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贾竑晓以五神藏理论辨治精神分裂症认知损害经验

JIA Hongxiao's Clinical Experience in Treating Cognitive Impairments in Schizophrenia based on Five Spirits Stored in Corresponding Viscera Theory

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总结贾竑晓教授以五神藏理论辨治精神分裂症认知损害的临证经验.通过阐释五神藏理论的认知心理学内涵,提出以精神分裂症不同认知域损害的症状特点为主辨治精神分裂症认知损害.信息处理速度、执行控制能力及意志等认知域损害的关键病机为肾虚肝旺、心神不安,治以益肾平肝、养心安神,方用石珍安神方加减;记忆力和注意认知域损害的关键病机为脾肾亏虚、肺魄不降,治以健脾补肾、益肺降气,方用健脾补肾方加减.
This paper summarized professor JIA Hongxiao's experience in treating cognitive impairments in schizophrenia patients upon five spirits stored in corresponding viscera theory.By elucidating the cognitive psychological connotation of the five spirits stored in corresponding viscera theory,it is proposed that the cognitive impairment of schizophrenia should be differentiated and treated based on the symptom characteristics of different cognitive domain impairments in schizophrenia.The key pathogenesis of impairments to cognitive domains such as information process-ing speed,executive control ability and will is kidney deficiency,liver hyperactivity,and heart spirit restlessness,for which the treatment is to boost the kidney and calm the liver,nourish the heart and calm the mind,using Shizhen Anshen Formula(石珍安神方)modifications.The main pathogenesis of memory and attention cognitive impairment is spleen-kidney depletion and lung corporeal soul failing to descend,for which it is suggested to fortify the spleen and supplement kidney,boost lung and direct qi downward using Jianpi Bushen Formula(健脾补肾方)modifications.

schizophreniacognitive impairmentfive spirits stored in corresponding visceraexperience of famous doctorsJIA Hongxiao

宁艳哲、尹霞、冯思同、王丹、贾竑晓

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首都医科大学附属北京安定医院/国家精神心理疾病临床医学研究中心,北京市西城区安康胡同5号,100088

首都医科大学人脑保护高精尖创新中心

北京市昌平区中西医结合医院

内蒙古自治区精神卫生中心

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精神分裂症 认知损害 五神藏 名医经验 贾竑晓

北京市级中医药专家学术经验继承项目北京市中医药科技发展资金项目首都卫生发展科研专项北京市医院管理中心重点医学专业发展计划北京市医院管理中心"登峰"人才培养计划

BJZYYB-2023-66首发2020-4-2126ZYLX202129DFL201901901

2024

10.13288/j.11-2166/r.2024.04.004

中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCD北大核心
影响因子：1.464
ISSN：1001-1668
年,卷(期)：2024.65(4)
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