翟双庆论治小儿神志病学术经验探析OA
ZHAI Shuangqing's academic experience in treating pediatric mental disorders
小儿神志病因其独特的临床疾病谱、特殊的患者情况和对社会、家庭的严重损害而面临诸多诊疗困难.翟双庆教授总结《黄帝内经》核心理论框架,强调在象思维指引下,运用阴阳、五行、精气等学说辨治小儿神志病.翟教授提出,临床上诊疗小儿神志病需从象思维入手,将患儿症状归为郁、痰、风、火、毒、虚六象;病机上厘清"郁-痰-毒-虚"的病机演变情况和发展阶段;治疗上设立以调气定神、审象用药、分期施治为核心的诊疗策略,根据患儿的具体症状、病机演变及年龄段加以灵活化裁,并重视金石药、驱虫药、芳香药等特色药物的运用.
Pediatric mental disorders face numerous challenges in diagnosis and treatment due to their unique clinical disease spectrum,specific patient characteristics,and severe impacts on society and families.Professor ZHAI Shuangqing has summarized the concepts of Huangdi's Internal Classic and emphasized the application of theories including Xiang,yin-yang,the five elements,and essence and qi in the diagnosis and treatment of pediatric mental disorders.He highlights the clinical application of academic concepts such as"Xiang as the guiding principle",yin-yang interaction,the substance-function relationship of the five Zang organs,and the"spirit-qi"correlation.Professor ZHAI proposes that the clinical diagnosis and treatment of pediatric mental disorders should begin with Xiang-based thinking,categorizing children's symptoms into six Xiang types:stagnation,phlegm,wind,fire,toxicity,and deficiency.In terms of pathogenesis,it is necessary to clarify the evolution and developmental stages of the"stagnation-phlegm-toxicity-deficiency"pathological mechanism.In terms of treatment,he establishes a diagnostic and therapeutic strategy centered on"regulating qi to stabilize the spirit,examining Xiang for medication selection,and applying stage-based treatment",with flexible modifications according to children's specific symptoms,pathological evolution,and age groups.Meanwhile,he emphasizes the application of characteristic medicines,including mineral drugs,anthelmintic drugs,and aromatic drugs.
胡东森;王红岩;王莉媛;翟双庆
北京中医药大学广安门临床医学院,北京 100053北京中医药大学第三附属医院校医院,北京 100029北京中研集团东城中医医院中医科,北京 100010北京中医药大学中医学院,北京 100029
小儿神志病象思维病机演变调气定神名医经验翟双庆
pediatric mental disordersXiang thinkingpathogenesis evolutionregulating qi and calming the mindexamining the Xiang for medicationZHAI Shuangqingexperience of a famous doctor
《北京中医药》 2026 (5)
610-614,5
国家中医药管理局第七批全国老中医药专家学术经验继承工作项目(国中医药人教函[2022]76号)国家中医药管理局高水平中医药重点学科建设项目内经学(zyyzdxk-2023252)
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