张振贤基于"气主呴之"辨治慢性疲劳综合征经验采撷OA
ZHANG Zhenxian's Experience in Treating Chronic Fatigue Syndrome Based on Principle of Qi Being in Charge of Warming
慢性疲劳综合征是临床常见的慢性虚损性疾病,常伴有焦虑、抑郁等负性情绪,病因病机较复杂,西医治疗方法有一定局限.张振贤教授在临床工作中认识到在"气主呴之"的理论视域下,"虚郁互结"是该病的核心病机,气虚为病机之本,气郁是疾病发展的关键环节;进一步则会产生痰、瘀、火等变证.通过恢复"气主呴之"的生理功能,运用"补虚、解郁、祛瘀、化痰、降火"为主要治法,调畅人体气机运转;加之患者自我调护,从而达到调和气血,阴平阳秘的效果.文章总结了张教授的临床思路,并选取两例临床医案进行分析.
Chronic fatigue syndrome is a common chronic deficiency disease with complex etiology and certain limitations in Western medicine.Prof.ZHANG has recognized in his clinical work that the physiological function of"Qi being in charge of war-ming"is closely related to this disease,and Qi depression and blood stasis is the core pathogenesis of this disease.Qi deficiency is the root cause and Qi depression is the key to the development of the disease,which can lead to syndromes of phlegm,blood stasis and fire.By restoring the physiological function of"Qi being in charge of warming"and using"tonifying deficiency,relieving de-pression,dispelling blood stasis,resolving phlegm,and reducing fire"as the main treatment methods,the treatment should regulate the operation of the human body's Qi movement.In addition,the patient's self-care achieves the effect of harmonizing Qi and blood,balancing Yin and Yang.The article summarized Professor ZHANG's clinical approach and selected two clinical medical cases for analysis.
沈汇文;张振贤;葛健;阎骅
上海中医药大学附属岳阳中西医结合医院,上海 200437上海中医药大学附属岳阳中西医结合医院,上海 200437上海交通大学医学院附属瑞金医院,上海 200025上海交通大学医学院附属瑞金医院,上海 200025
医药卫生
慢性疲劳综合征负性情绪气虚气郁
chronic fatigue syndromenegative emotionQi deficiencyQi depression
《辽宁中医杂志》 2026 (6)
45-48,4
国家自然科学基金项目(82274430)岳阳医院传统中医专科建设项目[YW(2023-2024)-01-07]
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