中醫治療心煩易怒病例報告

Taiwan Chinese Medical Professionalist Association

沈佩諠(Shen Pei-Hsuan) ； 趙坤琦(Chao Kun-Chi) ； 楊淑媚(Yang Shu-Mei)

《中醫內科醫學雜誌》 14卷2期 (2016/12) Pp. 8-16

https://doi.org/10.7102/JTCIM.201612_14(2).0002

摘要

五臟的功能正常與人的精神情緒密切相關，五臟功能活動正常，則人的精神和情志正常，五臟功能失調，則精神，情志也會出現異常，其中肝主疏泄，一旦疏泄失司，往往導致各臟腑氣機功能的紊亂，這在西醫屬於精神官能症的範疇。此病例為37歲中國籍家庭主婦，因家庭因素導致與先生感情不陸，性情明顯易怒，伴隨鬱悶、心煩，且後續出現左胸痛、右脅肋壓痛、呼吸不暢、喜嘆息，眠差易醒，口乾，晨起口苦，頭脹痛等症狀，並伴隨月經週期不規則。患者易怒的症狀起伏不定，經過中醫辨證論治，推論為肝鬱氣滯，且化火耗傷肝陰，予以疏肝理氣、清熱養陰之方藥，患者易怒症狀及脅肋疼痛有明顯改善。

關鍵字

肝氣鬱滯 ； 易怒 ； 精神官能症

並列摘要

A report about Chinese medicine to treat a case with the symptoms of bad mood and easily getting angry. Abstract: The function of the five organ systems in the body is closely related with the mental conditions. If the five organ systems work well, the mental system runs well. If the former is abnormal, the latter is abnormal. The hepatic system dominates the function of energy metabolism so it leads to the abnormal result for many other systems if it functions not well. The phenomenon belongs to the psychoneurosis of the western medicine. A case about a Chinese house wife of the age of thirty seven years who had bad relationship with her husband because of the family reasons has the symptoms of easily getting angry with depression, bad mood and then left chest pain, tenderness of the right ribs, unstable breathing, sighing, easily getting awaken, dry mouth, bitter mouth in the morning, headache, and irregular MC, etc.. Under the analysis of Chinese medicine, the symptoms of easily getting angry should be caused by hepatic energy malfunction and its inflammation. After the prescription of the medicine to regulate the hepatic system energy and to make it calm down from the inflammation, the patient's symptoms of angriness and ribs pain have been improved obviously.

並列關鍵字

hepatic energy malfunction ； getting angry easily ； psychoneurosis

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