从下焦蓄血辨证论治广泛性焦虑症验案1则

广泛性焦虑症是一种以经常或持续存在的缺乏明确对象和具体内容的提心吊胆及紧张不安为主的焦虑症。临床主要以精神和躯体症状为主要表现,并以显著的植物神经症状、肌肉紧张及运动性不安为特征的一种慢性焦虑障碍,具有发病率高、易复发、难以自愈等特点。目前对广泛性焦虑症的治疗主要包括心理治疗和药物治疗。西医的药物治疗多采用抗抑郁药物,而对部分患者来说仍然存在许多不良反应。近年来不少医家将中医药用于广泛性焦虑症的临床治疗,中医治疗辨证论治、专方专药,符合个体化治疗,可远期降低复发率,同时具有毒副作用小的优势,对于提高患者的工作效率与生活质量有着重要的意义。作者将随导师从下焦蓄血证辨证治疗郁症(广泛性焦虑症)验案1则,进行整理,希冀能为临床广泛性焦虑症的防治提供新的治疗依据及理论思路。

A case report on treatment of generalized anxiety disorder by differentiation of symptoms and signs

Generalized anxiety disorder is a frequent or persistent lack of clear object and specific content anxiety disorder,which often causes the patient to feel afraid and nervous. The clinical manifestations of generalized anxiety disorder is plant nerve function disorder,muscular tension and dyskinesia,which has the characteristics of high incidence,high recurrence rate and difficult to heal. At present,the treatment of anxiety includes psychotherapy and medication. The medicaments of Western medicine treats the medicaments that USES antidepressant more. But there are still many side effects for some patients. In recent years,many doctors use traditional Chinese medicine to treat anxiety disorder with satisfactory results. Clinical research shows that traditional Chinese medicine syndrome differentiation and have good curative effect on the treatment of generalized anxiety disorder. I observed my teacher use it to be flexible,curative effect of the treatment of internal medicine.