精神系统疾病不同于躯体疾病,将以脏腑为核心的辨证论治运用在精神系统相关疾病的辨治中缺乏实用性,疗效欠佳,亟待相对可靠的关于精神系统疾病的名老中医的临床经验加以普及和推广提高临床疗效,从而促进中医药在精神科领域中的发展。国家级名老中医王彦恒老师在诊治精神系统疾病方面有50余年临床经验,疗效可靠。益肾健脑法是王彦恒老师治疗精神系统疾病重要思想,然其内容广博,临床应用灵活,不易掌握。文章针对这一思想从5个方面进行总结,同时附典型案例1则,希望能对该思想有全面的认识,以期为精神系统疾病的中医诊治提供参考。
There are some differences in treatment and diagnosis between psychiatric disorders and physical diseases, so the theory of treatment based on syndrome differentiation which focuses on the viscera could be neither practical nor effective. The reliable clinical experience from famous old experts of Chinese medicine should be promoted to improve the clinical effect on psychiatric disorders, which will contribute to the development of Chinese medicine in the field of psychiatry. Professor WANG Yan-heng is a national prominent TCM doctor who has engaged in the field of psychiatry for more than fifty years. He has plentiful experience in the treatment of the psychiatric disorders. Nourishing the kidney and brain is an important thought of WANG Yan-heng in the treatment of psychiatric disorders, but this method is extensive and flexible that could not be easily mastered. This paper summarizes this thought from five aspects, and a typical medical case is illustrated, which could help to clarify this idea and provide a reference for the diagnosis and treatment of psychiatric disorders with Chinese medicine.