翟双庆基于象思维运用金石药治疗神志病经验  

Experience of Professor ZHAI Shuangqing in Using Metal and Mineral Medicines to Treat Mental Disorders Based on Xiang Thinking

作　　者：胡东森 王莉媛 王红岩 翟双庆(指导)[2] HU Dongsen;WANG Liyuan;WANG Hongyan(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing,100700;Beijing University of Chinese Medicine;Dongcheng Traditional Chinese Medicine Hospital,Beijing Zhongyan Group;Beijing University of Chinese Medicine Third Affiliated Hospital)

机构地区：[1]北京中医药大学东直门医院,北京市100700 [2]北京中医药大学 [3]北京中研集团东城中医医院 [4]北京中医药大学第三附属医院

出　　处：《中医杂志》2025年第5期453-457,共5页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局第七批全国老中医药专家学术经验继承工作项目(国中医药人教函[2022]76号);国家中医药管理局高水平中医药重点学科建设项目(zyyzdxk-2023252);北京中医药大学基本科研业务费项目(2022-JYB-JBZR-011)。

摘　　要：总结翟双庆教授运用金石药治疗神志病的临证经验。基于象思维,将神志病症状归于郁象、风象、火象、痰象、虚象五类,以此探讨其发病机制。金石药是治疗神志病的关键用药,除重镇安神的功用外,具有畅气、定风、驱邪、补益之效。临证强调病、象同调,在自拟经验方的基础上,根据药物的性味归经及作用,结合神志病之象选择适宜的金石药。如辨治注意缺陷多动障碍常在泻黄散合四君子汤加减基础上,配伍伏龙肝、龙骨等;顽固性失眠常在自拟失眠经验方基础上,配伍龙骨、琥珀、磁石等;强迫症常在自拟强迫症经验方的基础上,配伍龙齿、青礞石、赭石等;癫痫常在自拟抗痫汤基础上,配伍青礞石、龙齿、生铁落等。This paper summarizes Professor ZHAI Shuangqing's clinical experience in using metal and mineral medicines to treat mental disorders.Based on xiang thinking,the symptoms of mental disorders are classified into five categories,depression-xiang,wind-xiang,fire-xiang,phlegm-xiang,and deficiency-xiang,and the mechanisms of disease development are discussed accordingly.Metal and mineral medicines are key treatments for mental disorders,not only having the function of calming the mind but also promoting qi,stabilizing wind,expelling evil,and tonifying.In clinical practice,the emphasis is placed on harmonizing the disease and its symptoms.Based on self-developed prescription formulas,the appropriate metal and mineral medicines are selected according to the properties,flavors,meridian tropism,and actions of the medicines,as well as the xiang patterns of the mental disorder.For example,Attention Deficit Hyperactivity Disorder(ADHD)is treated by Modified Xiehuang Powder(泻黄散)with Sijunzi Decoction(四君子汤)and adding Fulonggan(Testudinis Carapax)and Longgu(Os Draconis).Persistent insomnia is treated by combining a self-developed insomnia formula with Longgu(Os Draconis),Hupo(Succinum),and Cishi(Magnetitum).Obsessive-compulsive disorder(OCD)is treated by combining a self-developed OCD formula with Longchi(Dens Draconis),Qingmengshi(Fluoritum),and Zheshi(Haematitum).Epilepsy is treated by combining an anti-epilepsy decoction with Qingmengshi(Fluoritum),Longchi(Dens Draconis),and Shengtieluo(Ferrum Rudis).

关 键 词：神志病 象思维 金石药 名医经验 翟双庆 

分 类 号：R28[医药卫生—中药学]