论文部分内容阅读
笔者自1993～1997年3月以气郁血瘀调理汤基本方为主,在辨证分型基础上选加药味,配用小剂量西药及心理治疗46例神经症,经临床观察有较满意的疗效,报告如下.1 一般资料46例均经门诊系统观察,女28例,男18例;年龄17～58岁;病程最短者3个月,最长者8年.其中3个月至2年有38例,3年以上8例.首先按照中华医学会精神病委员会制定的《神经症临床工作诊断标准)(1985)进行西医辨病,神经衰弱13例,癔病8例,抑郁性神经症14例,强迫症4例,焦虑症7例.再根据《神经症的中西医结合辨证分型标准》进行中西医结合辨证分型,肝郁化人型11例,肝郁脾虚型15例,心脾两虚型12例,肝肾阴虚6例,脾肾阳虚2例.
The author from 1993 to March 1997 to qiyu blood stasis soup basic prescription based on the type of syndrome selection plus drug flavor, with a small dose of western medicine and psychological treatment of 46 cases of neurosis, the clinical observation is more satisfied , The report is as follows.1 General information 46 cases were observed by the outpatient system, 28 females, 18 males, aged 17 to 58 years, the shortest duration of 3 months, the longest of 8 years, of which 3 months to 2 38 cases in a year, 8 cases in more than 3 years.Firstly, according to the Diagnostic Criteria of Neurological Disorders (1985) developed by the Psychiatric Committee of Chinese Medical Association, 13 cases of Western medicine were diagnosed, neurasthenia was diagnosed in 13 cases, 8 cases of hysteria and 9 cases of depressive neurosis Cases, 4 cases of obsessive-compulsive disorder and 7 cases of anxiety.According to “Syndrome Differentiation Criteria of TCM and Western Medicine for Neurosis”, syndrome differentiation of TCM and Western medicine was carried out, including 11 cases of hepatometabolism, 15 cases of syndrome of liver-qi and spleen deficiency, Twelve cases of spleen deficiency type, liver and kidney yin deficiency in 6 cases, 2 cases of spleen and kidney yang deficiency.