青少年非自杀性自伤的中医病机探讨OA
Discussion on TCM pathogenesis of non-suicidal self-injury in teenagers
非自杀性自伤(non-suicidal self-injury,NSSI)是指个体在无自杀企图的情况下,故意伤害自己的身体.根据其发作特点,常有情绪低落、敏感、行为冲动、易激惹,且常见于抑郁障碍、双相情感障碍等疾病中,中医学将其归属于"郁证""焦灼""躁动"等范畴.NSSI中医病机以郁、火、痰为本:一有怫郁,诸病生焉;诸躁狂越,皆属于火;百病皆因痰作祟.临证可运用解郁、化痰、清热法治疗NSSI.并结合临床案例对青少年NSSI的中医病机及诊治进行阐述.
Non-suicidal self-injury(NSSI)refers to the intentional harm to one's own body without attempting suicide.According to its characteristics,it is often associated with depression,heightened sensitivity,impulsive behavior,and irritability.It is commonly found in depression,bipolar disorder and other diseases.Traditional Chinese Medicine classifies it as yuzheng(constraint syndrome),jiaozhuo(anxiety),and zaodong(agitation).The pathogenesis of NSSI is primarily based on constraint,fire,and phlegm.When there is constraint,various diseases arise.Excessive agitation and mania are linked to fire;and phlegm plays a critical role in causing many diseases.In clinical practice,the method of relieving constraint,resolving phlegm,and clearing heat can be used to treat NSSI.Combined with clinical cases,the pathogenesis,diagnosis and treatment of NSSI in adolescents were described.
丁一芸;魏蔚;杨晨光;姜思源;邢佳
北京中医药大学东方医院心身医学科 北京 100078北京中医药大学东方医院心身医学科 北京 100078北京中医药大学东方医院心身医学科 北京 100078北京中医药大学东方医院心身医学科 北京 100078北京中医药大学东方医院心身医学科 北京 100078
中医学
青少年非自杀性自伤郁证痰火
teenagersnon-suicidal self-injuryconstraint syndromephlegm and fire
《现代中医临床》 2025 (3)
27-30,4
国家重点研发计划资助项目(No.2021YFC2501405)北京中医药大学基本科研业务费项目(No.2022-JYB-XJSJJ067,No.2024-JYB-XJSJJ-027)
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