摘要
总结赵永厚基于神志病体用学说分期论治精神分裂症的临证经验。根据神志病体用学说,认为精神分裂症的核心病位在脑,与脏腑、气血密切相关。提出从“脏腑-气血-脑神”角度阐释精神分裂症病机,即脏腑功能失常、气血失调、脑体失养导致神之体用功能失常。临证将精神分裂症分为四期论治,主张治以体用同治法,即发病前驱期用六味地黄汤合四逆散加减以补肾益髓、疏肝理脾;急性发作期痰热互结证用赵氏抑狂汤加减以清热祛痰、醒脑安神,痰热伤阴证用礞石滚痰丸合增液汤加减以清热祛痰、滋阴安神;慢性治疗期用愈癫汤加减以消痰化瘀、行气醒神;康复调理期用神安丸加减以益气养阴、安神定志。
Based on the theory of ti(character,体)and yong(function,用)in mental illness,ZHAO Yonghou's clinical experience in staged differentiation and treatment of schizophrenia is summarized.According to the theory,the core disease location of schizophrenia is in the brain,which is closely related to the organs,qi,and blood.It is proposed to interpret the pathogenesis of schizophrenia from the perspective of“zang-fu organs-qi and blood-brain and spirit”,that is,dysfunction of the zang-fu organs,disharmony of qi and blood,and malnourishment of the brain ti lead to dysfunction of the spirit ti and yong.In clinical practice,treatment of schizophrenia can be divided into four stages,for which the method of treating ti and yong simultaneously is suggested.In the prodromal stage,Liuwei Dihuang Decoction combined with Sini San(六味地黄汤合四逆散)with modifications is used to nourish the kidney and boost marrow,soothe the liver and rectify the spleen.For acute exacerbation with binding of phlegm and heat syndrome,Zhaoshi Yikuang Decoction(赵氏抑狂汤)with modifications is used to clear heat and dispel phlegm,awaken the brain and calm the mind.For phlegm-heat damaging yin pattern,Mengshi Guntan Pill combined with Zengye Decoction(礞石滚痰丸合增液汤)with modifications is used to clear heat and dispel phlegm,enrich yin and calm the mind.For the chronic treatment stage,Yudian Decoction(愈癫汤)with modifications is used to disperse phlegm and dissolve stasis,move qi and awaken the mind.For the rehabilitation and regulation stage,Shenan Pill(神安丸)with modifications is used to boost qi and nourish yin,and tranquilize the mind.
作者
柴剑波
赵思涵
常浩杰
赵永厚(指导)
CHAI Jianbo;ZHAO Sihan;CHANG Haojie(Heilongjiang Mental Hospital,Harbin,150036;Shanxi University of Chinese Medicine;Graduate School,Heilongjiang University of Chinese Medicine)
出处
《中医杂志》
CSCD
北大核心
2024年第2期139-143,共5页
Journal of Traditional Chinese Medicine
基金
国家自然科学基金(81973747,82374438)
国家中医药管理局全国名老中医药专家传承工作室建设项目
黑龙江省中医药科研项目(ZHY2022-050,ZYW2023-111,ZHY2023-132)。
关键词
精神分裂症
神志病
癫狂
体用同治法
名医经验
赵永厚
schizophrenia
mental illness
mania
treatment of the ti(character,体)and yong(function,用)simultaneously
experience of famous doctors
ZHAO Yonghou
