国医大师张志远治疗癫狂经验拾萃
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摘要
张志远教授为国医大师、全国名老中医,业医七十余载,博古通今,临床经验丰富,人称"活字典"。张老临床治疗癫狂重视肝、脾两脏,主要从气血痰火入手,善用涤痰开窍、活血破瘀、疏肝健脾之法以辨证施治,治病求本。在用药上,区分癫与狂,用药亦不同,重用大黄、茯神、龙骨三味药,常据证运用化痰醒神汤、二胡开散汤、迷宫解郁汤、当归散加味等方治疗癫狂。此外,张老在药物干预治疗的基础上还重视运用"以情胜情"的精神疗法。
Professor ZHANG Zhiyuan is a master and famous doctor of traditional Chinese medicine in China. He has been engaged in medicine for more than 70 years and has rich clinical experience,and so he is called a living dictionary. Professor ZHANG attaches importance to the liver and spleen in the clinical treatment of schizophrenia,mainly starting with Qi,blood,phlegm and fire,and is good at using the methods of eliminating phlegm and inducing resuscitation,activating blood circulation to remove blood stasis,and soothing liver and strengthening spleen. These methods are based on syndrome differentiation and treatment in order to search the primary cause of disease in treatment. In his medication,it distinguishes between epilepsy and madness,and so the medication is also different. He pays more attention to the application of Dahuang( Rheum palmatum L.),Fushen[Poria cocos(Schw.) Wolf]and Longgu(Fossilia Ossis Mastrodi),and often uses Huatan Xingshen Decoction,Erhu Kaisan Decoction,Migong Jieyu Decoction,and adds other medicines to Danggui Powder to treat schizophrenia. In addition,on the basis of medical treatment,Professor ZHANG also attaches importance to the use of ‘conquer emotions with emotion' psychotherapy.
Professor ZHANG Zhiyuan is a master and famous doctor of traditional Chinese medicine in China. He has been engaged in medicine for more than 70 years and has rich clinical experience,and so he is called a living dictionary. Professor ZHANG attaches importance to the liver and spleen in the clinical treatment of schizophrenia,mainly starting with Qi,blood,phlegm and fire,and is good at using the methods of eliminating phlegm and inducing resuscitation,activating blood circulation to remove blood stasis,and soothing liver and strengthening spleen. These methods are based on syndrome differentiation and treatment in order to search the primary cause of disease in treatment. In his medication,it distinguishes between epilepsy and madness,and so the medication is also different. He pays more attention to the application of Dahuang( Rheum palmatum L.),Fushen[Poria cocos(Schw.) Wolf]and Longgu(Fossilia Ossis Mastrodi),and often uses Huatan Xingshen Decoction,Erhu Kaisan Decoction,Migong Jieyu Decoction,and adds other medicines to Danggui Powder to treat schizophrenia. In addition,on the basis of medical treatment,Professor ZHANG also attaches importance to the use of ‘conquer emotions with emotion' psychotherapy.
引文
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[2]世界卫生组织.精神分裂症[M]. http://www. who. int/zh/newsroom/fact-sheets/detail/schizophrenia(2018年4月9日)
[3]王腊梅.精神分裂症中西医探究史的比较分析[D].哈尔滨:黑龙江中医药大学,2013:40.
[4]朱震亨.丹溪医集[M].北京:人民卫生出版社,1993:361.
[5]王云,任明芬,张子梅.柴胡龙骨牡蛎汤治疗精神分裂症临床观察[J].陕西中医,2006(2):182-183.
[6]游秋云,王平.茯苓、茯神水煎液对小鼠镇静催眠作用的比较研究[J].湖北中医药大学学报,2013,15(2):15-17.
[7]夏水银.大黄治疗精神分裂症的研究(摘要)[C]//中国中西医结合学会精神疾病专业委员会.第八次全国中西医结合精神疾病学术研讨会论文集.中国中西医结合学会精神疾病专业委员会,2005:2.
[8]张介宾.景岳全书[M].北京:人民卫生出版社,1991:737.
[9]张从正,撰.张宝春,点校.儒门事亲[M].沈阳:辽宁科学技术出版社,1997:56.
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[11]刘默,撰.上海中医文献研究所古籍研究室,选编.证治百问[M].上海:上海科学技术出版社,1991:280.
[12]陈士铎,著.徐慧卿,点校.石室秘录[M].北京:人民军医出版社,2009:337.
[13]王玉妹,彭得倜,王继红,等.赖氏“通元疗法”治疗精神分裂症临证探微[J].时珍国医国药,2017,28(2):462-464.
[14]刘玉楠.以情胜情法在心理治疗中的应用[J].忻州师范学院学报,2010,26(4):127-128.
[15]刘婉婷.古代治疗癫狂证的文献整理研究[D].北京:中国中医科学院,2008.
[2]世界卫生组织.精神分裂症[M]. http://www. who. int/zh/newsroom/fact-sheets/detail/schizophrenia(2018年4月9日)
[3]王腊梅.精神分裂症中西医探究史的比较分析[D].哈尔滨:黑龙江中医药大学,2013:40.
[4]朱震亨.丹溪医集[M].北京:人民卫生出版社,1993:361.
[5]王云,任明芬,张子梅.柴胡龙骨牡蛎汤治疗精神分裂症临床观察[J].陕西中医,2006(2):182-183.
[6]游秋云,王平.茯苓、茯神水煎液对小鼠镇静催眠作用的比较研究[J].湖北中医药大学学报,2013,15(2):15-17.
[7]夏水银.大黄治疗精神分裂症的研究(摘要)[C]//中国中西医结合学会精神疾病专业委员会.第八次全国中西医结合精神疾病学术研讨会论文集.中国中西医结合学会精神疾病专业委员会,2005:2.
[8]张介宾.景岳全书[M].北京:人民卫生出版社,1991:737.
[9]张从正,撰.张宝春,点校.儒门事亲[M].沈阳:辽宁科学技术出版社,1997:56.
[10]王清任,撰著.石学文,点校.医林改错[M].沈阳:辽宁科学技术出版社,1997:18.
[11]刘默,撰.上海中医文献研究所古籍研究室,选编.证治百问[M].上海:上海科学技术出版社,1991:280.
[12]陈士铎,著.徐慧卿,点校.石室秘录[M].北京:人民军医出版社,2009:337.
[13]王玉妹,彭得倜,王继红,等.赖氏“通元疗法”治疗精神分裂症临证探微[J].时珍国医国药,2017,28(2):462-464.
[14]刘玉楠.以情胜情法在心理治疗中的应用[J].忻州师范学院学报,2010,26(4):127-128.
[15]刘婉婷.古代治疗癫狂证的文献整理研究[D].北京:中国中医科学院,2008.