世界中医药
文章摘要
引用本文:周丹,蒋健,赵文芳.脑、脑病与郁证的关系[J].世界中医药,2021,(08):.  
脑、脑病与郁证的关系
Relationship Between Brain,Brain Disease,and Depssion Syndrome
投稿时间:2019-09-08  
DOI:10.3969/j.issn.1673-7202.2021.08.013
中文关键词:    脑病  郁证  脑主元神  脑为元神之府
English Keywords:Brain  Brain disease  Depression syndrome  Brain controlling original spirit  Brain being the house of original spirit
基金项目:国家科技重大专项“重大新药创制”项目(2017ZX09304002)——病毒性肝炎中药新药临床研究规范化平台建设
作者单位
周丹,蒋健,赵文芳 上海中医药大学附属曙光医院,上海,201203 
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中文摘要:
      脑具有思维、想象意念、记忆、智愚、感知、运动知觉、语言等生理功能。神明其体在脑其用在心,心脑协同共主神明。脑病一般是指脑所在头部的病证,与脑有关的五官病证,神志昏迷或神志异常的病证,心神蒙昧或精神心理有关等病证,与运动知觉异常有关的病证。郁证性脑病是指凡由情志不遂所引起或加重的脑病,如部分头痛、眩晕、耳鸣脑鸣、不寐、多寐、健忘、痴呆、一时痴笑、癫狂、痫症、颤证、郁厥、中风等;既有单纯郁证又有病郁同存,既有因郁致病又有因病致郁;治疗需要从郁论治,包括从肝论治、从心论治、从肾论治;具体包括疏肝解郁、清肝泻肝、熄风潜阳、养肝柔肝、益心养心、清心泻火、豁痰祛瘀开窍、安神定志、补肾益精填髓、交通心肾等。
English Summary:
      The brain has the physiological functions of thinking,imagination,memory,intelligence,perception,motion perception and language.The root of spirit is in brain,and its action is controlled by heart,so mental activities are controlled by heart and brain.Brain disease involves the syndrome located in brain,disease syndrome of ophthalmology and otorhinolaryngology,coma or delirium related to the brain,the disease syndrome of unconsciousness or mental illness,and the disease syndrome related to abnormal motion perception.Brain disease due to depression syndrome refers to depression syndrome which is triggered or aggravated by emotional factors,such as partial headache,dizziness,tinnitus,buzzing in brain,inability to sleep,somnolence,forgetfulness,dementia,temporary smirking,depressive psychosis,manic psychosis,epilepsy,tremor,depression syncope,stroke,etc.Brain disease due to depression syndrome includes single depression syndrome as well as the coexistence of diseases and depression syndrome,diseases induced by depression syndrome as well as depression syndrome induced by diseases.It is necessary to treat brain disease due to depression syndrome from the aspect of depression,including the treatment from the liver,heart or kidney.More specifically,dispersing stagnated liver qi for relieving qi stagnation,clearing liver fire,calming endogenous wind and suppressing hyperactive liver,nourishing and emolliating liver,nourishing heart,clearing heart fire,sweeping phlegm and dispelling stasis and opening the orifices,tranquillization method,tonifying kidney and nourishing the marrow,coordinating heart and kidney,etc.
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