五运六气理论在双相情感障碍诊疗中的应用及思考
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摘要
双相情感障碍是一种常见的精神疾病,其临床表现纷繁复杂。西医学对双相情感障碍发病的认识不够完善,影响了临床诊疗的发展,使得双相情感障碍的复发率、误诊率、致残率居高不下。本文借助五运六气理论,从"天人相应"角度分析双相情感障碍的病因病机,认为双相情感障碍的反复发作是由于人体不能适应自然界阴阳的运行规律,使自身阴阳的动态平衡失调所致,提出从"个人体质"和"自然气候"两个角度把握双相情感障碍的预防和治疗,为双相情感障碍的临床诊疗提供新的思路。
Bipolar disorder is a common mental illness with complex clinical manifestations. The Western medicine has not fully understood the ill of bipolar disorder,making the recurrence rate,misdiagnosis rate and disability rate of bipolar disorder high,which has affected the whole development of clinical diagnosis and treatment. Based on the theory of five circuits and six qi,this paper will analyze the etiology and pathogenesis of bipolar disorder from the perspective of "correspondence between man and nature"and believe that the recurrent episodes of bipolar disorder are due to the damage of the balance in the Yin-Yang between human and nature. This paper propose to grasp the prevention and treatment strategies of bipolar disorder from the perspectives of "individual endowment"and "Seasonal climate",and will provide new ideas for the clinical diagnosis and treatment of bipolar disorder.
Bipolar disorder is a common mental illness with complex clinical manifestations. The Western medicine has not fully understood the ill of bipolar disorder,making the recurrence rate,misdiagnosis rate and disability rate of bipolar disorder high,which has affected the whole development of clinical diagnosis and treatment. Based on the theory of five circuits and six qi,this paper will analyze the etiology and pathogenesis of bipolar disorder from the perspective of "correspondence between man and nature"and believe that the recurrent episodes of bipolar disorder are due to the damage of the balance in the Yin-Yang between human and nature. This paper propose to grasp the prevention and treatment strategies of bipolar disorder from the perspectives of "individual endowment"and "Seasonal climate",and will provide new ideas for the clinical diagnosis and treatment of bipolar disorder.
引文
[1]美国精神医学学会.精神障碍诊断与统计手册[M].张道龙,译.5版.北京:北京大学出版社,2015:120-161.
[2]李自艳,曹?,贾竑晓,等.双相情感障碍发病与五运六气的相关性研究[J].世界中医药,2018,13(5):1086-1090.
[3]沈渔邨.精神病学[M].北京:人民卫生出版社,2009:544-591.
[4]尹冬青,贾竑晓,周方,等.内生火热与双相情感障碍发病的关系探讨[J].中华中医药学刊,2017,35(2):482-484.
[5]顾植山.从阴阳五行与五运六气的关系谈五运六气在中医理论中的地位[J].中国中医基础医学杂志,2006,12(6):463-466.
[6]黄帝内经灵枢[M].北京:中国医药科技出版社,2018:113-115.
[7]杨威,白卫国.五运六气研究[M].北京:中国中医药出版社,2011:1-185.
[8]张洪钧,董霞,刘伟,等.五运六气禀赋与原发性高血压易患性的相关性---北京地区48 666例病例调查[J].中医杂志,2014,55(17):1475-1480.
[9]李正富,吴德鸿,王新昌,等.五运六气禀赋与类风湿关节炎发病的相关性研究[J].浙江中医药大学学报,2015,39(7):505-507.
[10]方药中,许家松.黄帝内经素问运气七篇讲解[M].北京:人民卫生出版社,2007:1-700.
[11]刘星,牛阳.再论三阴三阳开阖枢[J].中华中医药杂志,2018,33(5):1908-1910.
[12]李自艳.双相情感障碍患者先天禀赋与其发病期运气特点的关联性研究[D].北京:北京中医药大学,2018.
[13]陈鸿雁,贾竑晓.贾竑晓从阳气郁遏学说论治抑郁症临床经验总结[J].中华中医药杂志,2018,33(9):3926-3928.
[14]贾竑晓,庄红艳,康玉春.基于数据挖掘探析国家级名老中医王彦恒治疗精神病用药规律[J].北京中医药,2018,37(4):366-370.
[2]李自艳,曹?,贾竑晓,等.双相情感障碍发病与五运六气的相关性研究[J].世界中医药,2018,13(5):1086-1090.
[3]沈渔邨.精神病学[M].北京:人民卫生出版社,2009:544-591.
[4]尹冬青,贾竑晓,周方,等.内生火热与双相情感障碍发病的关系探讨[J].中华中医药学刊,2017,35(2):482-484.
[5]顾植山.从阴阳五行与五运六气的关系谈五运六气在中医理论中的地位[J].中国中医基础医学杂志,2006,12(6):463-466.
[6]黄帝内经灵枢[M].北京:中国医药科技出版社,2018:113-115.
[7]杨威,白卫国.五运六气研究[M].北京:中国中医药出版社,2011:1-185.
[8]张洪钧,董霞,刘伟,等.五运六气禀赋与原发性高血压易患性的相关性---北京地区48 666例病例调查[J].中医杂志,2014,55(17):1475-1480.
[9]李正富,吴德鸿,王新昌,等.五运六气禀赋与类风湿关节炎发病的相关性研究[J].浙江中医药大学学报,2015,39(7):505-507.
[10]方药中,许家松.黄帝内经素问运气七篇讲解[M].北京:人民卫生出版社,2007:1-700.
[11]刘星,牛阳.再论三阴三阳开阖枢[J].中华中医药杂志,2018,33(5):1908-1910.
[12]李自艳.双相情感障碍患者先天禀赋与其发病期运气特点的关联性研究[D].北京:北京中医药大学,2018.
[13]陈鸿雁,贾竑晓.贾竑晓从阳气郁遏学说论治抑郁症临床经验总结[J].中华中医药杂志,2018,33(9):3926-3928.
[14]贾竑晓,庄红艳,康玉春.基于数据挖掘探析国家级名老中医王彦恒治疗精神病用药规律[J].北京中医药,2018,37(4):366-370.