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蒲辅周从心肝肾治疗眩晕型神经官能症探究

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蒲辅周为中医大家,临床经验丰富,其认为眩晕型神经官能症与心肝肾脏腑密切相关,肝为其首,当先受之,肝肾同源,影响肾根,或年过半百,肾阴亏虚,肝肾累及于心,心失所主,为眩晕型神经官能症发生发展过程,治疗应以疏肝滋肝,敛肾补肾,镇心养心为要.在调节病机的同时,亦不应忽视病程、剂型、服法等问题,方能使患者神志安定,眩晕得除.本文从史料探究蒲辅周从心肝肾治疗眩晕型神经官能症的认识与思路,并附医案两则,以期为临床治疗提供参考.
Analysis on the treatment of vertigo-type neurosis from heart,liver and kidney bv PU Fu-zhou
Abstracs:PU Fu-zhou,a famous doctor of TCM with rich clinical experience,thinks that vertigo-type neurosis is closely related to the heart,liver and kidney viscera.The liver is the first to suffer,and the liver and kidney are homologous,which affects the kidney root.Kidney yin deficiency at the age of 50,liver and kidney involved in the heart,the heart loses its governing,is the development of vertigo-type neurosis.Treatment should be to dredge and nourish the liver,converge and tonify the kidney,and calm and nourish the heart.In addition to the regulation of the disease mechanism,the course of the disease,the dosage form and the method of administration should not be neglected,so that the patients can really achieve the stabilization of the mind and the removal of vertigo.This article explores the understanding and ideas of PU Fu-zhou in treating vertigo-type neurosis from the heart,liver and kidney from historical materials with two medical cases,in order to provide some reference for clinical treatment of vertigo-type neurosis.

VertigoNeurosisHeart-liver-kidneyPU Fu-zhou

常菁菁、李桂侠、和石情、汪卫东

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中国中医科学院广安门医院心理科,北京 100053

北京中医药大学研究生院,北京 100029

眩晕 神经官能症 心肝肾 蒲辅周

国家自然科学基金项目北京中医药文化资源调查专题项目

82004349WHZX-2020-100

2024

湖北中医药大学学报
湖北中医药大学

湖北中医药大学学报

CSTPCD
影响因子:0.873
ISSN:1008-987X
年,卷(期):2024.26(5)
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