基于“土壅木郁”理论探讨创伤后应激障碍的治疗思路  

Discussion on the treatment of post-traumatic stress disorder based on the theory of"earth stagnation,wood depression"

作　　者：周桐宇 李德顺 卢绮萍 曹秋实 孙雅琴 刘哲 ZHOU Tongyu;LI Deshun;LU Qiping;CAO Qiushi;SUN Yaqin;LIU Zhe(Basic Medical College,Hubei University of Chinese Medicine,Wuhan 430065,China;Central Theater General Hospital of Chinese PLA,Wuhan 430000,China)

机构地区：[1]湖北中医药大学基础医学院,武汉430065 [2]中国人民解放军中部战区总医院,武汉430000

出　　处：《吉林中医药》2025年第2期140-143,共4页Jilin Journal of Chinese Medicine

基　　金：国家自然科学基金青年项目(82305079,82305082)。

摘　　要：创伤后应激障碍是由于个体遭受外界强烈刺激或伤害后产生的一种精神应激障碍,属于中医“情志病”范畴。在其发生发展过程中普遍存在肝脾气机失调,痰饮水湿停滞的病机,以往多以疏泄肝胆作为主要治法。为了进一步加强创伤后应激障碍的治疗效果,扩展治疗思路,文章从“土壅木郁”理论的角度进行探究,认为脾胃壅滞反侮肝胆所致的肝脾失调,亦是造成创伤后应激障碍的重要病机。并提出了通腑泻下、消积化湿、益气滋阴等以调理脾胃为主的治法,为创伤后应激障碍的治疗寻求新的见解与思路。Post-traumatic stress disorder(PTSD)is a mental stress disorder caused by strong external stimuli or injuries,which belongs to the category of"emotional disease"in traditional Chinese medicine.In the process of its occurrence and development,there is a prevalent disorder of liver and spleen qi,caused by phlegm-fluid retention and water-damp stagnation,used to be treated by dispersing stagnated liver and gallbladder qi.In order to further improve the therapeutic effect of stress disorder and expand its treatment ideas,the article explores it from the perspective of the theory of"earth stagnation,wood depression",believing that the disorder of liver and spleen caused by the congestion and stagnation of spleen and stomach is also an important pathogenesis of PTSD.This paper puts forward the treatment methods of regulating the spleen and stomach,such as dredging fu-organs and purging congestion,eliminating phlegm-fluid retention and removing dampness,benefiting qi and nourishing yin,so as to work out new insights and ideas for the treatment of post-traumatic stress disorder.

关 键 词：土壅木郁 创伤后应激障碍 肝脾失调 精神类疾病 

分 类 号：R277.7[医药卫生—中医学]