基于“痰瘀”交互理论论古代医家癫狂病辨治思路

Discussion on thoughts of diagnosis and treatment of manic-depressive psychosis of ancient physicians based on theory of 'intermingled phlegm and blood stasis'

文章基于"痰瘀"交互理论,详细论述了古代历代医家癫狂病(精神分裂症)的临床辨证和治疗规律,将"痰瘀"交互理论作为癫狂病诊治的理论基础和经验总结,详细分析了癫狂病的病机特点、致病特点以及辨治规律,总结了古代历代医家对"痰瘀"交互所致癫狂病病机的认识,及其运用于临床诊治中产生的深远影响。"痰瘀"为患的癫狂病的致病特点使疾病临床表现复杂多样,在临床施治过程中要强调痰瘀同治,化痰消瘀应分清主次,瘀血挟痰者,治宜导痰活血;若素有痰结后因血滞者,治宜先破其血而后消其痰;或活血消痰二者兼顾治疗癫狂病。

This paper discusses the clinical syndrome differentiation and treatment of manic-depressive psychosis(schizophrenia) of ancient physicians based on theory of 'intermingled phlegm and blood stasis'.This paper analyzes the characteristics of etiology and pathogenesis and the rule of syndrome differentiation of manic-depressive psychosis with the theoretical basis as the theory of 'intermingled phlegm and blood stasis'.It also summaries the understanding of ancient physicians on manic-depressive psychosis caused by intermingled phlegm and blood stasis and the far-reaching influence in clinic.The pathogenic character of phlegm and blood stasis makes the clinical manifestations of manic-depressive psychosis complex and diverse,so the clinical treatment should pay attention to synchronically treating phlegm and blood stasis.Synchronically treating phlegm and blood stasis should be clear primary and secondary,patients with syndrome of blood stasis with phlegm should pay attention to removing phlegm and promoting blood circulation,and patients with syndrome of phlegm with blood stasis should pay attention to promoting blood circulation and then removing phlegm or synchronically removing phlegm and blood stasis.