摘要
[目的]总结名老中医符为民教授诊治精神分裂症经验。[方法]通过临床跟师抄方,收集整理符师治疗精神分裂症病案,浅显地阐述符师对精神分裂症病因病机的分析,对其辨证思路、治则治法、用药特色进行整理、归纳、总结并列举案例一则予以佐证。[结果]符师认为痰火上蒙心窍是精神分裂症病机之本,气滞、血瘀是主要致病因素,故治疗当以清热化痰为根本,兼以疏肝理气、祛瘀通腑,适时顾护胃气,并配伍醒脑开窍、除烦安神类中药。按病程分期,强调精准辨证,用药方面常用清热化痰、理气通腑、泄浊开窍之法,配伍安神药以标本兼顾,始终坚持顾护胃气。[结论]符师精准辨治精神分裂症效如桴鼓,为临床提供中医思路和方法,值得临床推广。
[Objective]Summarizing the old Chinese medicine Professor FU Weimin ＇s experience in diagnosis and treatment of schizophrenia.[Methods]Learning from Professor FU as well as collating his medical case of schizophrenia.[Results]Professor FU thinks that sputum fire blinded heart is the pathogenesis of schizophrenia,with the Qi stagnation and blood stasis as the main risk factors.Therefore,during the treatment,clear heat and resolve phlegm should be a fundamental,and with relieving the depressed liver,promoting blood circulation to remove stasis and purgation.He emphasizes the precise dialectical when talking about the disease stage.In aspect of the drug matching,Professor FU uses formulae to clear heat and resolve phlegm,regulate the Qi,treat the interior excess syndrome with purgation and open the orifices to solve the external and internal diseases.He prefers to protect the stomach and has already made a good therapeutic effect in clinical application.[Conclusion]Professor FU＇s experience in treating schizophrenia provides TCM ideas and methods for clinical practice,which is worthy of popularizing.
作者
陈青霞
陈炯华
王永生
CHEN Qingxia;CHEN Jionghua;WANG Yongsheng(Nanjing Uni versity of Chinese Medicine, Nanjing 210046, China)
出处
《浙江中医药大学学报》
CAS
2018年第3期228-231,共4页
Journal of Zhejiang Chinese Medical University
基金
第二批江苏省名老中医药专家传承工作室建设项目[苏中医科教(2016)6号]~~
关键词
精神分裂症
癫症
狂症
精准辨证
分期论治
医案
符为民
临床经验
schizophrenia
epilepsy
maniac
accurate differentiation
staging treatment
medical case
FU Weimin
clinical experience
