Experiences of ZHAO Yonghou in Differentiation and Staged Treatment of Schizophrenia Using the Theory of <italic style="font-style: italic">Ti</italic> （Character， 体） and <italic style="font-style: italic">Yong</italic> （Function， 用） in Mental Illness

CHAI Jianbo; ZHAO Sihan; CHANG Haojie

doi:10.13288/j.11-2166/r.2024.02.004

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Experiences of ZHAO Yonghou in Differentiation and Staged Treatment of Schizophrenia Using the Theory of Ti （Character，体） and Yong （Function，用） in Mental Illness

更新时间：2024-01-11

- Experiences of ZHAO Yonghou in Differentiation and Staged Treatment of Schizophrenia Using the Theory of Ti （Character，体） and Yong （Function，用） in Mental Illness
- Journal of Traditional Chinese Medicine Vol. 65, Issue 2, Pages: 139-143(2024)
- 作者机构：
  
  1.黑龙江神志医院，黑龙江省哈尔滨市香坊区横道街153号，150036
  2.山西中医药大学
  3.黑龙江中医药大学研究生院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2024.02.004
  CLC：
- Received：06 May 2023，
  
  Revised：2023-11-25，
  
  Published：17 January 2024
- 稿件说明：
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柴剑波,赵思涵,常浩杰等.赵永厚运用神志病体用学说分期论治精神分裂症经验[J].中医杂志,2024,65(02):139-143.

CHAI Jianbo, ZHAO Sihan, CHANG Haojie. Experiences of ZHAO Yonghou in Differentiation and Staged Treatment of Schizophrenia Using the Theory of Ti （Character，体） and Yong （Function，用） in Mental Illness[J]. Journal of Traditional Chinese Medicine, 2024, 65(2): 139-143. DOI: 10.13288/j.11-2166/r.2024.02.004.
柴剑波,赵思涵,常浩杰等.赵永厚运用神志病体用学说分期论治精神分裂症经验[J].中医杂志,2024,65(02):139-143. DOI： 10.13288/j.11-2166/r.2024.02.004.

CHAI Jianbo, ZHAO Sihan, CHANG Haojie. Experiences of ZHAO Yonghou in Differentiation and Staged Treatment of Schizophrenia Using the Theory of Ti （Character，体） and Yong （Function，用） in Mental Illness[J]. Journal of Traditional Chinese Medicine, 2024, 65(2): 139-143. DOI: 10.13288/j.11-2166/r.2024.02.004. DOI：

摘要

总结赵永厚基于神志病体用学说分期论治精神分裂症的临证经验。根据神志病体用学说，认为精神分裂症的核心病位在脑，与脏腑、气血密切相关。提出从“脏腑-气血-脑神”角度阐释精神分裂症病机，即脏腑功能失常、气血失调、脑体失养导致神之体用功能失常。临证将精神分裂症分为四期论治，主张治以体用同治法，即发病前驱期用六味地黄汤合四逆散加减以补肾益髓、疏肝理脾；急性发作期痰热互结证用赵氏抑狂汤加减以清热祛痰、醒脑安神，痰热伤阴证用礞石滚痰丸合增液汤加减以清热祛痰、滋阴安神；慢性治疗期用愈癫汤加减以消痰化瘀、行气醒神；康复调理期用神安丸加减以益气养阴、安神定志。

Abstract

Based on the theory of

（character，体） and

yong

（function，用） in mental illness， ZHAO Yonghou's clinical experience in staged differentiation and treatment of schizophrenia is summarized. According to the theory， the core disease location of schizophrenia is in the brain， which is closely related to the organs，

， and blood. It is proposed to interpret the pathogenesis of schizophrenia from the perspective of “

zang

organs-

and blood-brain and spirit”， that is， dysfunction of the

zang

organs， disharmony of

and blood， and malnourishment of the brain

lead to dysfunction of the spirit

and

yong

. In clinical practice， treatment of schizophrenia can be divided into four stages， for which the method of treating

and

yong

simultaneously is suggested. In the prodromal stage，

Liuwei Dihuang Decoction

combined with

Sini San

（六味地黄汤合四逆散） with modifications is used to nourish the kidney and boost marrow， soothe the liver and rectify the spleen. For acute exacerbation with binding of phlegm and heat syndrome，

Zhaoshi Yikuang Decoction

（赵氏抑狂汤） with modifications is used to clear heat and dispel phlegm， awaken the brain and calm the mind. For phlegm-heat damaging

yin

pattern，

Mengshi Guntan Pill

combined with

Zengye Decoction

（礞石滚痰丸合增液汤） with modifications is used to clear heat and dispel phlegm， enrich

yin

and calm the mind. For the chronic treatment stage，

Yudian Decoction

（愈癫汤） with modifications is used to disperse phlegm and dissolve stasis， move

and awaken the mind. For the rehabilitation and regulation stage，

Shenan Pill

（神安丸） with modifications is used to boost

and nourish

yin

， and tranquilize the mind.

关键词

Keywords

references

郝伟，陆林 . 精神病学［M］. 8版 . 北京：人民卫生出版社， 2018 ： 85 .

赵靖平，施慎逊 . 中国精神分裂症防治指南［M］. 2版 . 北京：中华医学电子音像出版社， 2015 ： 5 - 7 .

高屾，于明，赵永厚 . 中医药治疗精神分裂症临床研究进展［J］. 辽宁中医杂志， 2023 ， 50 （ 10 ）： 236 - 240 .

赵永厚，赵玉萍，毕涣洲 . 神志病的体用学说浅议［J］. 中医杂志， 2010 ， 51 （ 7 ）： 665 - 666 .

赵永厚，赵玉萍，于明 . 神志病之“脏腑-气血-脑神”诊疗思维的构建［J］. 世界中西医结合杂志， 2012 ， 7 （ 4 ）： 353 - 354 .

赵永厚 . 清热豁痰醒脑法治疗痰火扰神型躁狂症［J］. 上海中医药杂志， 2004 ， 38 （ 4 ）： 14 .

白冰，赵玉萍，于明，等 . 基于因子分析和聚类分析的220例慢性精神分裂症中医证候规律研究［J］. 中华中医药杂志， 2017 ， 32 （ 12 ）： 5640 - 5644 .

赵永厚，赵玉萍，柴剑波，等 . 针药结合干预精神分裂症患者氧化应激损伤60例临床研究［J］. 江苏中医药， 2014 ， 46 （ 10 ）： 60 - 62 .

冯洁，林雪霏，班春霞，等 . 精神分裂症患者病耻感在国内的研究进展［J］. 中国健康心理学杂志， 2020 ， 28 （ 5 ）： 797 - 800 .

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Related Institution

Beijing Anding Hospital， Capital Medical University/National Clinical Research Center for Mental Disorders

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Institute of Literature and Culture of Traditional Chinese Medicine,Shandong University of Traditional Chinese Medicine

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Experiences of ZHAO Yonghou in Differentiation and Staged Treatment of Schizophrenia Using the Theory of Ti （Character， 体） and Yong （Function， 用） in Mental Illness

DOI：10.13288/j.11-2166/r.2024.02.004

摘要

Abstract

关键词

Keywords

references

Experiences of ZHAO Yonghou in Differentiation and Staged Treatment of Schizophrenia Using the Theory of Ti （Character，体） and Yong （Function，用） in Mental Illness