出针对女性不同年龄阶段的治疗策略,可作为女性精神病患者的中医治疗指导原则。对于儿童期精神病患者,因“肾生最先”,月经未来之时需慎用妄动相火之药,月经快要来潮之际需慎用苦寒之药;对于青少年期精神病患者,因“肾足最迟”,可用益肾养血、安冲之法,慎用温燥、苦寒之品;对于成年期精神病患者,因“肾衰最早”,可补肾泻心火,并慎用破血之品;对于老年期精神病患者,因“肾最需护”,治疗的同时需顾护肝肾、攻补兼备、用药平和等。Prof. Chai Songyan, laureate of the title of National TCM Master, summarized the physiological characteristics of women at different stages, and proposed treatment strategies for them, in his “Four Most of the Kidney” theory, which can be used as the guiding principles of TCM treatment for female psychiatric patients. For children, because “the kidney is born most early”, before the first menstruation, it is necessary to be cautious in using medicinals that cause frenetic stirring of ministerial fire, and when menstruation is about to come, in using bitter-cold medicinals. For adolescent patients, because “the kidney matures most late”, it is suggested to tonify the kidney and nourish the blood, promote astriction of chong meridian, be cautious in using warm-dryness and bitter-cold herbs. For adult patients, because “the kidney weakens most quickly”, it is needed to supplement the kidney and purge heart fire, but products that break blood should be used cautiously. For the elderly patients, because “the kidney is in most need of protection”, the key is to protect the liver and kidney, adopt both the method of purging and supplementing, and use mild medicinals.

关 键 词：肾之四最 女性精神病患者 名医经验 柴嵩岩 

分 类 号：R277.7[医药卫生—中医学]