基于肺肾气虚理论治疗强迫症临证探讨
Journal of Beijing University of Traditional Chinese Medicine(Clinical Medicine)(2022)
Abstract
强迫症是一类以强迫观念和强迫行为为主要特征的精神障碍,其特点是有意识的强迫和反强迫并存.强迫症的临床表现、发生发展与五神脏中的肺魄、肾志密切相关,从肺藏气、气舍魄,肾藏精、精舍志,肺肾关系的生理基础等方面探讨肺肾生理相关性.强迫症病位在肺肾,肺肾气虚是其病因,肺虚魄扰、肾虚志弱是核心病机,补肺益肾为基本治法.在治疗上,以补肺敛魄、益肾强志为主,结合肺肾之苦欲补泻理论,兼顾肺喜收喜敛、肾喜闭藏的生理特性,应用酸味、苦味药物而施以相应的补法.结合临床病案,对基于肺肾苦欲补泻理论治疗强迫症进行介绍.
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