文章摘要
临床活用金匮思维治疗情志类疾病四则体会
Four Clinical Experiences on The Treatment of Emotional Diseases by Thinking in Synopsis of The Golden Chamber
投稿时间:2020-12-03  修订日期:2021-05-05
DOI:
中文关键词: 甘麦大枣汤  产后抑郁症  黄芪桂枝五物汤  不宁腿综合征  瓜蒌薤白桂枝汤  更年期焦虑症  竹皮大丸  神经性呕吐
英文关键词: Ganmai Dazao decoction  postnatal depression  Huangqi Guizhi Wuwu decoction  restless leg syndrome  Gualou Xiebai Guizhi decoction  Climacteric anxiety  Zhupi Da pill  nervous vomiting
基金项目:2018年山东省专业学位研究生教学案例库建设项目(SDYAL18029);2020年山东省自然科学基金
作者单位邮编
庄子凡 北京中医药大学中医学院 100029
续冠胜 山东中医药大学 
王诗源 山东中医药大学 250355
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中文摘要:
      [目的]介绍运用《金匮要略》诊疗思维治疗情志异常类病证的体会。[方法]选取 4 例情志异常类病证经方治疗验案,根据患者的主要症状体征与其情志异常症状进行综合辨证,总结选取《金匮要略》经方治疗情志异常类病证的经验。[结果]病案1根据患者“悲伤欲哭”的主要临床表现,结合《金匮要略》中“邪哭”、“脏躁”诊疗思维,辨证选用桂枝加龙骨牡蛎汤合甘麦大枣汤加减治疗产后抑郁症,收效迅捷;病案2根据患者“卧起不安”的主要临床表现,结合《金匮要略》中“血痹”病、“百合”病诊疗思维,辨证选用黄芪桂枝五物汤合百合地黄汤加减治疗不宁腿综合征,疗效良好;病案3根据患者“胸闷灼热不适”的主要临床表现,结合《金匮要略》中“肝着”病、“胸痹”病诊疗思维,辨证选用瓜蒌薤白桂枝汤、茯苓杏仁甘草汤合旋覆花汤加减治疗更年期焦虑症,收效颇佳;病案4根据患者“烦躁不欲饮食”、“食后呕吐”的主要临床表现,结合《金匮要略》中“产后呕逆”诊疗思维,辨证选用竹皮大丸合一贯煎制蜜丸治疗神经性呕吐,月余痊愈。[结论]辨证应用《金匮要略》经方可以治疗情志异常类病证,对临床情志类疾病的诊疗具有重要的启示。
英文摘要:
      [Objective]To introduce the experience of treating the syndromes of abnormal emotion with the clinical thinking in “Synopsis of Golden Chamber”.[Methods]Four cases of syndromes with abnormal emotions were tested by the classical prescription based on the main symptoms and signs of the patients and the syndrome of abnormal emotions, and the experience of treating syndromes with the classical prescription in “Synopsis of the Golden Chamber” was summarized.[Results]Case 1 according to the main clinical manifestations of "sadness and tears" and the diagnosis and treatment thinking of "evil cry" and "viscera and manic disorder" in “Synopsis of the Golden Chamber”, cassia twig-oyster soup and Gan Mai Jujube soup were selected to treat postpartum depression according to syndrome differentiation, with rapid results.Case 2 according to the main clinical manifestations of patients with "restless sleeping", combined with the "blood arthralgia" and "baihe" disease diagnosis and treatment thinking in “Synopsis of the Golden Chamber”, Huangqi Guizhi Wuwu Decoction and Baihe Dihuang Decoction are selected for treatment of restless leg syndrome with good curative effect.Case 3 according to the main clinical manifestations of "chest distress and discomfort", combined with the diagnosis and treatment thinking of "liver pain" and "chest arthralgia" in “Synopsis of the Golden Chamber”, the treatment of menopause anxiety was treated by selecting Gualou Xiebai Guizhi Soup, Poria Ling Almond liquorice soup and Xuanfuhua soup according to syndrome differentiation, with good results.Case 4 according to the main clinical manifestations of "irritable not to eat" and "vomiting after food", combined with the "post-partum vomiting" diagnosis and treatment thinking in “Synopsis of Golden Chamber”, bamboo skin pill and yiguan decoction honey pill were selected to treat neurological vomiting according to syndrome differentiation, and recovered in one month.[Conclusion]The classical prescriptions in the “Synopsis of the Golden Chamber” can be used to treat syndromes with abnormal emotions, which has important implications for clinical diagnosis and treatment of emotional diseases.
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