国医大师柴嵩岩“肾之四最”学术思想在女性精神病治疗中的应用

贾竑晓; 郑思思; 佟庆

doi:10.3969/j.issn.2095-6606.2023.01.010

您当前的位置：

首页 >

文章列表页 >

国医大师柴嵩岩“肾之四最”学术思想在女性精神病治疗中的应用

名老中医经验 | 更新时间：2023-02-02

- 国医大师柴嵩岩“肾之四最”学术思想在女性精神病治疗中的应用
- The guiding role of CHAI Songyan’s "Four Most of the Kidney" theory in female psychiatric treatment
- 现代中医临床 2023年30卷第1期页码：43-47
- 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研究中心，精神疾病诊断与治疗北京市重点实验室　北京　100088
  2.首都医科大学人脑保护高精尖创新中心
  3.北京中医药大学东方医院
- 作者简介：
  
  贾竑晓，男，博士，主任医师、教授，博士生导师，E-mail：jhxlj@ccmu.edu.cn
- 基金信息：
  
  国家自然科学基金面上项目(81873398);北京市医院管理中心临床医学发展专项经费资助(ZYLX202129);北京医院管理中心登峰人才项目(DFL20191901);北京市自然科学基金(7212050)
- DOI：10.3969/j.issn.2095-6606.2023.01.010
  中图分类号： R277.7
- 纸质出版日期：2023-01-30，
  
  收稿日期：2022-04-13，
- 稿件说明：
移动端阅览
贾竑晓, 郑思思, 佟庆. 国医大师柴嵩岩“肾之四最”学术思想在女性精神病治疗中的应用[J]. 现代中医临床, 2023,30(1):43-47.

JIA Hongxiao, ZHENG Sisi, TONG Qing. The guiding role of CHAI Songyan’s "Four Most of the Kidney" theory in female psychiatric treatment[J]. Modern Chinese Clinical Medicine, 2023,30(1):43-47.
贾竑晓, 郑思思, 佟庆. 国医大师柴嵩岩“肾之四最”学术思想在女性精神病治疗中的应用[J]. 现代中医临床, 2023,30(1):43-47. DOI： 10.3969/j.issn.2095-6606.2023.01.010.

JIA Hongxiao, ZHENG Sisi, TONG Qing. The guiding role of CHAI Songyan’s "Four Most of the Kidney" theory in female psychiatric treatment[J]. Modern Chinese Clinical Medicine, 2023,30(1):43-47. DOI： 10.3969/j.issn.2095-6606.2023.01.010.

摘要

国医大师柴嵩岩“肾之四最”学术思想概括了女子不同阶段的生理特点，并提出针对女性不同年龄阶段的治疗策略，可作为女性精神病患者的中医治疗指导原则。对于儿童期精神病患者，因“肾生最先”，月经未来之时需慎用妄动相火之药，月经快要来潮之际需慎用苦寒之药；对于青少年期精神病患者，因“肾足最迟”，可用益肾养血、安冲之法，慎用温燥、苦寒之品；对于成年期精神病患者，因“肾衰最早”，可补肾泻心火，并慎用破血之品；对于老年期精神病患者，因“肾最需护”，治疗的同时需顾护肝肾、攻补兼备、用药平和等。

Abstract

Prof. Chai Songyan

laureate of the title of National TCM Master

summarized the physiological characteristics of women at different stages

and proposed treatment strategies for them

in his "Four Most of the Kidney" theory

which can be used as the guiding principles of TCM treatment for female psychiatric patients. For children

because "the kidney is born most early"

before the first menstruation

it is necessary to be cautious in using medicinals that cause frenetic stirring of ministerial fire

and when menstruation is about to come

in using bitter-cold medicinals. For adolescent patients

because "the kidney matures most late"

it is suggested to tonify the kidney and nourish the blood

promote astriction of

chong

meridian

be cautious in using warm-dryness and bitter-cold herbs. For adult patients

because "the kidney weakens most quickly"

it is needed to supplement the kidney and purge heart fire

but products that break blood should be used cautiously. For the elderly patients

because "the kidney is in most need of protection"

the key is to protect the liver and kidney

adopt both the method of purging and supplementing

and use mild medicinals.

关键词

肾之四最女性精神病患者名医经验柴嵩岩

Keywords

Four Most of Kidneyfemale psychiatric patientsfamous physician’s experienceChai Songyan

references

GREEN T，FLASH S，REISS A L.Sex differences in psychiatric disorders: what we can learn from sex chromosome aneuploidies[J].Neuropsychopharmacology，2019，44(1): 9-21.

滕秀香.首都国医名师柴松岩女性月经生理理论及“肾之四最”之学术思想[J].中华中医药杂志，2014，29(11): 3397-3399.

RUTTER M. Research review：child psychiatric diagnosis and classification：concepts，findings，challenges and potential[J]. J Child Psychol Psychiatry，2011，52(6): 647-660.

LI F，CUI Y，LI Y，et al.Prevalence of mental disorders in school children and adolescents in China: diagnostic data from detailed clinical assessments of 17，524 individuals[J].J Child Psychol Psychiatry，2022，63(1): 34-46.

