Implications of "liver wind disease" in <italic style="font-style: italic">Huangdi Neijing</italic> for the diagnosis and treatment of mixed anxiety and depressive disorder

JIN Jue; CHEN Xiao

doi:10.3969/j.issn.1006-2157.2023.08.009

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Implications of "liver wind disease" in Huangdi Neijing for the diagnosis and treatment of mixed anxiety and depressive disorder

Theoretical Studies | 更新时间：2023-09-08

- Implications of "liver wind disease" in Huangdi Neijing for the diagnosis and treatment of mixed anxiety and depressive disorder
- Journal of Beijing University of Traditional Chinese Medicine Vol. 46, Issue 8, Pages: 1111-1116(2023)
- 作者机构：
  
  上海中医药大学基础医学院　上海　201203
- 作者简介：
  
  Prof. CHEN Xiao, Ph.D., Doctoral Supervisor. School of Basic Medical Science, Shanghai University of Traditional Chinese Medicine, No.1200, Cailun Road, Pudong New District, Shanghai 201203. E-mail: chenxiao2121@126.com
- 基金信息：
  
  Traditional Chinese Medicine Inheritance and Scientific and Technological Innovation Project of Shanghai Municipal Health Commission(ZYCC2019001)
- DOI：10.3969/j.issn.1006-2157.2023.08.009
  CLC： R277.7
- Received：05 September 2022，
  
  Published Online：16 May 2023，
  
  Published：30 August 2023
- 稿件说明：
移动端阅览
JIN Jue, CHEN Xiao. Implications of "liver wind disease" in Huangdi Neijing for the diagnosis and treatment of mixed anxiety and depressive disorder[J]. Journal of beijing university of traditional chinese medicine, 2023, 46(8): 1111-1116.
DOI：

JIN Jue, CHEN Xiao. Implications of "liver wind disease" in Huangdi Neijing for the diagnosis and treatment of mixed anxiety and depressive disorder[J]. Journal of beijing university of traditional chinese medicine, 2023, 46(8): 1111-1116. DOI： 10.3969/j.issn.1006-2157.2023.08.009.

摘要

《黄帝内经》中的“肝风病证”不同于今日的“肝风”病机。通过挖掘《黄帝内经》“肝风病证”的核心病机及其治则、治法、方药，以启发混合性焦虑与抑郁障碍的临床辨治。《黄帝内经》“肝风病证”是因肝虚受风而发，脏虚与外感并存，以肝虚风动为核心病机，是以悲、怒、憎等多种情志变化并见或交替出现为主要特征的一类情志病证。西医学认为，混合性焦虑与抑郁障碍是抑郁症中特殊的一类，抑郁与焦虑并见或交替出现，复杂多变，辨治困难，尚无明确的治疗措施。中医学将其归属于情志病范畴，此病与“肝风病证”的表现相似，因此，可参考肝虚风动、肝气郁滞逆乱的病机及肝病类风的特征，以补肝治风为基本治则，选用《备急千金要方》补肝汤或《辅行诀脏腑用药法要》大补肝汤治疗。本文借鉴“肝风病证”以肝虚风动为核心病机，阐释混合性焦虑与抑郁障碍这类情志疾病的发病内涵，并参考后世的治法方药，为中医药治疗此类疾病提供新思路。

Abstract

Today

"liver wind disease" in

Huangdi Neijing

is distinguished from "liver wind" pathogenesis. In this article

we reveal the core pathogenesis of "liver wind disease" in

Huangdi Neijing

as well as its treatment principles

methods

and prescriptions

in order to inspire modern clinical diagnosis and treatment of mixed anxiety and depressive disorder. "Liver wind disease" in

Huangdi Neijing

is a type of emotional and mental illness that is caused by liver deficiency and wind and has a dual pathogenic mechanism of organ deficiency and external evil

with liver deficiency and wind movement as the core pathogenic mechanism

and multiple emotional changes such as sadness

anger

and hatred as the main characteristics. In western medicine

mixed anxiety and depressive disorder is a special category of depression

where the main symptoms of depression and anxiety are seen together

and is complex and variable. This disease is similar to "liver wind disease"

which is characterized by variably emotional manifestations

and can therefore be treated with reference to the key pathogenesis of liver deficiency and wind movement

liver qi stagnation and disorders

and the characteristics of wind. The basic principle is to tonify the liver and treat the wind.

Bugan

Decoction in

Essential Prescriptions Worth a Thousand Gold for Emergencies

Dabugan

Decoction in

Auxiliary Verse on Drugs and Method for Zangfu Organs

can be used accordingly. This article aims to illustrate the core pathogenesis of mixed anxiety and depressive disorder by drawing on the key pathogenesis of liver deficiency and wind movement in "liver wind disease" . Taking the method and decoctions of later generations as a reference

this article offers new ideas for the treatment of similar diseases.

关键词

Keywords

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⁰

Implications of "liver wind disease" in Huangdi Neijing for the diagnosis and treatment of mixed anxiety and depressive disorder

DOI：10.3969/j.issn.1006-2157.2023.08.009

摘要

Abstract

关键词

Keywords

references