贾竑晓以五神藏理论辨治精神分裂症认知损害经验

JIA Hongxiao's Clinical Experience in Treating Cognitive Impairments in Schizophrenia based on Five Spirits Stored in Corresponding Viscera Theory

总结贾竑晓教授以五神藏理论辨治精神分裂症认知损害的临证经验。通过阐释五神藏理论的认知心理学内涵,提出以精神分裂症不同认知域损害的症状特点为主辨治精神分裂症认知损害。信息处理速度、执行控制能力及意志等认知域损害的关键病机为肾虚肝旺、心神不安,治以益肾平肝、养心安神,方用石珍安神方加减;记忆力和注意认知域损害的关键病机为脾肾亏虚、肺魄不降,治以健脾补肾、益肺降气,方用健脾补肾方加减。

This paper summarized professor JIA Hongxiao's experience in treating cognitive impairments in schizophrenia patients upon five spirits stored in corresponding viscera theory.By elucidating the cognitive psychological connotation of the five spirits stored in corresponding viscera theory,it is proposed that the cognitive impairment of schizophrenia should be differentiated and treated based on the symptom characteristics of different cognitive domain impairments in schizophrenia.The key pathogenesis of impairments to cognitive domains such as information process⁃ing speed,executive control ability and will is kidney deficiency,liver hyperactivity,and heart spirit restlessness,for which the treatment is to boost the kidney and calm the liver,nourish the heart and calm the mind,using Shizhen Anshen Formula(石珍安神方)modifications.The main pathogenesis of memory and attention cognitive impairment is spleen-kidney depletion and lung corporeal soul failing to descend,for which it is suggested to fortify the spleen and supplement kidney,boost lung and direct qi downward using Jianpi Bushen Formula(健脾补肾方)modifications.