【摘要】：焦慮癥,又稱焦慮性神經(jīng)癥,以廣泛和持續(xù)性焦慮或反復(fù)發(fā)作的驚恐不安為主要特征,其焦慮或恐懼往往無實(shí)質(zhì)內(nèi)容或與現(xiàn)實(shí)處境不符,常伴有頭暈、胸悶、心悸、呼吸急促、口干、尿頻尿急、出汗、震顫等自主神經(jīng)癥狀和軀體性焦慮不安。西醫(yī)治療焦慮癥有藥物和心理治療的兩個(gè)主要手段,由于大多數(shù)患者服用抗焦慮藥的同時(shí),也極大地?fù)p害人體的“正氣”,而相對(duì)于西藥,中醫(yī)藥治療具有安全性好,無副作用和無藥物依賴性等特點(diǎn)。現(xiàn)代中醫(yī)治療焦慮癥多著眼于氣滯痰瘀郁火,對(duì)“煩躁、焦慮”即是“火邪擾神”有根深蒂固的認(rèn)識(shí),故臨床上對(duì)清熱瀉火方法的應(yīng)用呈現(xiàn)太過之勢。而通過相關(guān)文獻(xiàn)的整理和臨床報(bào)道來看,焦慮癥還存在著陽虛的病因病機(jī)。本課題通過對(duì)國內(nèi)外和古今文獻(xiàn)的整理研究分析,以焦慮癥臨床上心神不寧、善恐易驚、躁動(dòng)不安等神志異常表現(xiàn)為主要特點(diǎn)為基礎(chǔ),通過對(duì)神與陽氣相關(guān)性理論的探討,提出“心陽不足,心神浮越”是陽虛型焦慮癥發(fā)病的核心病機(jī),其以腎陽虛為本質(zhì),肝郁為關(guān)鍵病因病機(jī)。在治療上,則以此病因病機(jī)為依據(jù),以溫虛陽,潛浮神為基本治則,并將疏肝調(diào)肝貫穿始終。本課題的研究對(duì)焦慮癥的病機(jī)進(jìn)行了補(bǔ)充和完善,彌補(bǔ)了中醫(yī)學(xué)當(dāng)前對(duì)焦慮癥病機(jī)認(rèn)識(shí)上的不足,對(duì)臨床實(shí)踐有一定的指導(dǎo)意義。
[Abstract]:Anxiety disorder, also known as anxiety neurosis, is characterized by widespread and persistent anxiety or recurrent panic anxiety. Anxiety or fear often has no substance or does not correspond to the actual situation, often accompanied by dizziness, chest tightness, palpitations and shortness of breath. Dry mouth, frequent urination, sweating, tremor and other autonomic nervous symptoms and somatic anxiety. Western medicine has two main methods for treating anxiety disorder: medicine and psychotherapy. As most patients take anti-anxiety drugs, they also greatly damage the "healthy qi" of the human body. Compared with western medicine, traditional Chinese medicine has good safety. No side effects and no drug dependence. The treatment of anxiety disorder by modern Chinese medicine focuses on qi stagnation, phlegm and blood stasis, depression and fire, and has a deep-rooted understanding of "irritability, anxiety" that is, "fire evil harms the mind", so the clinical application of the method of clearing away heat and reducing fire is too strong. According to the related literature and clinical reports, anxiety disorder still exists the etiology and pathogenesis of Yang deficiency. Based on the main characteristics of anxiety disorder, such as mental disorder, fear and fear, restlessness and so on, this subject is based on the analysis of the literature at home and abroad and the literature of ancient and modern times, and discusses the theory of the correlation between spirit and yang qi. It is suggested that deficiency of heart yang and floating of heart spirit are the core pathogenesis of anxiety disorder with deficiency of kidney yang as its essence and liver depression as the key etiology and pathogenesis. In the treatment, the etiology and pathogenesis as the basis, warming the deficiency of yang, the underlying spirit as the basic treatment principle, and soothing the liver and regulating the liver throughout. The research of this subject complements and perfects the pathogenesis of anxiety disorder, which makes up for the deficiency in the understanding of the pathogenesis of anxiety disorder in traditional Chinese medicine at present, and has certain guiding significance for clinical practice.
【學(xué)位授予單位】：成都中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R277.7

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