仝小林院士“顶焦神系”疾病辨治经验

Academician Tong Xiaolin’s experience in differentiating and treating neurological and mental diseases in dingjiao

仝小林院士在传统"三焦"理论的基础上,将颅腔和脊髓腔定义为"顶焦"并将其增补进三焦系统,突出中医对神经及精神系统的认识与思考。"神系"作为顶焦的重要组成部分,具有主神明,司神志的生理功能,神机逆乱或神机失用是其主要发病特征。仝小林院士提出"神系"疾病临证时需以刚柔辨证为总纲,刚则泻之,柔则补之,临床验证卓有成效,为中医治疗神经及精神性疾病开拓思路。

On the basis of the traditional sanjiao theory, academician Tong Xiaolin defines the cranial cavity and medullary cavity as dingjiao and adds the new concept to the sanjiao system, highlighting the TCM understanding and thinking on the nervous and mental system. As an important part of dingjiao, the spirit system has the physiological functions of dominating the spirit and controlling the mind, with a confusional state or lassitude as its main disease feature. Academician Tong Xiaolin proposes that the general principle of both rigidity and gentleness be followed in the dif ferentiation of neurological and mental diseases.When a disease is dif ferentiated as a rigid one, a catharsis treatment should be employed. When dif ferentiated as a gentle one, it should be treated by a tonifying method. His belief is verified to be fruitful in clinic and opens up ideas for the TCM treatment of neurological and mental diseases.