从胆分型论治情志病

吴易俊; 孙永康; 徐方飚; 宋研博; 刘文博; 姜爽; 廖豪豪; 王新志

doi:10.14148/j.issn.1672-0482.2024.0309

从胆分型论治情志病

doi: 10.14148/j.issn.1672-0482.2024.0309

吴易俊^{1, 2,},
孙永康¹,
徐方飚^{1, 2},
宋研博^{1, 2},
刘文博^{1, 2},
姜爽^{1, 2},
廖豪豪^{1, 2},
王新志^1, ,

1.
河南中医药大学第一附属医院，河南郑州 450046
2.
河南中医药大学第一临床医学院，河南郑州 450046

基金项目:

中医药传承与创新“百千万”人才工程(岐黄工程)项目国中医药人教函〔2018〕284号

全国名老中医药专家传承工作室建设项目豫中医科教〔2017〕5号

河南省“双一流”创建学科中医学科学研究专项课题 HSRP-DFCTCM-2023-5-07

河南省“双一流”创建学科中医学科学研究专项课题 HSRP-DFCTCM-2023-8-29

详细信息

作者简介:
吴易俊，男，硕士研究生，E-mail：wuyijun0220@163.com

通讯作者:
王新志，男，岐黄学者，教授，主任医师，博士研究生导师，主要从事中医药防治脑病的研究，E-mail：znqznq@163.com

中图分类号: R249
计量
- 文章访问数: 121
- HTML全文浏览量: 16
- PDF下载量: 27
- 被引次数: 0
出版历程
- 收稿日期: 2023-11-23
- 网络出版日期: 2024-03-15
- 发布日期: 2024-03-10

Treating Emotional Disorders from the Classification of Gallbladder

WU Yijun^{1, 2
,},
SUN Yongkang¹,
XU Fangbiao^{1, 2},
SONG Yanbo^{1, 2},
LIU Wenbo^{1, 2},
JIANG Shuang^{1, 2},
LIAO Haohao^{1, 2},
WANG Xinzhi^{1
, ,}

1.
The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou 450046, China
2.
The First Clinical Medical School of Henan University of Chinese Medicine, Zhengzhou 450046, China

摘要

摘要: 总结名老中医王新志教授从胆论治情志病的独特观点和经验运用。根据胆的中医学生理功能和特性，提出“心神-胆-脏腑”轴主导情志的产生和变化，认为胆失决断是情志病的关键病机。倡导临证从胆分型论治，根据临床表现将情志病分为胆气不升型、少阳不利型、胆实热盛型、胆怯不足型和心胆失决型；以调整心、脾、肝、胆、肾等脏腑功能为基本原则，运用补脾益肾、升提胆气、和解少阳、清泄胆热、温阳益气、重镇安神及化痰逐瘀等治法，强调心胆共治、肝胆同调，使得心神安位、胆复决断、情志和畅。
- 情志病 /
- 胆主决断 /
- “心神-胆-脏腑”轴 /
- 名医经验
Abstract: This article summarizes the unique viewpoints and experience application of the famous and veteran Chinese medicine practitioner, Professor Wang Xinzhi, in treating emotional diseases from the perspective of gallbladder theory. Based on the physiological functions and characteristics of the gallbladder in Chinese medicine, it is proposed that the "heart mind-gallbladder-viscera" axis dominates the generation and changes of emotions, and it is believed that gallbladder failure is the key pathogenesis of emotional disorders. The treatment of clinical syndromes should be based on the type of gallbladder, and emotional diseases can be divided into types of insufficient gallbladder qi, unfavorable Shaoyang, gallbladder and heat excess, timidity-deficiency, and heart-gallbladder indecision, according to clinical manifestations; based on the basic principle of adjusting the functions of the heart, spleen, liver, gallbladder, kidney and other organs, treatment methods such as tonifying the spleen and kidneys, increasing gallbladder qi, resolving Shaoyang, clearing gallbladder heat, warming yang and replenishing qi, calming the mind, resolving phlegm and removing blood stasis should be used, highlighting the joint treatment of the heart and the gallbladder, and the simultaneous regulation of the liver and gallbladder, so that the mind can be at ease, the gallbladder can be decisive, and the emotions can be harmonious.
- emotional disorders /
- gallbladder mastering decision /
- the "heart mind-gallbladder-viscera" axis /
- experience of famous doctors

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参考文献(39)

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