Differentiation and Treatment of Bipolar Disorder based on <italic style="font-style: italic">Qi</italic>， Phlegm， Fire and Deficiency

YU Yunfeng; HU Gang; ZHOU Manli; LUO Xiaoxin; ZHOU Xiahui; JIAN Weixiong; YUAN Zhaokai

doi:10.13288/j.11-2166/r.2023.19.016

您当前的位置：

首页 >

文章列表页 >

Differentiation and Treatment of Bipolar Disorder based on Qi， Phlegm， Fire and Deficiency

更新时间：2023-09-26

- Differentiation and Treatment of Bipolar Disorder based on Qi， Phlegm， Fire and Deficiency
- Journal of Traditional Chinese Medicine Vol. 64, Issue 19, Pages: 2037-2040(2023)
- 作者机构：
  
  1.湖南中医药大学中医学院，湖南省长沙市岳麓区学士路300号，410208
  2.湖南中医药大学第一附属医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2023.19.016
  CLC：
- Received：15 May 2022，
  
  Revised：2023-08-06，
  
  Published：02 October 2023
- 稿件说明：
移动端阅览
俞赟丰,胡港,周曼丽等.从气、痰、火、虚辨治双相情感障碍[J].中医杂志,2023,64(19):2037-2040.

YU Yunfeng,HU Gang,ZHOU Manli,et al.Differentiation and Treatment of Bipolar Disorder based on Qi， Phlegm， Fire and Deficiency[J].Journal of Traditional Chinese Medicine,2023,64(19):2037-2040.
俞赟丰,胡港,周曼丽等.从气、痰、火、虚辨治双相情感障碍[J].中医杂志,2023,64(19):2037-2040. DOI： 10.13288/j.11-2166/r.2023.19.016.

YU Yunfeng,HU Gang,ZHOU Manli,et al.Differentiation and Treatment of Bipolar Disorder based on Qi， Phlegm， Fire and Deficiency[J].Journal of Traditional Chinese Medicine,2023,64(19):2037-2040. DOI： 10.13288/j.11-2166/r.2023.19.016.

摘要

认为双相情感障碍主要与气、痰、火、虚有关，肝气郁结是其始动病机，痰气交阻和痰火交结是其抑郁相和躁狂相转化的关键病机，气阴两虚是其迁延不愈的关键病机。临证将双相情感障碍分为肝气郁结证、痰气交阻证、痰火交结证、气阴两虚证，分别予金玉疏肝散、开郁温胆汤、清心化痰汤、百合生脉饮加减治疗，并善用贯叶金丝桃理气、化痰、清热。重视气、痰、火的同防同治，根据其病机演变和偏盛程度灵活加减药物。

Abstract

Bipolar disorder （BD） is considered to be mainly related to

， phlegm， fire and deficiency. Binding constraint of liver

is the initial cause， while phlegm and

interact obstruction as well as phlegm and fire interact binding is the key pathogenesis of the transformation between depression and mania， and deficiency of both

and

yin

is the main reason of the protracted course of disease. In clinical practice， BD is divided into binding constraint of liver

pattern， phlegm and

interact obstruction pattern， phlegm and fire interact binding pattern， and deficiency of both

and

yin

pattern， which can be treated with

Jinyu Shugan Powder

（金玉疏肝散），

Kaiyu Wendan Decoction

（开郁温胆汤），

Qingxin Huatan Decoction

（清心化痰汤）， and

Baihe Shengmai Beverage

（百合生脉饮） in their modifications respectively； moreover， Guanye Jinsitao （

Herba Hyperici Perforati

） is usually used to rectify

， relieve phlegm and clear heat. It is also suggested to put focus on the prevention and treatment of

， phlegm and heat simultaneously， and modify the medicinals flexibly in accordance with the pathogenesis evolution and the abnormal exuberance.

关键词

Keywords

references

GRANDE I ， BERK M ， BIRMAHER B ， et al . Bipolar disorder ［J］. Lancet ， 2016 ， 387 （ 10027 ）： 1561 - 1572 .

CARVALHO AF ， FIRTH J ， VIETA E . Bipolar disorder ［J］. N Engl J Med ， 2020 ， 383 （ 1 ）： 58 - 66 .

