浙江中医药大学学报2025，Vol.49Issue(5)：578-581,4.DOI:10.16466/j.issn1005-5509.2025.05.007
张永华运用"情志辨证"理论治疗惊恐障碍经验探析
ZHANG Yonghua's Experience in Treating Panic Disorder by Using the Theory of"Emotional Syndrome Differentiation"
摘要
Abstract
[Objective]To summarize Professor ZHANG Yonghua's academic experience in the treatment of panic disorder by using the theory of emotion-pattern differentiation.[Methods]Through follow-up study,reading ancient books and sorting out clinical medical cases,this paper analyzed Professor ZHANG Yonghua's clinical experience in exploring the etiology and pathogenesis of panic disorder from the perspective of emotion,as well as the clinical experience of using emotion-state syndrome differentiation theory in the treatment of panic disorder,accompanied with a medical case.[Results]The etiology of panic disorder is mainly related to the invasion of external evils,emotional stimulation and endowment differences,among which Professor ZHANG Yonghua believes that endowment personality is the basis of this disease.The pathogenesis is mainly related to fiery heat,phlegm obstruction,Qi depression,and lack of heart and Yang,but the first three are mainly mixed with each other to cause disease.According to the clinical characteristics and personality manifestations,panic disorder is divided into four categories:impatience and irritability,worry,sadness and depression,and simple panic.In terms of treatment,the combination of disease differentiation,syndrome differentiation and sentiment differentiation pays attention to flirting,and the treatment is mainly to calm the nerves,as well as clear heat,dissolve phlegm,regulate Qi and warm Yang.The proved case belonged to the type of impatience and irritability-more thinking and more consideration through emotional syndrome differentiation.The treatment was to clear away heat and phlegm,calm the nerves,administered with Chaihu plus Longgu Muli Decoction combined with Anshen Dingzhi Pill,and finally achieved good results.[Conclusion]Professor ZHANG Yonghua's treatment of panic disorder based on the theory of"emotion-state syndrome differentiation"has a significant curative effect,which is worthy of clinical promotion and learning.关键词
惊恐障碍/体质/情志辨证/柴胡加龙骨牡蛎汤/名中医/张永华/医案/治疗经验Key words
panic disorder/constitution/emotional syndrome differentiation/Chaihu plus Longgu Muli Decoction/famous Chinese medicine doctor/ZHANG Yonghua/medical recorders/treatment experience分类
医药卫生引用本文复制引用
梁译凝,张永华..张永华运用"情志辨证"理论治疗惊恐障碍经验探析[J].浙江中医药大学学报,2025,49(5):578-581,4.基金项目
中医药现代化专项项目(2020ZX013) Special Project for Modernization of Traditional Chinese Medicine(2020ZX013) （2020ZX013）
