首页|李长达基于"闭户塞牖"理论辨治社交恐惧症的经验总结

李长达基于"闭户塞牖"理论辨治社交恐惧症的经验总结

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社交恐惧症是一种常见的心理障碍,其特征是在社交场合中表现出强烈的焦虑和恐惧,通常伴有回避行为。尽管现代医学提供了许多治疗方法,但许多患者仍难以克服这一问题。因此,许多学者开始寻求中医治疗。古今医家论治社交恐惧症多从"肾主恐"的角度出发去辨证,而李长达教授却从《素问·移精变气论篇》中发现闭户塞牖与社交恐惧症的症状相似,"闭户塞牖"理论是一种独特的中医理论,对于辨治社交恐惧症具有显著效果。该理论强调通过内养神志、调理气机、针灸治疗、中药调理和心理疏导等方法达到社交恐惧症的辨治目的。且从古籍中诸多闭户塞牖的描述中发现社交恐惧症其标本在肝胆,因而从胆所属之少阳病出发,应用柴胡桂枝干姜汤以治疗本病疗效显著,今予简述并附验案2则。
Summary of Li Changda's experience in the differentiation and treatment of social phobia based on the theory of "close the doors and block windows"
Social phobia is a common psychological disorder,which is characterized by intense anxiety and fear in social situations,usually accompanied by avoidance behavior.Although modern medicine provides many treatment methods,it is still difficult for many patients to overcome this problem.Therefore,many scholars begin to seek traditional Chinese medicine treatment.Ancient and modern physicians differentiate and treat social phobia from the perspective of"kidney dominating fear",while Professor Li Changda found that the symptoms of autism were similar to those of social phobia from Plain Questions-Chapter on Transforming Essence and Qi.The theory of"lose the doors and block windows"is a unique theory of traditional Chinese medicine,which has a significant effect on the diagnosis and treatment of social phobia.The theory emphasizes that the purpose of differentiating and treating social phobia can be achieved by internal cultivation of mind,regulation of qi-flowing,acupuncture and moxibustion treatment,Chinese material medical conditioning and psychological counseling,etc.And from many descriptions of"lose the doors and block windows"in ancient books,it is found that the specimens of social phobia are in the liver and gallbladder.Therefore,from the Shaoyang disease to which gallbladder belongs,the application of Chaihu Guizhi Ganjiang Decoction has obvious therapeutic efficacy on this disease,which is briefly described and 2 cases are attached.

Social phobiaClose the doors and block windowsShaoyang DiseaseChaihu Guizhi Ganjiang DecoctionFamous doctor's experience

胡淑琴、崔云龙、李长达

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山东省淄博市中医医院消化内科,山东淄博 255300

山东省淄博市中医医院外科,山东淄博 255300

山东省淄博市中医医院干部保健科,山东淄博 255300

社交恐惧症 闭户塞牖 少阳病 柴胡桂枝干姜汤 名医经验

山东省中医药科技项目

B-2022014

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(13)