焦虑症肾阳不足病机及证治探讨

发布时间：2018-07-31 10:00

【摘要】：焦虑症,又称焦虑性神经症,以广泛和持续性焦虑或反复发作的惊恐不安为主要特征,其焦虑或恐惧往往无实质内容或与现实处境不符,常伴有头晕、胸闷、心悸、呼吸急促、口干、尿频尿急、出汗、震颤等自主神经症状和躯体性焦虑不安。西医治疗焦虑症有药物和心理治疗的两个主要手段,由于大多数患者服用抗焦虑药的同时,也极大地损害人体的“正气”,而相对于西药,中医药治疗具有安全性好,无副作用和无药物依赖性等特点。现代中医治疗焦虑症多着眼于气滞痰瘀郁火,对“烦躁、焦虑”即是“火邪扰神”有根深蒂固的认识,故临床上对清热泻火方法的应用呈现太过之势。而通过相关文献的整理和临床报道来看,焦虑症还存在着阳虚的病因病机。本课题通过对国内外和古今文献的整理研究分析,以焦虑症临床上心神不宁、善恐易惊、躁动不安等神志异常表现为主要特点为基础,通过对神与阳气相关性理论的探讨,提出“心阳不足,心神浮越”是阳虚型焦虑症发病的核心病机,其以肾阳虚为本质,肝郁为关键病因病机。在治疗上,则以此病因病机为依据,以温虚阳,潜浮神为基本治则,并将疏肝调肝贯穿始终。本课题的研究对焦虑症的病机进行了补充和完善,弥补了中医学当前对焦虑症病机认识上的不足,对临床实践有一定的指导意义。
[Abstract]:Anxiety disorder, also known as anxiety neurosis, is characterized by widespread and persistent anxiety or recurrent panic anxiety. Anxiety or fear often has no substance or does not correspond to the actual situation, often accompanied by dizziness, chest tightness, palpitations and shortness of breath. Dry mouth, frequent urination, sweating, tremor and other autonomic nervous symptoms and somatic anxiety. Western medicine has two main methods for treating anxiety disorder: medicine and psychotherapy. As most patients take anti-anxiety drugs, they also greatly damage the "healthy qi" of the human body. Compared with western medicine, traditional Chinese medicine has good safety. No side effects and no drug dependence. The treatment of anxiety disorder by modern Chinese medicine focuses on qi stagnation, phlegm and blood stasis, depression and fire, and has a deep-rooted understanding of "irritability, anxiety" that is, "fire evil harms the mind", so the clinical application of the method of clearing away heat and reducing fire is too strong. According to the related literature and clinical reports, anxiety disorder still exists the etiology and pathogenesis of Yang deficiency. Based on the main characteristics of anxiety disorder, such as mental disorder, fear and fear, restlessness and so on, this subject is based on the analysis of the literature at home and abroad and the literature of ancient and modern times, and discusses the theory of the correlation between spirit and yang qi. It is suggested that deficiency of heart yang and floating of heart spirit are the core pathogenesis of anxiety disorder with deficiency of kidney yang as its essence and liver depression as the key etiology and pathogenesis. In the treatment, the etiology and pathogenesis as the basis, warming the deficiency of yang, the underlying spirit as the basic treatment principle, and soothing the liver and regulating the liver throughout. The research of this subject complements and perfects the pathogenesis of anxiety disorder, which makes up for the deficiency in the understanding of the pathogenesis of anxiety disorder in traditional Chinese medicine at present, and has certain guiding significance for clinical practice.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R277.7

【相似文献】