【摘要】 精神分裂症大体相当于中医学的癫狂。本病患者的病前性格特征与肝郁质近似。肝气郁滞是该病的常见诱因。肝郁证在精神分裂症辨证分型中占有很大比例。本病早期病位在肝。精神分裂症多因肝郁化火,上扰神明,疾病进入急性期;肝郁心火影响他脏而该病进入慢性期;节气变化、气候剧烈变化常常引导肝阳上扰导致精神分裂症病情活跃、复发。精神分裂症治疗、康复、防复发始终要注意治肝调肝。治疗该病要注意疏肝而不可伐肝,镇肝不忘清热平肝,而疏肝健脾、疏肝和胃为常用治法,防衰治呆补肝肾不忘清热安神,清(肝)养(肝)阴不要忘疏风化痰行瘀,预防、治疗抗精神病药所致药源性疾患要注意清(肝)热养阴,解毒活血。更多还原

【Abstract】 Schizophrenia is roughly equivalent to insanity in TCM.Premorbid personality traits of schizophrenia are similar to the characteristic of stagnation of liver in TCM.The stagnation of liver-qi is a usually cause and main differentiation type of schizophrenia.Early location of this disease is toward to the liver.The stagnant qi of the liver turns into fire,up to brain to interfere the activity of mind,then leads the disease into the acute phase;Stagnation of the liver-qi and the heart-fire affect other organs and lead the disease to its chronic phase:The change of solar term or dramatic disturbances of climate change often leads liver yang to interfere the mind,resulting in recurrence or relapses of schizophrenia.We should pay attention to rule of liver in the treatment,rehabilitation,prevention of recurrence in schizophrenia.When treating schizophrenia,we need pay attention to soothing liver,without inhibiting the sthenic liver-energy;suppressing the hyperactive liver by calming the liver and removing heat from the liver.Soothing liver and strengthening spleen,dispersing liver-qi and regulating stomach are the common treatment.For preventing degeneration,while nourishing liver and kidney,clearing heat and calming the mind should be used at same time;while nourishing liver yin,wind-dispersing,eliminating phlegm,clearing-stasis should be used at same time.Cleaning liver heat,nourishing yin,activating blood and detoxification should be paid attention to when preventing and treating the side effects caused by antipsychotic drugs.更多还原