基于络病学说浅析广泛性焦虑障碍发病与治疗  

A Brief Analysis of Onset and Treatment of Generalized AnxietyDisorder Based on Collateral Disease Theory

作　　者：陈洁[1] 徐晓彤 冯子芹 许凤全[2] CHEN Jie;XU Xiaotong;FENG Ziqin;XU Fengquan(Beijing University of Chinese Medicine,Beijing 100029,China;Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]北京中医药大学,北京100029 [2]中国中医科学院广安门医院,北京100053

出　　处：《中医药学报》2024年第2期9-12,共4页Acta Chinese Medicine and Pharmacology

基　　金：中国中医科学院科技创新工程项目资助(CI2021A03101)。

摘　　要：广泛性焦虑障碍(GAD)在临床中越来越常见,患者除心理上持久而过度的紧张担心外,还伴随一系列躯体化症状。本文将络病学说引入广泛性焦虑障碍,从络脉网状结构与广泛性焦虑障碍症状分布、络病病机与广泛性焦虑障碍病变特点、络病证治与广泛性焦虑障碍治疗三个方面说明两者之间的相似性和关联性。基于络病学说总结出“瘀”“滞”“虚”“损”为该病病机演变的关键,气滞血瘀为初始状态,日久则向络虚不荣、络脉损伤阶段转化,呈现虚实夹杂的病理状态。因此,根据以上核心病机,治疗上应注重行滞通络法和补虚通络法的应用。Generalized anxiety disorder(GAD)is becoming increasingly common in clinical practice.In addition to persistent and excessive psychological anxiety,the patients also experience a series of somatization symptoms.This paper introduces the theory of collateral disease into generalized anxiety disorder to illustrate the similarity and correlation between the two from three aspects:the reticular structure of collateral and distribution of generalized anxiety disorder symptoms,the pathogenesis of collateral disease and the pathological characteristics of generalized anxiety disorder,and the pattern and treatment of collateral diseases and the treatment of generalized anxiety disorders.Based on collateral disease theory,we have summarized that“stasis”,“stagnation”,“deficiency”,and“damage”are the key factors in the evolution of the pathogenesis of this disease.Qi stasis and blood stagnation occur in the initial state,and over time,the disorder transforms into the stage of collateral deficiency and collateral damage,reaching a pathological state of deficiency-excess in complexity.Therefore,according to the above core pathogeneses,the treatment should focus on the methods of removing stagnancy and unblocking collaterals and the methods of tonifying deficiency and free the collateral vessels.

关 键 词：络病学说 广泛性焦虑障碍 症状分布 病机 治疗 

分 类 号：R256.28[医药卫生—中医内科学]