周佳男，刘媛媛，杨程皓 . 双相情感障碍患者治疗的研究进展［J］. 医学综述， 2021 ， 27 （ 9 ）： 1770 - 1774 .

宋光明，李建华 . 二甲双胍对氯氮平所致双相情感障碍患者代谢综合征的影响［J］. 浙江医学， 2018 ， 40 （ 14 ）： 1589 - 1591 .

PHILLIPS ML ， KUPFER DJ . Bipolar disorder diagnosis： challenges and future directions ［J］. Lancet ， 2013 ， 381 （ 9878 ）： 1663 - 1671 .

薛晓燕，迟显苏，潘瑾，等 . 中医药治疗双相情感障碍研究进展［J］. 世界科学技术-中医药现代化， 2022 ， 24 （ 7 ）： 2817 - 2824 .

李自艳，曹龑，贾竑晓 . 贾竑晓以养阴调阳法治疗双相情感障碍的临床经验［J］. 中华中医药杂志， 2019 ， 34 （ 7 ）： 3087 - 3090 .

李明珠，吴沛龙，周遵明，等 . 赖新生针药结合治疗双相障碍经验［J］. 中医杂志， 2019 ， 60 （ 4 ）： 288 - 290，326 .

李贞贞，孙文军，唐启盛 . 基于张锡纯的癫狂理论探讨双相情感障碍的病机［J］. 世界中医药， 2021 ， 16 （ 8 ）： 1264 - 1267 .

杨威，白卫国 . 五运六气研究［M］. 北京：中国中医药出版社， 2011 ： 185 .

MÜLLER WE ， SINGER A ， WONNEMANN M ， et al . Hyperforin represents the neurotransmitter reuptake inhibiting constituent of hypericum extract ［J］. Pharmacopsychiatry ， 1998 ， 31 （ Suppl 1 ）： 16 - 21 .

尹兴斌，翟玉静，曹飒丽，等 . 贯叶金丝桃药理作用研究进展［J］. 中华中医药学刊， 2013 ， 31 （ 8 ）： 1634 - 1637 .

查看原文

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

The Common Somatic Symptoms of Bipolar Disorder and Their Relationships with Five-State Personality and Emotional Symptoms Based on Complex Networks and Linear Regression

Treatment of Adolescent Bipolar Disorder Based on the Opening-Closing-Pivot Theory

WANG Xixing's Experience in Differentiation and Treatment of Advanced Breast Cancer with Anxiety and Depression：Based on Shaoyang Pivot Theory

Differentiation and Treatment of Bipolar Disorder from the Relationship Between "Liver is Yin in Form and Yang in Function" and Bile Acid Metabolism

Effect of Modified Zhigancao Granules （炙甘草汤加味颗粒） on Early Recurrence Following Radiofrequency Ablation in Patients with Atrial Fibrillation of Qi-Yin Deficiency Syndrome：A Randomized，Double-Blind，Placebo-Controlled Trial

Related Author

LI Ziyan

LIU Xinzi

YIN Dongqing

ZHU Hong

JIA Hongxiao

LI Xiang

BAI Xue

ZHANG Ruijing

Related Institution

Capital Medical University/Advanced Innovation Center for Human Brain Protection

Beijing Anding Hospital， Capital Medical University

The Third Affiliated Hospital of Beijing University of Chinese Medicine

The Third Clinical Medical College，Beijing University of Chinese Medicine

Shanxi Province Hospital of Traditional Chinese Medicine

Address：No.16, Nanxiao street, Dongzhimen, Dongcheng District, Beijing Postal code：100700
Tel：010-64035632 Email：jtcmcn@188.com
Technical support is provided by Beijing Founder electronics co., LTD 京ICP备09064830号-19 京公网安备11010102007558号
It is recommended to read the content of this site in Chrome&IE9+. Please switch to extreme mode in browser 360.
Cookies We use cookies to help provide and enhance our service and tailor content. By continuing, you agree to the use of cookies.

⁰

Differentiation and Treatment of Bipolar Disorder based on Qi， Phlegm， Fire and Deficiency

DOI：10.13288/j.11-2166/r.2023.19.016

摘要

Abstract

关键词

Keywords

references