赵志付刚柔辨治心脏神经官能症

Professor ZHAO Zhifu's experience in treating cardiac neurosis with rigid-gentle syndrome differentiation

心脏神经官能症属于心身疾病,发病率高,多见于青中年女性,临床发病特征以躯体症状和神经功能紊乱为主。赵志付教授认为,心脏神经官能症的发生是建立在患者内在刚柔禀赋的基础上,由后天社会环境激发而导致情志过激,使心神不宁或失养,病位在心、肝,故在搜集患者临床资料时,需详细探究其发病背后的社会心理背景及性格禀赋,做到审因求证,以辨刚柔。治疗上遵循刚柔辨证,注重心的神藏及肝的疏泄功能,强调刚柔相济的药物治疗与心理调护的统一结合。

Cardiac neurosis belongs to psychosomatic disease with high morbidity rates in middle-aged women. It is characterized by physical symptoms and neurological disorders in clinic. Professor Zhao Zhifu said that the occurrence of the disease is based on patients with the natural endowment of rigid and gentle, and stimulated by the social environment which leads to emotional stress. The main viscera of disease are the heart and liver. It is necessary to explore detailed psychosoeial background and personality endowment of the incidence in collecting clinical data. So the treatment should focus on the rigid-gentle syndrome differentiation of traditional Chinese medicine （TCM）. It is important to combine drug treatment with psychotherapy.