温胆汤在神志病治疗中的应用与思考

Application and Thinking of Wendan Tang in Treating Mind Disease

目的:探讨温胆汤在神志病治疗中的应用。方法:从温胆汤类方剂在临床及科研工作中对神志病的切实效用入手,从温胆汤源流、温胆汤证的主要特点、神志病病机的关键环节等方面分析温胆汤在神志病治疗中的可行之处,并以古今医家在临床中对本方的遣用情况为例加以论证。结果:温胆汤治疗神志疾病既符合中医辨证论治原则,又具有特定的生物学机制。能较好地体现现代中医学病证结合、方证相关的学术特点。结论:在今后的临床及科研工作中,可进一步加强对温胆汤类方证的研究,并针对特定的疾病研究具体的效用机制,为以温胆汤为基础的新型中药制剂的开发和推广,奠定临床及相关实验研究基础。

Objective：To explore the application of Wendan Tang in treating mind disease.Methods：The feasibility of Wendan Tang in the treatment of mind disease was analyzed starting with the practical utility of Wendan Tang analogous prescription in treating mind diseases in clinical and research work,from the origin of Wendan Tang,the main characteristic of Wendan Tang syndrome,and the key link of the pathogenesis of mind disease,and so on,and were demonstrated by taking examples of the ancient and modern physicians application of the prescription in clinical.Results：Wendan Tang treatment for mind disease not only conforms to the principle of syndrome differentiation and treatment of TCM,but also has certain biological mechanisms,which can reflect the academic characteristics of combination disease and syndrome,and correlation between formula and syndrome of the modern traditional Chinese medicine.Conclusion：In the future,further strengthen the study of Wendan Tang analogous prescription and syndrome in clinical and research work,and aim at specific disease for specific utility mechanism to establish clinical and experimental research related basis for development and promotion of new Chinese medicine on the basis of wendan tang.