从胆分型论治情志病

Treating Emotional Disorders from the Classification of Gallbladder

  • 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。

     

    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.

     

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