翟双庆从气郁痰扰论治强迫症经验
ZHAI Shuangqing's Experience in Treating Obsessive-Compulsive Disorder from the Perspective of"Qi Constraint with Harassing Phlegm"
胡东森 1王莉媛 2王红岩 3翟双庆4
作者信息
- 1. 北京中医药大学东直门医院,北京市东城区海运仓5号,100700;北京中医药大学
- 2. 北京中研集团东城中医医院
- 3. 北京中医药大学第三附属医院
- 4. 北京中医药大学
- 折叠
摘要
总结翟双庆教授从气郁痰扰论治强迫症的临床经验.认为气郁痰扰是强迫症的核心病机,气郁、痰浊相互影响,共同致病.气郁痰扰的形成与心、脾、肝、胆等脏腑功能失调密切相关.临证治疗应以理气祛痰、重镇安神为核心治法,以自拟解郁化痰汤为基础方,并根据患者病情进行分期治疗,用药注重配伍健脾益胃、养心安神、疏肝利胆、滋阴温阳之品;同时强调临证灵活选用龙骨、龙齿、牡蛎、珍珠母等重镇药以重镇安神.
Abstract
This paper summarized professor ZHAI Shuangqing's clinical experience in treating obsessive-compulsive disorder(OCD)from the perspective of"qi constraint with harassing phlegm".It is believed that qi constraint with harassing phlegm is the core pathogenesis of OCD.Qi constraint and harassing phlegm interact with each other and together contribute to the disease.The formation of"qi constraint with harassing phlegm"is closely related to dysfunction of zang-fu(脏腑)organs such as the heart,spleen,liver,and gallbladder.Clinical treatment should focus on rectifying qi and dispelling phlegm,calming the mind with heavy sedatives.Based on the self-designed Jieyu Huatan Decoction(解郁化痰汤),treatment should be tailored to the patient's condition and stage of the disease,with prescriptions incorporating medicinals that fortify the spleen and boost the stomach,nourish the heart and calm the mind,soothe the liver and promote gallbladder function,and nourish yin and warm yang.At the same time,it is emphasized to flexibly select heavy sedatives such as Longgu(Os Draconis),Longchi(Dens Draconis),Muli(Concha Ostreae)and Zhenzhumu(Concha Margaritiferae Usta)to calm the mind.
关键词
强迫症/气郁痰扰/祛痰理气/重镇安神/名医经验/翟双庆Key words
obsessive-compulsive disorder/qi constraint with harassing phlegm/dispelling phlegm and rectifying qi/calming the mind with heavy sedatives/famous doctor's experience/ZHAI Shuangqing引用本文复制引用
基金项目
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)
中央高校基本科研业务费专项(2022-JYB-JBZR-011)
出版年
2024
国家科技期刊平台
NSTL
万方数据