摘要
总结张志远教授辨证治疗郁证的经验。认为郁证的发生与七情内伤和脏气郁结有关,临证将郁证分为肝气郁结、气郁化火、痰气郁结、心肾阴虚四种证型。治疗分别以疏肝理气散郁结,常用四逆散加酒大黄;重镇安神定内风,常用自拟“飞龙汤”;化痰散结祛痰湿,常用温胆汤加减并自制“小开心汤”;清热滋阴安真阴,常用黄连阿胶汤加减。
This paper summarized ZHANG Zhiyuan’s experience in differentiating and treating constraint syndrome.The occurrence of constraint syndrome is believed to be related to the internal damage caused by the seven emotions and binding constraint of visceral qi,and there are four types of constraint syndromes,namely binding constraint of liver qi,qi constraint transforming into fire,binding constraint of phlegm qi,and heart-kidney yin deficiency.Correspondingly,the treatment strategy is to soothe the liver,rectify qi and resolve constraint mostly with Sini Powder(四逆散)plus wine-fried Dahuang(Radix et Rhizoma Rhei),to calm the mind with heavy sedatives and relieve the internal wind commonly with self-made Feilong Decoction(飞龙汤);to dissolve phlegm,dissipate masses and dispel phlegm-dampness mostly with modified Wendan Decoction(温胆汤)plus self-made Xiao Kaixin Decoction(小开心汤);and to clear heat,enrich yin and calm true yin by using modified Huanglian Ejiao Deoction(黄连阿胶汤).
作者
田径
刘朴霖
刘建民
阎兆君
TIAN Jing;LIU Pulin;LIU Jianmin;YAN Zhaojun(Shandong University of Traditional Chinese Medicine,Jinan,250014;The Affiliated Hospital of Shandong University of Traditional Chinese Medicine)
出处
《中医杂志》
CSCD
北大核心
2022年第19期1820-1823,共4页
Journal of Traditional Chinese Medicine
基金
国家自然科学基金(81774249)
国家中医药管理局国医大师传承工作室建设项目(国中医药人教发[2018]119号)
山东省中医药管理局齐鲁医派中医学术流派传承项目(鲁卫函[2021]45号,鲁卫函[2022]93号)
山东省济南市“高校20条”资助项目(2020GXRC013)。
关键词
郁证
焦虑症
抑郁症
名医经验
张志远
constraint syndrome
anxiety
depression
experience of famous doctors
ZHANG Zhiyuan
