ZHAI Shuangqing's Experience in Treating Obsessive-Compulsive Disorder from the Perspective of "Qi Constraint with Harassing Phlegm"
10.13288/j.11-2166/r.2024.20.004
- VernacularTitle:翟双庆从气郁痰扰论治强迫症经验
- Author:
Dongsen HU
1
;
Liyuan WANG
2
;
Hongyan WANG
3
;
4
Author Information
1. Dongzhimen Hospital， Beijing University of Chinese Medicine，Beijing，100700
2. Beijing Dongcheng Hospital of Traditional Chinese Medicine
3. The Third Affiliated Hospital of Beijing University of Chinese Medicine
4. Beijing University of Chinese Medicine
- Publication Type:Journal Article
- Keywords:
obsessive-compulsive disorder;
qi constraint with harassing phlegm;
dispelling phlegm and rectifying qi;
calming the mind with heavy sedatives;
famous doctor's experience;
ZHAI Shuangqing
- From:
Journal of Traditional Chinese Medicine
2024;65(20):2081-2085
- CountryChina
- Language:Chinese
-
Abstract:
This paper summarized professor ZHAI Shuangqing's clinical experience in treating obsessive-compulsive disorder （OCD） from the perspective of "qi constraint with harassing phlegm". It is believed that qi constraint with harassing phlegm is the core pathogenesis of OCD. Qi constraint and harassing phlegm interact with each other and together contribute to the disease. The formation of "qi constraint with harassing phlegm" is closely related to dysfunction of zang-fu （脏腑） organs such as the heart， spleen， liver， and gallbladder. Clinical treatment should focus on rectifying qi and dispelling phlegm， calming 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.
