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周德生,张雪花.基于伏痰理论辨治精神疾病——中医脑病理论与临床实证研究（十一）[J].湖南中医药大学学报英文版,2019,39(11):1293-1298.[Click to copy
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| 基于伏痰理论辨治精神疾病——中医脑病理论与临床实证研究（十一） |
| 周德生,张雪花 |
| (湖南中医药大学第一附属医院神经内科, 湖南 长沙 410007;湖南省脑科医院精神科, 湖南 长沙 410007) |
| 摘要: |
| 伏痰是精神疾病发病的内在因素，痰阻脑窍神机失司是其关键病机，伏痰与精神疾病的种类、发病、症状、演变等有关。本文通过精神分裂症现症期、精神分裂症伴精神发育不全、双相情感障碍伴躁狂发作、重症抑郁症、中毒性脑白质病精神障碍5个医案，阐述了精神疾病祛痰开窍醒脑安神以治标、见痰休治痰必治本、治痰饮当以温药和之的临床体会。 |
| 关键词: 神机 伏痰理论 痰阻脑窍 祛痰开窍 精神疾病 |
| DOI：10.3969/j.issn.1674-070X.2019.11.001 |
| Received:August 28, 2019 |
| 基金项目:国家自然科学基金资助项目（81874463）；湖南省科技厅科技创新平台与人才计划（2017SK4005）；湖南省中医药管理局资助项目（201824）。 |
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| Treating Mental Illness Based on Futan Theory: Traditional Chinese Medicine Theory of Encephalopathy and Clinical Empirical Study (XI) |
| ZHOU Desheng,ZHANG Xuehua |
| (Department of Neurology, The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China;Department of Psychiatry, Hunan Provincial Brain Hospital, Changsha, Hunan 410007, China) |
| Abstract: |
| Futan is an intrinsic factor in the pathogenesis of mental illness. Brian orifices blocked by phlegm can cause the dysfunction of spiritual mechanism, which is the key pathogenesis. Futan is related to the types, incidence, symptoms and evolution of mental illness. In this paper, 5 cases of schizophrenia, schizophrenia with mental dysplasia, bipolar disorder with manic episodes, severe depression, and toxic leukoencephalopathy with mental disorder were explained. Through those cases, the clinical experience of the treatment of mental illness were revealed:expelling phlegm, resuscitation, restoring consciousness and tranquillization to treat the manifestation, applying radical treatment when expectoration stops, using warm-natured medicine to treat phlegm-fluid retention. |
| Key words: spiritual mechanism Futan theory brain orifices blocked by phlegm expelling phlegm and resuscitation mental illness |
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