Construction of a system for differentiation and treatment of psychiatric symptoms based on the five spiritual zang viscera theory
10.3969/j.issn.1006-2157.2024.12.001
- VernacularTitle:精神症状五神藏辨治体系的构建
- Author:
Hongxiao JIA
1
,
2
,
3
Author Information
1. Beijing Key Laboratory of Diagnosis and Treatment of Mental Disorders, National Clinical Research Center for Psychiatric and Mental Disorders, Beijng Anding Hospital, Capital Medical University
2. Advanced Innovation Center for Human Brain Protection, Capital Medical University
3. The Third Affiliated Hospital, Beijing University of Chinese Medicine
- Publication Type:Journal Article
- Keywords:
mental disorders;
five spiritual zang viscera;
system of differentiation and treatment
- From:
Journal of Beijing University of Traditional Chinese Medicine
2024;47(12):1629-1636
- CountryChina
- Language:Chinese
-
Abstract:
To date, there are four critical challenges currently present in traditional Chinese medicine psychiatry: inconsistency in guiding theory, limitations in disease nomenclature, inapplicability of the syndrome differentiation and treatment model of internal medicine somatic symptoms to psychiatry, and need for improved clinical treatment efficacy. This study follows the guiding principle of syndrome differentiation and treatment that focuses on "identifying core prescriptions based on core symptoms and pathogenesis", by using psychiatric symptoms from Western psychiatry as the core symptoms for differentiation and treatment, and by applying the refined five spiritual zang viscera theory to qualitatively and locationally assess psychiatric symptoms, this approach establishes the core pathogenesis and corresponding treatment methods for common psychiatric disorders. Specifically, the core pathogenesis of schizophrenia is identified as "kidney deficiency with liver hyperactivity", treated by tonifying kidney and tranquilizing liver; for depression, the core pathogenesis is "yang qi stagnation", treated by ascending yang and relieving stagnation; for bipolar affective disorder, the core pathogenesis is "excess metal with latent fire", treated by nourishing yin and regulating yang; for anxiety disorder, the core pathogenesis is "kidney deficiency with hyperactivity of the will", treated by tonifying kidney and calming anxiety; for tic disorder, the core pathogenesis is "kidney deficiency with liver wind", treated by tonifying kidney and suppressing hyperactive liver for calming endogenous wind; for attention deficit hyperactivity disorder, the core pathogenesis is "kidney will deficiency with heart spirit imbalance", treated by nourishing kidney and enhancing will for storing the spirit; and for autism, the core pathogenesis is "kidney deficiency with weak spirit", treated by nourishing kidney and strengthening heart for benefiting spirit. Based on clinical evidence and the identified core pathogenesis, core herbal prescriptions for treating common psychiatric disorders are established, thereby constructing a syndrome differentiation and treatment system for psychiatric symptoms based on the five spiritual zang viscera theory.
- Full text:2025010215470841591Construction of a system for differentiation and treatment of psychiatric symptoms based on the five spiritual zang viscera theory.pdf
