| 引用本文: |
周德生,谭惠中.基于魂魄理论辨治神经系统心身疾病——中医脑病理论与临床实证研究（三）[J].湖南中医药大学学报,2019,39(3):289-294[点击复制] |
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| 基于魂魄理论辨治神经系统心身疾病——中医脑病理论与临床实证研究（三） |
| 周德生,谭惠中 |
| (湖南中医药大学第一附属医院神经内科, 湖南 长沙 410007;湖南中医药大学, 湖南 长沙 410208) |
| 摘要: |
| 基于魂魄理论，认为脑髓元神（魂、魄）-脏腑神（魂、神、魄、意、志）-诸体神的神机通路某个关节点或者多个部位发生病变，形成神经系统心身疾病形神同病的病机特点。神经系统心身疾病是躯体症状障碍的表现形式之一，对躯体症状障碍的治疗原则是：魂病、魄病皆神志病，以阴阳辨证为总纲，结合脏腑辨证，"以阳法治之、以阴法治之"，补其不足，泻其有余，调理五脏虚实以畅达情志、安魂强魄。通过失眠症并腓肠肌疼痛不适、良性位置性眩晕并抑郁症惊恐障碍、慢性全身关节疼痛并应激障碍、肺癌介入术后并全身多处转移神经病理性疼痛4个医案，强调在辨病与辨证相结合的基础上，选择使用潜镇魂魄、升振魂魄、疏通使道、对症治疗、心理治疗，坚持形神一体的治疗模式。 |
| 关键词: 魂魄理论 神志病 神经系统心身疾病 躯体症状障碍 临床治疗模式 |
| DOI：10.3969/j.issn.1674-070X.2019.03.001 |
| 投稿时间：2018-11-10 |
| 基金项目:湖南省科技厅科技创新平台与人才计划资助项目（2017SK4005） |
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| Syndrome Differentiation and Treatment of Psychosomatic Diseases of the Nervous System Based on the Theory of Superior Soul and Inferior Soul: The Theory and Empirical Study of Traditional Chinese Medicine Encephalopathy (Ⅲ) |
| ZHOU Desheng,TAN Huizhong |
| (Department of Neurology, The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China;Hunan University of Chinese Medicine, Changsha, Hunan 410208, China) |
| Abstract: |
| Based on the Theory of Superior Soul and Inferior Soul, this article thinks that the somatic and spiritual pathogenesis of psychosomatic diseases of the nervous system includes disorders at the links or parts in the following mechanism pathway:the primordial spirit of the brain (superior soul and inferior soul)-the spirit of viscera and bowels (superior soul, spirit, inferior soul, ideation, and mind)-somatic spirits. Psychosomatic diseases of the nervous system are one of the manifestations of somatic symptom disorder. The principle of treatment for somatic symptom disorder is as follows:the superior soul and inferior soul diseases are all mental illnesses; the syndrome differentiation of Yin-Yang is the general guideline, and the syndrome differentiation of viscera and bowels should also be considered; Yang therapy and Yin therapy are adopted to make up for a deficiency and reduce the excess; the deficiency and excess of five viscera are regulated to smoothen emotion and to comfort superior soul and strengthen inferior soul. This article describes the medical records of insomnia with gastrocnemius pain, benign positional vertigo with depression and panic disorder, chronic systemic joint pain with stress disorder, and systemic multiple metastases and neuropathic pain after interventional surgery for lung cancer, and stresses the treatment mode of soul tranquilization, soul invigoration, way clearing, symptomatic treatment, psychological treatment, and adherence to holism of body and spirit on the basis of disease differentiation and syndrome differentiation. |
| Key words: Theory of Superior Soul and Inferior Soul mental illness psychosomatic diseases of the nervous system somatic symptom disorder clinical treatment mode |
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