上海中医药杂志2026，Vol.60Issue(2)：44-48,5.DOI:10.16305/j.1007-1334.2026.z20250505002
李其忠运用四逆散化裁治疗情志病经验
Li Qizhong's experience in treating emotional disorders with modified Sini San
摘要
Abstract
This paper presents Professor Li Qizhong's clinical experience in treating emotional disorders with modified Sini San.The dialectical viewpoint of"biphasic pathogenesis and the mutual interaction between body and mind"is proposed,suggesting that emotional disorders involve a pathogenesis where"emotional depression causes disease"and"disease causes emotional depression"mutually influencing each other.Therefore,liver qi depression is identified as the key principle,with the middle energizer serving as the pivot,and the core pathogenesis is the depression and stagnation of qi movement.Clinical practice is based on the formula Sini San,integrating three differentiation strategies:"body differentiation,syndrome differentiation,and disease differentiation".Professor Li adheres to the compatibility principle of"dispersing without depleting,and harmonizing without stagnation",emphasizing the combination of compound formulas.Additionally,psychological counseling is incorporated,resulting in significant clinical efficacy and providing new ideas for the treatment of emotional diseases.Two clinical cases are presented for reference.关键词
情志病/四逆散/焦虑/抑郁/失眠/辨证论治/中医药疗法/临床经验Key words
emotional disorders/Sini San/anxiety/depression/hyposomnolence/syndrome differentiation and treatment/traditional Chinese medicine therapy/clinical experience引用本文复制引用
邓剑青,李其忠..李其忠运用四逆散化裁治疗情志病经验[J].上海中医药杂志,2026,60(2):44-48,5.基金项目
上海市卫健委上海市名老中医学术经验研究工作室建设项目(SHGZS-202213) （SHGZS-202213）
上海市中医医院第三届中医传承人才项目(SZYCC[2023-2024]-ZYCCXM03) （SZYCC[2023-2024]-ZYCCXM03）
