半夏二金泻心汤加减治疗焦虑医案一则

A Medical Case of Modified Banxia Erjin Xiexin Decoction for Treating Anxiety

摘要: 中医药经典方剂半夏泻心汤首载于东汉张仲景所著《伤寒杂病论》，该方以辛散苦泻、寒热并用的配伍特点，体现攻补兼施的组方原则，具有调畅中焦气机、平衡阴阳的核心作用。宋代官修方书《太平惠民和剂局方》所载逍遥散，则以舒达肝郁、协调肝脾功能为主，现代研究证实其可通过调节神经递质水平发挥抗抑郁效应。袁宏伟主任医师系第六批全国名老中医专家学术经验继承人，基于其长期从事中医临床，广泛汲取历代医家诊疗精华，创新性地将上述两方化裁整合为半夏二金泻心汤加减方。该方剂通过从肝论治和心胃同治的双维治疗模式，构建起整体辨证施治体系，充分体现了中医药复方配伍的精妙所在。

Abstract: Banxia Xiexin Decoction, a classic Chinese medicine prescription, was first published in Zhang Zhongjing’s Treatise on Cold Damage Disorders and Miscellaneous Illnesses in the Eastern Han Dynasty. It embodies the principle of combination of attack and tonifying, and plays the core role of regulating the qi mechanism of middle jiao and balancing Yin and Yang. The Xiaoyao powder contained in the Song Dynasty official prescription book Taiping Huimin HejiJufang was mainly used to relieve liver depression and coordinate liver and spleen functions. Modern studies have proved that it can play an antidepressant effect by regulating the level of neurotransmitters. Chief physician Yuan Hongwei is the heir of the academic experience of the sixth batch of famous old Chinese medicine experts in the country. Based on his long-term systematic research on classical medicine, he has extensively absorbed the diagnosis and treatment essence of doctors in the past dynasties, and innovatively integrated the above two aspects into Banxia Erjin Xiexin Decoction. Through the two dimensional treatment mode of liver treatment and heart and stomach treatment, the prescription constructs the whole syndrome differentiation system, which fully reflects the exquisite compatibility of traditional Chinese medicine.