赵春 肖荣 郑转芳 郑莉明 李艳

    [摘要] 本文运用“脾胃论”思想，结合临床实践，对焦虑障碍的病因病机进行分析，指出该病主要病机为“脾胃受损，升降失调”。并根据广东省中医院李艳教授多年治疗焦虑障碍的临床经验，总结焦虑障碍患者呈现出的不同证候特征，包括：“脾胃虚热”“脾虚火乘”“阳郁脾土”“脾虚津耗”“脾胃不和”;治疗上，以“调脾胃，益元气，泻阴火，和气血”为原则，分别选用补中益气汤、补脾胃泻阴火升阳汤、升阳散火汤、黄芪人参汤、加减平胃散等有效方剂。

    [关键词] 焦虑障碍;脾胃论;健脾;补中益气汤

    [中图分类号] R277.7? ? ? ? ? [文献标识码] A? ? ? ? ? [文章编号] 1673-7210(2020)09(c)-0135-04

    Thinking and discussion on the treatment of anxiety disorder with the theory of “Piwei Lun”

    ZHAO Chunyi1? ?XIAO Rong1? ?ZHENG Zhuanfang1? ?ZHENG Liming2? ?LI Yan2

    1.The Second Clinical Medical College， Guangzhou University of Chinese Medicine， Guangdong Province， Guangzhou? ?510405， China; 2.Department of Psychology and Sleeping， Guangdong Provincial Hospital of Traditional Chinese Medicine， Guangdong Province， Guangzhou? ?510120， China

    [Abstract] By combining the theory of “Piwei Lun” with clinical practices， this paper analyzes the etiology and pathogenesis of anxiety disorder， and points out that the main pathogenesis of such disorder lies in “spleen and stomach damage with imbalanced rising and falling of vital energy”. According to Professor Li Yan′s clinical experience in treating anxiety disorder for many years in Guangdong Provincial Hospital of Traditional Chinese Medicine ......