摘要
周德生教授根据其长期临床经验,从神病辨治癫狂病,认为神病范畴广泛,神分神郁、神散、神癫、神狂、神痫、神假,癫狂病属神病范畴。重阴则癫,重阳则狂,癫狂病之阴阳属性符合刚柔辨证,而以阴性为主和以阳性为主的精神分裂症亚型又佐证了刚柔辨证,故临床上需应用刚柔辨证。其病位在脑气与脏腑气不接续,强调精神症状与躯体症状相结合,治疗上应以脏腑虚实为纲,必先治神,治神者顺应阴阳气机变化,调整脏腑气机失衡,依证候归属脏腑调理五神。神志活动由五脏调节,但以心为主宰、以肝为枢纽,故治癫狂神病需治在五脏,重在心、肝,在临床上有指导意义。
ZHOU Desheng,based on his long-term clinical experience,treated madness from the perspective of mental illness.He believed that mental illness has a wide range of categories,including mental distraction depression,mental dispersion,mental madness,mental madness,mental epilepsy and mental false.Madness belongs to the category of mental illness.Attaching importance to Yin leads to madness,and attaching importance to Yang leads to madness.The Yin-Yang attribute of madness conforms to the rigid and flexible syndrome differentiation,while the sub-types of schizophrenia dominated by negative and positive also support the rigid and flexible syndrome differentiation,so it is necessary to apply rigid and flexible syndrome differentiation in clinic.Mental activity is regulated by the five internal organs,but the heart is dominant and the liver is the hub.Therefore,the treatment of epilepsy and mania needs to be treated in the five internal organs,focusing on the heart and liver,which has guiding significance in clinical practice.
作者
苏啟后
马强
张雪花
葛金文
周德生
SU Qihou;MA Qiang;ZHANG Xuehua;GEN Jinwen;ZHOU Desheng(Hunan University of Traditional Chinese Medicine,Hunan Changsha 410208,China;The First Affiliated Hospital of Hunan University of Chinese Medicine,Hunan Changsha 410007,China;Hunan Brain Hospital,Hunan Changsha 410007,China)
出处
《中医药临床杂志》
2022年第11期2084-2088,共5页
Clinical Journal of Traditional Chinese Medicine
基金
国家中医药管理局中医药古籍传承项目(国中医药科技函[2020]295号,GZY-KJS-2020-032)
湖南省中医补助专项——中医质量控制中心脑病科(NO.ywk-010-11)
湖南省科技厅科技创新平台与人才计划——中医脑病临床研究中心(NO.2017SK4005)
湖南省级财政中医药项目[rsk-010-13(006-09)]。
关键词
周德生教授
刚柔辨证
治疗
癫狂病
Professor ZHOU Desheng
Rigid and flexible syndrome differentiation
Treatment
Madness
