张道宗基于"四时皆有土"理论治疗青少年广泛性焦虑障碍经验撷英OA
ZHANg Daozong's Experience in Treating Generalized Anxiety Disorder in Adolescents Based on the Theory of"Earth in all four Seasons"
青少年广泛性焦虑障碍作为常见慢性精神障碍,发病率呈上升趋势,严重影响青少年身心健康与学业发展.现代医学治疗存在药物依赖或不良反应等局限,针灸疗法凭借安全有效、起效迅速等优势备受关注.国家级名老中医张道宗教授深耕脑病诊疗数 10 年,结合青少年"肝常有余、脾常不足"的生理特点,创新性地将"四时皆有土"理论应用于青少年广泛性焦虑障碍的针灸治疗,提出"土虚湿滞,多脏腑传变"的核心病机,构建"补益脾胃、疏肝宁心、运脾祛湿"三位一体的治疗体系,并辅以首创的"通督调神"法,临床疗效显著.该文系统梳理张道宗教授的学术思想、取穴规律及操作技巧,结合典型验案剖析,为临床治疗青少年广泛性焦虑障碍提供宝贵经验与借鉴.
Generalized anxiety disorder(GAD)in adolescents is a common chronic mental disorder with a rising in-cidence,seriously affecting their physical and mental health as well as academic development.While modern medical treatments have limitations such as drug dependency or adverse reactions,acupuncture therapy has garnered significant attention due to its safety,efficacy,and rapid onset of action.Professor ZHANG Daozong,a renowned national-level vet-eran Traditional Chinese Medicine(TCM)practitioner,has dedicated decades to the diagnosis and treatment of brain dis-orders.Drawing on the physiological characteristics of adolescents specifically that the"Liver is often in excess while the Spleen is often deficient",he innovatively applied the theory that"Earth Qi exists in all four seasons"to the acupuncture treatment of adolescent GAD.He proposed a core pathogenesis of"Earth deficiency and dampness stagnation leading to multi-visceral transmission"and constructed a tripartite treatment system that"tonifies the Spleen and Stomach,soothes the Liver and calms the Heart,and promotes Spleen function to eliminate dampness".This approach is supplemented by his pioneering"Tiaoshen Tongdu"technique,yielding remarkable clinical results.This article systematically reviews Pro-fessor ZHANG's academic insights,acupoint selection patterns,and operational techniques,and analyzes typical clinical cases,thereby offering valuable experience and reference for the clinical treatment of adolescent GAD.
刘慧慧;王涛
安徽中医药大学研究生院 安徽 合肥 230000||安徽中医药大学第二附属医院 安徽 合肥 230036安徽中医药大学第二附属医院 安徽 合肥 230036
医药卫生
青少年广泛性焦虑障碍针灸四时皆有土临床经验张道宗
Adolescent generalized anxiety disorderacupuncture"Earth Qi exists in all four seasons"Clinical ex-perienceZHANG Daozong
《中医药临床杂志》 2026 (8)
1576-1581,6
国家自然科学基金面上项目(82274656)国医大师、全国名中医、岐黄学者安徽省种子选手培育项目(皖中医药秘[2025]9 号)安徽省中医药高水平传承人才项目(皖中医药发展秘[2024]1 号)安徽省高等学校科学研究项目自然科学类(2024AH051024)亳州职业技术学院第一批"医疗服务与保障能力提升补助"专项(YLFW2305)安徽中医药大学第二附属医院人才支持计划(杏林计划)项目(院发[2023]118 号)
评论