中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2013年
12期
95-96
,共2页
宋珺%王光辉%袁承臣%崔玉志
宋珺%王光輝%袁承臣%崔玉誌
송군%왕광휘%원승신%최옥지
奔豚汤%惊恐发作%《金匮要略》
奔豚湯%驚恐髮作%《金匱要略》
분돈탕%량공발작%《금궤요략》
Bentun decoction%Panic attacks%Synopsis of Golden Chamber
惊恐发作是焦虑症中惊恐障碍的主要原发症状,目前西医对于惊恐发作的症状标准已较为明确,治疗方法详细,但是因其症状的特殊性诊断时很容易与心内科疾病、消化内科疾病、神经系统等内科疾病相混淆,因此门诊误诊率较高,西药治疗的药物副作用较大,治疗费用较高,中医对于焦虑症分型和治疗的研究已较为完善,但对中医治疗焦虑症中的惊恐发作症状的临床描述和理论研究并不多。笔者所学专业为中医学和心理学,对于中医药治疗心理疾病焦虑症中的惊恐发作很感兴趣,通过个人临床实习和观察及指导老师的指导和临床验证,笔者总结了些个人的观点,本文对以奔豚汤(《金匮要略》)为主方治疗惊恐发作个案的有效性做简单阐述。
驚恐髮作是焦慮癥中驚恐障礙的主要原髮癥狀,目前西醫對于驚恐髮作的癥狀標準已較為明確,治療方法詳細,但是因其癥狀的特殊性診斷時很容易與心內科疾病、消化內科疾病、神經繫統等內科疾病相混淆,因此門診誤診率較高,西藥治療的藥物副作用較大,治療費用較高,中醫對于焦慮癥分型和治療的研究已較為完善,但對中醫治療焦慮癥中的驚恐髮作癥狀的臨床描述和理論研究併不多。筆者所學專業為中醫學和心理學,對于中醫藥治療心理疾病焦慮癥中的驚恐髮作很感興趣,通過箇人臨床實習和觀察及指導老師的指導和臨床驗證,筆者總結瞭些箇人的觀點,本文對以奔豚湯(《金匱要略》)為主方治療驚恐髮作箇案的有效性做簡單闡述。
량공발작시초필증중량공장애적주요원발증상,목전서의대우량공발작적증상표준이교위명학,치료방법상세,단시인기증상적특수성진단시흔용역여심내과질병、소화내과질병、신경계통등내과질병상혼효,인차문진오진솔교고,서약치료적약물부작용교대,치료비용교고,중의대우초필증분형화치료적연구이교위완선,단대중의치료초필증중적량공발작증상적림상묘술화이론연구병불다。필자소학전업위중의학화심이학,대우중의약치료심리질병초필증중적량공발작흔감흥취,통과개인림상실습화관찰급지도로사적지도화림상험증,필자총결료사개인적관점,본문대이분돈탕(《금궤요략》)위주방치료량공발작개안적유효성주간단천술。
Panic attacks is one of the main primary symptoms of panic disorder in anxiety neurosis. modern medicine has established detailed standard and treatment for symptoms of panic attacks. But, because of its symptoms’ particularity, it’s always confused with diseases in department of cardiology, department of internal medicine disease, nervous system diseases in department of internal medicine, at the time of diagnosis, so there are high misdiagnosis rates of outpatient service, big side effect of modern medicine and expensive costs. In Chinese medicine there is more perfect classification and treatment research for anxiety neurosis, but rare clinical description and theory research for symptoms of panic attack. As a TCM and psychology major, I’m very interested in TCM treatment for panic attacks in anxiety. Neurosis and sum up some personal view through personal clinical practice and observation of guiding teacher's guidance and clinical verification. This paper elaborates my case observation of Bentun decoction (Synopsis of Golden Chamber) as main therapy to treat panic attacks.