从肝脾失调探讨心理疲劳治疗的研究与思考

The study of mental fatigue based on irregular liver and spleen

心理疲劳是指长期、单一生活方式所导致的心理疲劳感,包括情感衰竭、去人性化、个人成就感降低,具有情境特异性。主要症状有:身体疲劳感、意志消沉、急躁易怒、情感淡漠、食欲低下、注意力不集中、对自己所从事的工作评价不高、人际关系紧张、警觉性和判断力下降等。中医理论认为,心理疲劳当属中医"倦"的范畴,偏重于精神方面的表现,归于"七情",它丰富了七情致病的内涵和外延。心理疲劳病在五脏,与肝脾密切相关,其症状中情绪改变、纳呆、肢体疲乏感即可证实。病机核心为肝脾失调,肝郁与脾虚常相互影响,从而加重心理疲劳的症状。因此,中医治疗心理疲劳当从肝脾论治,疏肝理脾,理气解郁。

Mental fatigue is a kind of psychological fatigue caused by long-term and single way of life,including emotional exhaustion,depersonalization and diminished personal accomplishment,as well as context-specific. The main symptoms of mental fatigue are： physical fatigue feelings,demoralized,irritable,apathetic,poor appetite,inattention,tense social relations,not think much of one＇s job,alertness decline and poor judgment,etc. According to the theory of traditional Chinese medicine,mental fatigue is a kind of ＂tied＂,which emphasizes on the performance of spirit. ＂Tired＂should belong to seven emotions,which enriches the connotation and denotation of seven emotions pathogenic. The disease locates in five zang viscera,and has a close relationship with liver and spleen,which can be confirmed in symptoms like emotional changes,poor appetite and physical fatigue. The core pathogenesis is irregular liver and spleen,liver stagnation and spleen deficiency often interact with each other,which aggravates mental fatigue. Therefore,the treatment of mental fatigue with Chinese medicine should start with dispersing stagnated liver-qi for relieving qi stagnation and regulating qi-flowing for strengthening spleen.