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精神分裂症可从“痰瘀”论治 被引量:13

Discussion of Phlegm Stasis in the Treatment of Schizophrenia
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摘要 随着经济社会的快速发展,精神疾病尤其是精神分裂症已经是严重危害大众的公共卫生问题,文章认为本病属中医学中的"癫狂"范畴,其病机多责之于痰瘀之邪,痰湿阻滞、瘀血内停、上犯于脑是诱发癫狂的主要原因。在临床工作中把精神分裂症总结为常见的五种证型,分别为痰火扰神型、痰湿内阻型、痰气郁结型、气滞血瘀型、多虚多瘀型;采用祛湿、化痰、逐痰以及化瘀、散瘀等辨证论治,以自拟礞石逐痰汤、二陈汤、血府逐瘀汤等加减治疗。在临床上取得满意的效果,具有一定的研究意义。 With the rapid economical and social development,mental disorder,especially schizophrenia becomes a public health issue seriously threatening the people. It was believed in the paper that this disease is in the category of'manic- depressive disorder'in TCM. Phlegm stasis is taken as the pathogenesis,retention of phlegm damp,internal retention of stasis and blood and upward invasion of pathogens to the brain are the main inducing factors of manic- depressive disorder. In clinic,schizophrenia is differentiated as five types,named phlegm fire disturbing mind,internal retention of phlegm damp,stagnation of phlegm and qi,stagnation of qi and blood,excessive deficiency and stasis. The treatment should be removing damp,resolving damp and dispersing or removing stasis accordingly. The self- prepared mengshi zhutan decoction,erchen tang,xuefu zhuyu tang are modified in terms of the concrete cases. The clinical therapeutic effects are satisfactory,indicating the significance for further study.
出处 《世界中西医结合杂志》 2016年第7期1011-1013,1033,共4页 World Journal of Integrated Traditional and Western Medicine
关键词 精神分裂症 癫狂 痰瘀论治 Schizophrenia Manic-Depressive Disorder Treatment Based on Phlegm Stasis
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