李振华自拟清心豁痰汤治疗脏躁

Professor Li Zhenhua’s self-made Qingxin Huotan Decoction for the treatment of hysteria

李振华认为,脏躁是以精神恍惚、心神不宁、悲伤欲哭、时时欠伸等为主要症状的一种精神神志性疾病。脏躁病因与情志、体质因素有关,肝郁脾虚是发病的主要病机,治疗以疏肝健脾、清心豁痰为主,并自拟清心豁痰汤加减治疗,取其健脾化痰、疏肝理气、清心安神的功效。本法体现了李振华“百病皆有痰作祟,顽痰生怪病”的辨证思路和“杂病多郁,安中可解郁”的治疗理念,并指出“痰”和“火”是脏躁发病过程中的病理产物,临证应在疏肝健脾的同时,灵活运用清心化痰药物,达到“标本兼治”功效。

Professor Li Zhenhua believes that hysteria is a mental illness with trance,restlessness,sad to cry,and stretching from time to time as its main symptoms.Its etiology is related to both emotional and physical factors,and the liver depression and spleen deficiency are the main pathogenesis of the disease.Its treatment mainly involves soothing the liver and strengthening the spleen,clearing the heart and eliminating phlegm.His self-made Qingxin Huotan Decoction is applied to invigorate the spleen and eliminate phlegm,soothe the liver and regulate qi,clear the heart and calm the mind,with flexible addition or subtraction of medicine dosage according to the symptoms.This method embodies Professor Li Zhenhua’s syndrome diff erentiation idea that“all diseases are caused by phlegm,and intractable phlegm leads to strange diseases”and his treatment concept of“miscellaneous diseases are mostly caused by depression,and depression can be relieved by calming the middle”.Professor Li Zhenhua also points out that phlegm and fire are the pathological products in the onset of hysteria,and in clinical practice medicines should be flexibly used for clearing the heart and resolving phlegm as well as for soothing the liver and invigorating the spleen,to achieve the eff ect of treating both the symptoms and the root causes.