从"肝气虚则恐"探讨大补肝汤在焦虑障碍的临床应用OA
Clinical application of Dabugan Decoction in anxiety disorders based on the principle of"liver qi deficiency leads to fear"
焦虑障碍是一类慢性疾病.中医学多从肝郁化火、心肾不交、心胆气虚、瘀血内阻等论治.本团队认为焦虑障碍的核心精神异常与伴随的躯体症状,皆与"肝气虚则恐"密切相关."肝气虚则恐"的理论来源与内涵包括:肝气虚衰可致恐;肝气虚在肝用不足;肝气虚以辛温升达为补.焦虑障碍的精神症状与"肝气虚"密切相关、躯体异常与"肝气虚"病症相似.以温补肝气为立方原则的大补肝汤,在焦虑障碍及其躯体化障碍治疗中效果良好.并结合临床验案对"肝气虚则恐"指导下大补肝汤在焦虑障碍的临床应用进行阐述.
Anxiety disorders are a category of chronic conditions.Traditional Chinese Medicine(TCM)often treats them based on theories such as liver qi stagnation transforming into fire,disharmony between the heart and kidney,deficiency of heart and gallbladder qi,and internal obstruction by blood stasis.Our team believes that the core psychological abnormalities of anxiety disorders and their accompanying physical symptoms are closely related to the principle that"liver qi deficiency leads to fear".Its theoretical origins and implications include:liver qi deficiency can cause fear;liver qi deficiency result in insufficient liver function;and liver qi deficiency is treated by using pungent-warm herbs to promote ascension.The psychological symptoms of anxiety disorders are closely related to liver qi deficiency,and the physical abnormalities resemble the manifestations of liver qi deficiency.Dabugan Decoction(Major Liver-Supplementing Decoction),a formula based on the principle of warming and tonifying liver qi,has shown good efficacy in the treatment of anxiety disorders and their somatization disorders.This paper elucidates the clinical application of Dabugan Decoction in anxiety disorders under the guidance of the principle"liver qi deficiency leads to fear",supported by clinical case studies.
王旭;贺娟
北京中医药大学中医学院 北京 100029北京中医药大学中医学院 北京 100029
医药卫生
肝气虚则恐大补肝汤焦虑障碍临床应用
liver qi deficiency leads to fearDabugan Decoctionanxiety disordersclinical applications
《现代中医临床》 2026 (4)
47-50,4
国家社会科学基金重大项目(No.21&ZD349)
评论