以补土理论为核心谈焦虑障碍病因病机

Discussion on the Etiology and Pathogenesis of Anxiety Disorder Based on the Spleen-Stomach Theory

基于补土理论,探讨焦虑障碍的病因病机。脾胃功能失和是其发病过程的关键。初起者多为脾胃虚损,或见气血亏虚、气虚致滞,或心脾两虚;中期者常兼脾胃、心、肝之阴火,或兼痰湿,与中焦气阻互为因果,恶性循环,病期缠绵。又有胆胃不降者,可生惊悸。久病者多见脾肾阳虚而生奔豚之症。该病在不同阶段辨证各有特点,于临床诊病可供参照。

This paper discusses the etiology and pathogenesis of Anxiety Disorder based on the Spleenand-Stomach Theory;the dysfunction and disharmony of the Spleen and Stomach is reckoned to be the crucial process.Spleen-Stomach deficiency symptoms appear in the early disease process,ranging from Qi-Blood deficiency,Qi deficiency and stasis,Heart-Spleen deficiency.As the disease going on,Qi deficiency mixes with Yin fire from the Spleen,Stomach,Heart or Liver frequently.Phlegm can be entangled with Qi block of the Zhongjiao.The Qi obstruction of Gallbladder and Stomach cause the Panic Disorder.In the later period of the Anxiety Disorder,Bentun,which is attributed to Yang deficiency of Spleen-Kidney,arises commonly.Syndrome differentiation is important because of the diversity of the etiology and pathogenesis in any period of anxiety,and is supposed to be beneficial to our clinical diagnosis.