雷根平教授基于“阳气者,精则养神,柔则养筋”思想论治焦虑症  

Professor LEI Genping Discusses The Treatment of Anxiety Disorder Based on The Idea of“Yang Qi,Essence Nourishes Spirit,Softness Nourishes Tendons”

作　　者：赵秋娟 雷根平 王旭钊 何旭恺 张玲[1] 刘昕艳 吴长乐 周烁 ZHAO Qiujuan;LEI Genping;WANG Xuzhao;HE Xukai;LIU Xinyan;WU Changle;ZHOU Shuo(The First Clinical School of Medicine,Shaanxi University of Chinese Medicine,Xianyang 712046,China;Linfen Central Hospital,Linfen 041000,China;The Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang 712046,China)

机构地区：[1]陕西中医药大学,陕西咸阳712046 [2]临汾市中心医院,山西临汾041000 [3]陕西中医药大学附属医院,陕西咸阳712000

出　　处：《陕西中医药大学学报》2025年第2期1-6,共6页Journal of Shaanxi University of Chinese Medicine

基　　金：国家自然科学基金项目(82174335);陕西省名中医雷根平传承工作室建设项目(2019012);陕西中医药大学一流学科创新团队项目(陕中大学科办[2019]2号2019-YL04);咸阳市科技创新团队项目“中医药治疗慢性肾炎临床创新团队”(咸科发[2019]46号);陕西教科文卫体系统职工雷根平(劳模)创新工作室(陕教科文卫体工字[2020]41号)。

摘　　要：焦虑症(anxiety disorders)是一种以焦虑情绪为主要特征的神经症,同时伴有自主神经紊乱及运动性不安的表现。“阳气者,精则养神,柔则养筋”出自《素问·生气通天论篇第三》,概括了阳气神、筋共养的作用。雷根平教授认为阳气者,在阳之精与气之柔,当分而论之,生理上阳与气合而论之其体则一,病理上阳与气又各有偏颇侧重,其用不同;表现在焦虑症之病情缓慢轻重,指导临床用药的温凊刚柔。临床可从阳之精与气之柔辨治焦虑症,以为焦虑症的治疗提供新的思路。并附验案二则以佐证。Anxiety disorders are neurological disorders characterized by anxiety,accompanied by autonomic nervous system disorders and motor anxiety.The saying“Yang Qi nourishes the spirit when it is refined,and nourishes the tendons when it is soft”comes from the third chapter of Su Wen·Sheng Qi Tong Tian Lun,summarizing the role of Yang Qi in nourishing both the spirit and tendons.Professor LEI Genping believes that for those with Yang Qi,the essence of Yang and the softness of Qi should be distinguished.Physiologically,the combination of Yang and Qi is the same,but pathologically,Yang and Qi have their own biased emphasis and different uses;The manifestation of anxiety disorder is slow and severe,and the guidance for clinical medication is gentle.Clinically,anxiety disorders can be treated by distinguishing between the essence of Yang and the softness of Qi,providing new ideas for the treatment of anxiety disorders.And two case studies are attached as evidence.

关 键 词：焦虑症 阳气 阳气者 精则养神 柔则养筋 名医经验 雷根平 

分 类 号：R749.72[医药卫生—神经病学与精神病学]