《癫狂条辨》从痰论治癫狂的学术思想

《癫狂条辨》是中医学第一部系统论述精神疾病的专著,该书以痰为核心病机,对癫狂病的病因、病机、诊法、治法、调护、预后进行了较为详细的论述,提出精神疾病痰热传变脏腑经络的病变规律,运用温中化痰法治疗癫证、清热化痰法治疗狂证,尤其是根据所传之脏腑进行五脏分治,并指出了癫狂的相互转化和善后调护方法,丰富了中医神志病的理论体系。

Theory of Treating Manic-depressive Psychosis Based on Phlegm in the Book of Dian Kuang Tiao Bian

The book of Dian Kuang Tiao Bian is the first systematically monograph on treating mental illness. Considering phlegm as the core pathogenesis, it discussed the etiology, pathogenesis, diagnosis, treatment, nursing and prognosis of manic-depressive psychosis, and illustrated the pathological changes of phlegm heat transmission among zang-fu organs (viscera). It treated depressive psychosis with warming the middle (a therapeutic method to treat yang deficiency of the spleen and stomach with warm-tonifying medicinals) and resolving phlegm, and treated mania with clearing heat and resolving phlegm. The treatment also differed according to the organ the phlegm heat harmed. Additionally, it pointed out the mutual transformation between depressive psychosis and mania, and nursing method of rehabilitation, enriching the theoretical system of Traditional Chinese Medicine on mental diseases.