张志远辨治女性情志病经验探析  

Professor Zhang Zhiyuan’s Experience in Treating Female Emotional Diseases

作　　者：许坤 刘桂荣 XU Kun;LIU Guirong(Institute of Chinese Medicine Literature and Culture,Shandong University of Traditional Chinese Medicine,Ji’nan 250355,China;College of Traditional Chinese Medicine,Shandong University of Traditional Chinese Medicine,Ji’nan 250355,China)

机构地区：[1]山东中医药大学中医文献与文化研究院,济南250355 [2]山东中医药大学中医学院,济南250355

出　　处：《中国中医基础医学杂志》2023年第4期645-647,655,共4页JOURNAL OF BASIC CHINESE MEDICINE

基　　金：国家中医药管理局重点学科建设项目(国中医药人教发[2012]32号)-中医各家学说;国家中医药管理局国医大师传承工作室建设项目(国中医药人教发[2018]119号)-张志远国医大师传承工作室;齐鲁医派中医学术流派传承工作室建设项目(鲁卫函[2022]93号)-志远学术流派传承工作室。

摘　　要：国医大师张志远治疗女性情志病经验丰富,认为应当依据女性所处各时期的生理、病理特点对本病进行论治。女性处于青春期时肾脾未壮,精血化源不足,自拟“六合汤”,补益肾脾以治疗经行情志异常;产后期女性常见肝郁脾虚,易聚湿生痰,应用“蠲饮六神汤”配合“礞石滚痰丸”,涤痰开窍以平产后癫病;围绝经期女性常见肝肾亏虚,阴血不足,应用经方“甘麦大枣汤”合“百合地黄汤”,调补肝肾以治疗围绝经期脏躁。Zhang Zhiyuan,a master of traditional Chinese medicine,has rich experience in the treatment of female emotional diseases.He believes that the disease should be differentiated and treated according to the physiological and pathological characteristics of different ages.When the female is in puberty,the kidney and spleen are not strong and the source of essence and blood is insufficient.He draws up"Liuhe Decoction"to tonify the kidney and spleen to treat abnormal menstrual mood;puerperal women often have liver depression and spleen deficiency,easy to gather dampness and produce phlegm.The application of"Juanyin Liushen Decoction"can eliminate phlegm and open orifices to prevent post partum epilepsy;perimenopausal women often have deficiency of liver and kidney with insufficient blood.The classic prescription"Gan Mai Da Zao Decoction"and"Baihe Dihuang Decoction"are used to regulate and supplement the liver and kidney to treat perimenopausal visceral irritability.

关 键 词：女性情志病 名医经验 张志远 

分 类 号：R249.2[医药卫生—中医临床基础]