基于尹氏家学的幻听中医药治疗  

Treatment ofauditory hallucinations with traditional Chinese medicine based on Yin's family theory

作　　者：尹在田 尹亚东[2] YIN Zaitian;YIN Yadong(Henan University of Chinese Medicine,Zhengzhou 450046,China;The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450099,China)

机构地区：[1]河南中医药大学,河南郑州450046 [2]河南中医药大学第一附属医院,河南郑州450099

出　　处：《四川中医》2025年第1期32-36,共5页Journal of Sichuan of Traditional Chinese Medicine

基　　金：河南省级首批优质中医学术流派“尹氏理气解郁学术流派”项目(豫卫中医函[2022]63号);河南省级第五批中医非物质文化遗产代表性项目“尹氏中医理气解郁疗法”项目(豫政[2021]21号);河南省级科技成果《“理气解郁疗法”体系的构建及临床应用》项目(编号:2024HA010008)。

摘　　要：现代医学对幻听的研究很多,但公认成果较少。西药内服治疗虽有一定效果,但各种副反应亦非常明显。物理干预辅助治疗法表现出了一定的应用前景,但多处于探索阶段,有待进一步验证效果。中医药对包括幻听在内的精神情志疾病的认识,非常丰富但纷繁驳杂,临床治疗中难以把握应用。基于尹氏家学“理气解郁疗法”对幻听的认识,幻听的基本病机为气血亏虚、内热扰动、气机不调,以补气之虚、清气之余、调气之滞为治疗方法,使用补养气血、清热、疏肝、安神类方药治疗幻听,效果比较满意。There are many researches on auditory hallucination in modern medicine,but there are few recognized results.Although oral administration of western medicine has certain effect,various side effects are also very obvious.Physical intervention adjuvant therapy has shown a certain application prospect,but it is mostly in the exploratory stage,and the effect needs to be further verified.The understanding of traditional Chinese medicine on mental and emotional diseases,including auditory hallucination,is very abundant but complex,which is difficult to master and apply in clinical treatment.Based on Yin's family theory of“Qi regulating and depression relieving therapy”for auditory hallucination,the basic pathogenesis of auditory hallucination is deficiency of Qi and blood,disturbance of internal heat,and non-regulation of Qi.The deficiency of Qi,excess of Qi clearing,and stagnation of Qi regulating are used to treat auditory hallucination,and the effect is satisfactory.

关 键 词：幻听 精神分裂症 情志病 中医药 理气解郁疗法 

分 类 号：R229[医药卫生—中医基础理论]