| 引用本文: |
田家璇,杨丽,佘瑞宁,肖碧跃.葛金文教授运用气机开阖理论治疗青少年精神障碍经验[J].湖南中医药大学学报,2024,44(2):261-265[点击复制] |
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| 葛金文教授运用气机开阖理论治疗青少年精神障碍经验 |
| 田家璇,杨丽,佘瑞宁,肖碧跃 |
| (湖南中医药大学中医学院, 湖南 长沙 410208;北京中医药大学国学院, 北京 102401;湖南中医药大学中西医结合学院, 湖南 长沙 410208) |
| 摘要: |
| 总结葛金文教授运用气机开阖理论辨治青少年精神障碍的临证经验。葛金文教授认为青少年精神障碍属于中医学“神志病”范畴，其病机为元气受损，开阖无源，阳气不振而致“郁”；或为肝脾失调，开阖失常，气郁化火而致“躁”“癫”；或为少阴枢机不利，开阖不畅，心肾不交而致“狂”“呆”。治疗强调一身之气需升降相因、开阖畅通，具体组方从通阳培元或调和肝脾或调畅少阴枢机、交通心肾入手，基于平衡机体脏腑整体功能，达周身气机开阖有常以治疗青少年精神障碍。 |
| 关键词: 精神障碍 青少年 气机开阖 通阳培元 调和肝脾 交通心肾 葛金文 |
| DOI：10.3969/j.issn.1674-070X.2024.02.013 |
| 投稿时间：2023-06-26 |
| 基金项目:湖南省重点研发计划项目（2022SK2016）。 |
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| Professor GE Jinwen’s experience in treating adolescent mental disorders based on the theory of opening and closing of qi movement |
| TIAN Jiaxuan,YANG Li,SHE Ruining,XIAO Biyue |
| (School of Chinese Medicine, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;School of Chinese Ancient Civilization, Beijing University of Chinese Medicine, Beijing 102401, China;School of Integrated Chinese and Western Medicine, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China) |
| Abstract: |
| This paper aims to summarize Professor GE Jinwen's clinical experience in differentiating and treating adolescent mental disorders based on the theory of opening and closing of qi movement. Professor GE believes that adolescent mental disorders belong to the category of "mental diseases" in TCM, and their pathogenesis may be lack of energy in opening and closing of qi movement due to primordial qi deficiency, resulting in inactive yang qi, and thereby causing "depression"; or irregularity of opening and closing of qi movement due to disharmony of the liver and spleen, leading to qi stagnation transforming into fire, and thus bringing about "anxiety"-"mental confusion"; or unsmoothness of opening and closing of qi movement due to Shaoyin pivots without rotating, causing disharmony between the heart and kidney, and eventually contributing to "mania"-"dementia". Therefore, in order to treat the adolescent mental disorders, the harmony of qi ascending and descending as well as the unobstructed opening and closing of qi movement should be emphasized. Treatment methods of activating yang and cultivating primordial qi, regulating and harmonizing the liver and spleen, and smoothing Shaoyin pivots to coordinate the heart and kidney should be applied, so as to balance the holistic functions of the viscera, which contributes to the normal opening and closing of qi movement in the whole body. |
| Key words: mental disorders adolescent opening and closing of qi movement activating yang and cultivating primordial qi regulating and harmonizing the liver and spleen coordinating the heart and kidney GE Jinwen |
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