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焦虑症的中医病因病机和治法
引用本文:顾宝东,丰广魁.焦虑症的中医病因病机和治法[J].吉林中医药,2014(1):4-6,37.
作者姓名:顾宝东  丰广魁
作者单位:[1]南京中医药大学,南京210023 [2]连云港市中医院,江苏连云港222004
摘    要:焦虑症,中医将其归于情志病范畴。其临床表现为心神不宁、惊恐不安、精神紧张、失眠等,与"惊悸""不寐""郁证"等相关。其病因病机主要体现在心—肝—肾轴上,肝郁化火是病机关键,气血不足、阴虚火旺是病理转归。治疗应以肝肾二脏为要,以疏肝、清心和滋肾为基本法则,重视气滞、痰凝、血郁等病理变化。

关 键 词:焦虑症  肝郁化火  气血不足  阴虚火旺  疏肝  清心  滋阴

The causes,pathogenesis and treatments of anxiety disorders in TCM
GU Baodong,FENG Guangkui.The causes,pathogenesis and treatments of anxiety disorders in TCM[J].Jilin Journal of Traditional Chinese Medicine,2014(1):4-6,37.
Authors:GU Baodong  FENG Guangkui
Affiliation:2 ( 1. Nanjing University of Chinese Medicine, Nanjing 210023, China; 2. Lianyungang Hospital of Traditional Chinese Medicine, Lianyungang 222004, China)
Abstract:Anxiety disorders belong to emotional disease category based on the TCM theory, which are manifested as restless- ness, panic anxiety, nervousness, insomnia, etc. They am associated with "fright", "insomnia"," melancholia", and their pathogenesis is mainly embodied in heartliver-kidney axis. Pathogenic fire derived from stagnation of liver-qi is the main pathogenesis of anxiety disorders, the pathological outcomes include the deficiency of qi and blood and fire excess from yin deficiency. The treatment should concentrate on liver and kidney. So soothing the liver, clearing heart-fire and nourishing kidney are the basic principles of treatment. And pathological changes as qi stagnation, stagnation of phlegm and blood stag- nancy should be taken seriously.
Keywords:anxiety disorders  liver depression transforming into fire  insufficiency of Qi and blood  fin deficiency and fire exess  sootling live  clearing heart-tim  replenishing Yin
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