JIA Hongxiao's Clinical Experience in Treating Cognitive Impairments in Schizophrenia based on Five Spirits Stored in Corresponding Viscera Theory

NING Yanzhe; YIN Xia; FENG Sitong; WANG Dan

doi:10.13288/j.11-2166/r.2024.04.004

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JIA Hongxiao's Clinical Experience in Treating Cognitive Impairments in Schizophrenia based on Five Spirits Stored in Corresponding Viscera Theory

更新时间：2024-02-08

- JIA Hongxiao's Clinical Experience in Treating Cognitive Impairments in Schizophrenia based on Five Spirits Stored in Corresponding Viscera Theory
- Journal of Traditional Chinese Medicine Vol. 65, Issue 4, Pages: 352-356(2024)
- 作者机构：
  
  1.首都医科大学附属北京安定医院/国家精神心理疾病临床医学研究中心，北京市西城区安康胡同5号，100088
  2.首都医科大学人脑保护高精尖创新中心
  3.北京市昌平区中西医结合医院
  4.内蒙古自治区精神卫生中心
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2024.04.004
  CLC：
- Received：10 April 2023，
  
  Revised：2023-07-12，
  
  Published：17 February 2024
- 稿件说明：
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宁艳哲,尹霞,冯思同等.贾竑晓以五神藏理论辨治精神分裂症认知损害经验[J].中医杂志,2024,65(04):352-356.

NING Yanzhe,YIN Xia,FENG Sitong,et al.JIA Hongxiao's Clinical Experience in Treating Cognitive Impairments in Schizophrenia based on Five Spirits Stored in Corresponding Viscera Theory[J].Journal of Traditional Chinese Medicine,2024,65(04):352-356.
宁艳哲,尹霞,冯思同等.贾竑晓以五神藏理论辨治精神分裂症认知损害经验[J].中医杂志,2024,65(04):352-356. DOI： 10.13288/j.11-2166/r.2024.04.004.

NING Yanzhe,YIN Xia,FENG Sitong,et al.JIA Hongxiao's Clinical Experience in Treating Cognitive Impairments in Schizophrenia based on Five Spirits Stored in Corresponding Viscera Theory[J].Journal of Traditional Chinese Medicine,2024,65(04):352-356. DOI： 10.13288/j.11-2166/r.2024.04.004.

摘要

总结贾竑晓教授以五神藏理论辨治精神分裂症认知损害的临证经验。通过阐释五神藏理论的认知心理学内涵，提出以精神分裂症不同认知域损害的症状特点为主辨治精神分裂症认知损害。信息处理速度、执行控制能力及意志等认知域损害的关键病机为肾虚肝旺、心神不安，治以益肾平肝、养心安神，方用石珍安神方加减；记忆力和注意认知域损害的关键病机为脾肾亏虚、肺魄不降，治以健脾补肾、益肺降气，方用健脾补肾方加减。

Abstract

This paper summarized professor JIA Hongxiao's experience in treating cognitive impairments in schizophrenia patients upon five spirits stored in corresponding viscera theory. By elucidating the cognitive psychological connotation of the five spirits stored in corresponding viscera theory， it is proposed that the cognitive impairment of schizophrenia should be differentiated and treated based on the symptom characteristics of different cognitive domain impairments in schizophrenia. The key pathogenesis of impairments to cognitive domains such as information processing speed， executive control ability and will is kidney deficiency， liver hyperactivity， and heart spirit restlessness， for which the treatment is to boost the kidney and calm the liver， nourish the heart and calm the mind， using

Shizhen Anshen Formula

（石珍安神方） modifications. The main pathogenesis of memory and attention cognitive impairment is spleen-kidney depletion and lung corporeal soul failing to descend， for which it is suggested to fortify the spleen and supplement kidney， boost lung and direct

downward using

Jianpi Bushen Formula

（健脾补肾方） modifications.

关键词

Keywords

references

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