北京中医药大学学报2025，Vol.48Issue(10)：1352-1357,6.DOI:10.3969/j.issn.1006-2157.2025.10.004
从神、魂、魄角度探析精神分裂症的病机与治疗
Exploring schizophrenia pathogenesis and treatment from the perspective of spirit,soul,and inferior spirit
摘要
Abstract
Schizophrenia is a prevalent mental-behavioral disorder characterized by perceptual disturbances,affective dysregulation,and behavioral abnormalities.In traditional Chinese medicine,it is classified under"manic depressive psychosis"according to its symptomatology.The concepts of"spirit,soul,and inferior spirit"originate from Lingshu·Benshen.Drawing on the concept of"spirit governs the soul and inferior spirit"from Lei Jing,this study explored schizophrenia pathogenesis and treatment from the perspective of the three-level regulation of spirit,soul,and inferior spirit.The core pathogenesis involves failure of spirit to govern as the root cause,disruption of soul homing as the pathodynamic process,and the loss of inferior spirit's somatic functional expression as the manifestation.The pathological locations are the heart,liver,and lungs.Therapeutic strategies are developed according to the pathological transmission pattern"spirit derangement,soul floating,inferior spirit dissipation,"forming a treatment system that emphasizes"calming the heart and tranquillization,restoring its control to solidify the root;suppressing the liver soul and regulating the central mechanism to pacify excess to stop mania;purifying the lungs and calming the inferior spirit to restore its clarity and regulate sensory perception and restore cognition."The treatment emphasizes the synergistic use of"calming the spirit,stabilizing the soul,and soothing the inferior spirit,"and combines acupuncture and repetitive transcranial magnetic stimulation and other treatments to treat both the manifestation and root cause of schizophrenia.Exploring the syndrome differentiation and treatment of schizophrenia from the perspective of spirit,soul,and inferior spirit,aiming to provide a theoretical basis for the treatment of schizophrenia with traditional Chinese medicine.关键词
精神分裂症/神/魂/魄/病机Key words
schizophrenia/spirit/soul/inferior spirit/pathogenesis分类
医药卫生引用本文复制引用
王玉玲,徐啸男,方婷,许晗,周舒然,崔向宁,王健..从神、魂、魄角度探析精神分裂症的病机与治疗[J].北京中医药大学学报,2025,48(10):1352-1357,6.基金项目
首都卫生发展科研专项(No.2022-2G-4156) （No.2022-2G-4156）
中国中医科学院科技创新工程重大攻关项目(No.CI2021A03102) Capital Health Development Research Special Project(No.2022-2G-4156) （No.CI2021A03102）