孙娅男，周子晴，魏凤香.儿童孤独症谱系障碍病因学研究进展[J].分子诊断与治疗杂志，2022，14(10): 1822-1826.

ZHOU H，XU X，YAN W，et al.Prevalence of autism spectrum disorder in China：a nationwide multi-center population-based study among children aged 6 to 12 Years[J].Neurosci Bull，2020，36(9): 961-971.

胡格格，姜志梅，蔡佳莹，等.性别对孤独症谱系障碍儿童临床症状的影响[J].中国康复，2022，37(9): 563-567.

贾竑晓，李雪.中医药在精神心理健康防治中的作用[J].医学综述，2020，26(20): 3953-3958,3963.

李鹏，杜琳.孤独症谱系障碍中医研究进展[J].长春中医药大学学报，2019，35(5): 1007-1009.

KARDANI A，SOLTANI A，SEWELL R D E，et al.Neurotransmitter，antioxidant and anti-neuroinflammatory mechanistic potentials of herbal medicines in ameliorating autism spectrum disorder[J].Curr Pharm Des，2019，25(41): 4421-4429.

WANG T,LIU K,LI Z,et al.Prevalence of attention deficit/hyperactivity disorder among children and adolescents in China:a systematic review and meta-analysis[J/OL].BMC psychiatry,2017,17(1):32[2022-04-01].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5244567/.

PANG X,WANG H,DILL S E,et al. Attention deficit hyperactivity disorder(ADHD) among elementary students in rural China: prevalence,correlates,and consequences[J/OL].J Affect Disord,2021,293:484-491[2022-04-01].https://doi.org/10.1016/j.jad.2021.06.014.

韩新民，袁海霞，杨江，等.儿童多动症中医学研究现状分析[J].中华中医药学刊，2020，38(2): 4-7.

韩新民，马融，雷爽，等.中医儿科临床诊疗指南·儿童多动症(修订)[J].中医儿科杂志，2017，13(5): 1-6.

王颖，周玥，张立石，等.中医药治疗注意缺陷多动障碍的药理研究进展[J].中药新药与临床药理，2020，31(10): 1256-1263.

刘丽，周良安，孙亚磊.中成药治疗儿童注意缺陷多动障碍的贝叶斯网状Meta分析[J].中草药，2022，53(14): 4447-4464.

YAN J,DENG H,WANG Y,et al. The prevalence and comorbidity of tic disorders and obsessive-compulsive disorder in Chinese school students aged 6-16: a national survey[J/OL]. Brain Sci,2022,12(5):650[2022-04-01].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9139904/.

戎萍，马融，韩新民，等.中医儿科临床诊疗指南·抽动障碍(修订)[J].中医儿科杂志，2019，15(6): 1-6.

陆相朋，卢婷婷，潘丹萍，等.中药治疗Tourette综合征作用机制的实验研究进展[J].中医临床研究，2016，8(29): 134-136.

吴静静，任献青，宋纯东，等.基于数据挖掘的高频中药钩藤治疗抽动障碍的网络药理学研究[J].中医药导报，2022，28(4): 97-104.

黄廷岳，王雪峰.基于文献分析中药治疗抽动障碍的用药规律研究[J].中国中西医结合儿科学，2019，11(6): 534-539.

BEESDO K，KNAPPE S，PINE D S. Anxiety and anxiety disorders in children and adolescents：developmental issues and implications for DSM-V[J]. Psychiatr Clin North Am，2009，32(3): 483-524.

MENDLE J，RYAN R M，MCKONE K M P.Early menarche and internalizing and externalizing in adulthood：explaining the persistence of effects[J]. J Adolesc Health，2019，65(5): 599-606.

DENG F，TAO F B，WAN Y H，et al. Early menarche and psychopathological symptoms in young Chinese women[J].J Womens Health，2011，20(2): 207-213.

SEQUEIRA M E，LEWIS S J，BONILLA C，et al. Association of timing of menarche with depressive symptoms and depression in adolescence：mendelian randomisation study[J]. Br J Psychiatry，2017，210(1): 39-46.

王婷，周艳辉，罗阳.湖南省青春期女性焦虑、抑郁现状调查及其影响因子的预测[J].中华疾病控制杂志，2019，23(8): 971-976.

耿利娜，薛征，俞建，等.儿童性早熟危险因素调查及中医证型分布特点研究[J].山东中医杂志，2021，40(12): 1302-1309.

周慎斋.慎斋遗书[M].上海：上海科学技术出版社，1959: 8.

BECKER M,WEINBERGER T,CHANDY A,et al.Depression during pregnancy and postpartum[J/OL]. Curr Psychiatry Rep,2016,18(3):32[2022-04-01].https://link.springer.com/article/10.1007/s11920-016-0664-7.

黄玉华，柴松岩，张德政，等.从舌象归类研究柴松岩治疗多囊卵巢综合征的用药规律[J].中华中医药杂志，2015，30(8): 2747-2751.

浏览量

269

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

姜良铎从三焦郁滞治疗寒热错杂证

基于“少阳为枢”探讨国医大师王庆国治疗妇科病的学术思想

陶广正辨治肿瘤学术经验

刘沈林教授辨治中晚期胃癌的经验探析

基于数据挖掘分析名老中医治疗胸痹心痛的用药规律