ZHAI Shuangqing's Experience in Treating Obsessive-Compulsive Disorder from the Perspective of "<italic style="font-style: italic">Qi</italic> Constraint with Harassing Phlegm"

HU Dongsen; WANG Liyuan; WANG Hongyan

doi:10.13288/j.11-2166/r.2024.20.004

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ZHAI Shuangqing's Experience in Treating Obsessive-Compulsive Disorder from the Perspective of "Qi Constraint with Harassing Phlegm"

更新时间：2024-10-12

- ZHAI Shuangqing's Experience in Treating Obsessive-Compulsive Disorder from the Perspective of "Qi Constraint with Harassing Phlegm"
- Journal of Traditional Chinese Medicine Vol. 65, Issue 20, Pages: 2081-2085(2024)
- 作者机构：
  
  1.北京中医药大学东直门医院，北京市东城区海运仓5号，100700
  2.北京中医药大学
  3.北京中研集团东城中医医院
  4.北京中医药大学第三附属医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2024.20.004
  CLC：
- Received：31 March 2024，
  
  Revised：2024-07-23，
  
  Published：17 October 2024
- 稿件说明：
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胡东森,王莉媛,王红岩等.翟双庆从气郁痰扰论治强迫症经验[J].中医杂志,2024,65(20):2081-2085.

HU Dongsen,WANG Liyuan,WANG Hongyan.ZHAI Shuangqing's Experience in Treating Obsessive-Compulsive Disorder from the Perspective of "Qi Constraint with Harassing Phlegm"[J].Journal of Traditional Chinese Medicine,2024,65(20):2081-2085.
胡东森,王莉媛,王红岩等.翟双庆从气郁痰扰论治强迫症经验[J].中医杂志,2024,65(20):2081-2085. DOI： 10.13288/j.11-2166/r.2024.20.004.

HU Dongsen,WANG Liyuan,WANG Hongyan.ZHAI Shuangqing's Experience in Treating Obsessive-Compulsive Disorder from the Perspective of "Qi Constraint with Harassing Phlegm"[J].Journal of Traditional Chinese Medicine,2024,65(20):2081-2085. DOI： 10.13288/j.11-2166/r.2024.20.004.

摘要

总结翟双庆教授从气郁痰扰论治强迫症的临床经验。认为气郁痰扰是强迫症的核心病机，气郁、痰浊相互影响，共同致病。气郁痰扰的形成与心、脾、肝、胆等脏腑功能失调密切相关。临证治疗应以理气祛痰、重镇安神为核心治法，以自拟解郁化痰汤为基础方，并根据患者病情进行分期治疗，用药注重配伍健脾益胃、养心安神、疏肝利胆、滋阴温阳之品；同时强调临证灵活选用龙骨、龙齿、牡蛎、珍珠母等重镇药以重镇安神。

Abstract

This paper summarized professor ZHAI Shuangqing's clinical experience in treating obsessive-compulsive disorder （OCD） from the perspective of "

constraint with harassing phlegm". It is believed that

constraint with harassing phlegm is the core pathogenesis of OCD.

constraint and harassing phlegm interact with each other and together contribute to the disease. The formation of "

constraint with harassing phlegm" is closely related to dysfunction of

zang

（脏腑） organs such as the heart， spleen， liver， and gallbladder. Clinical treatment should focus on rectifying

and dispelling phlegm， calmi

ng the mind with heavy sedatives. Based on the self-designed

Jieyu Huatan Decoction

（解郁化痰汤）， treatment should be tailored to the patient's condition and stage of the disease， with prescriptions incorporating medicinals that fortify the spleen and boost the stomach， nourish the heart and calm the mind， soothe the liver and promote gallbladder function， and nourish

yin

and warm

yang

. At the same time， it is emphasized to flexibly select heavy sedatives such as Longgu （

Os Draconis

）， Longchi （

Dens Draconis

）， Muli （

Concha Ostreae

） and Zhenzhumu （

Concha Margaritiferae Usta

） to calm 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 .

HUANG Y ， WANG Y ， WANG H ， et al . Prevalence of mental disorders in China： a cross-sectional epidemiological study ［J］. Lancet Psychiatry ， 2019 ， 6 （ 3 ）： 211 - 224 .

徐清照，周丽 . 中药对强迫症治疗的临床研究［J］. 临床医药文献电子杂志， 2019 ， 6 （ 22 ）： 167 - 168 .

马天牧，柏久莲，闵敏 . 符为民教授基于中医五神脏理论辨治强迫症［J］. 浙江中医药大学学报， 2023 ， 47 （ 3 ）： 268 - 271，276 .

靳悄然，唐启盛，张硕，等 . 基于肺肾气虚理论治疗强迫症临证探讨［J］. 现代中医临床， 2022 ， 29 （ 2 ）： 34 - 37 .

翟双庆，王洪图 . 调理脾胃气机治疗精神疾患的心得［J］. 中医杂志， 1990 ， 31 （ 2 ）： 23 - 24 .

门奕年，黄珍，于明直，等 . “怪病多痰”病机观下抑郁症与慢性疲劳综合征的相关性［J］. 世界中医药， 2023 ， 18 （ 19 ）： 2777 - 2780 .

中华医学会精神医学分会《中国强迫症防治指南》编写组 . 中国强迫症防治指南2016（精编版）［J］. 中华精神科杂志， 2016 ， 49 （ 6 ）： 353 - 366 .

GOODMAN WK ， PRICE LH ， RASMUSSEN SA ， et al . The Yale-Brown Obsessive Compulsive Scale. I. Development， use， and reliability ［J］. Arch Gen Psychiatry ， 1989 ， 46 （ 11 ）： 1006 - 1011 .

王征宇，迟玉芬 . 焦虑自评量表（SAS）［J］. 上海精神医学， 1984 （ 2 ）： 73 - 74 .

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Beijing University of Chinese Medicine Third Affiliated Hospital

Beijing Dongcheng Hospital of Traditional Chinese Medicine，Beijing Zhongyan Group

First School of Clinical Medicine，Beijing University of Chinese Medicine

街30号

The Second Affiliated Hospital of Baotou Medical College，Inner Mongolia University of Science and Technology

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ZHAI Shuangqing's Experience in Treating Obsessive-Compulsive Disorder from the Perspective of "Qi Constraint with Harassing Phlegm"

DOI：10.13288/j.11-2166/r.2024.20.004

摘要

Abstract

关键词

Keywords

references