基于“心虚则惊，肝虚则恐”理论探析从心肝论治惊恐障碍

Analysis on Treating Panic Disorder from the Heart and Liver Based on the Theory of “Heart Deficiency Leads to Fright, Liver Deficiency Leads to Fear”

摘要: 惊恐障碍是一种反复发作的急性焦虑障碍，归属于中医神志病范畴，其中医病机较为复杂，涉及多个脏腑，其发病机制也尚不明确。历代医家对其病位、病机看法不一，莫衷一是。该文基于“心虚则惊，肝虚则恐”理论，依从脏腑辨证和气血津液辨证，通过梳理心肝两脏、气血两面与惊恐障碍的产生与发展关系，将“心虚则惊”“肝虚则恐”理解为心肝两脏气血两虚导致的惊恐障碍，并在临床上注重补益心肝之气血来安神魂。希望能为惊恐障碍的多维度中医诊疗提供理论参考。

Abstract: Panic disorder is a recurrent acute anxiety disorder, which falls under the category of mental disorders in Traditional Chinese Medicine (TCM). Its TCM pathogenesis is relatively complex, involving multiple organs, and its underlying mechanism remains unclear. Throughout history, TCM physicians have held diverse views on its disease location and pathogenesis without reaching a consensus. Based on the theory of “Heart deficiency leads to fright, Liver deficiency leads to fear”, this paper adopts the principles of organ syndrome differentiation and Qi-Blood-Body Fluid syndrome differentiation. By examining the relationship between the Heart and Liver organs, as well as the aspects of Qi and Blood, in the development and progression of panic disorder, it interprets “Heart deficiency leads to fright” and “Liver deficiency leads to fear” as panic disorder resulting from Qi and Blood deficiency in the Heart and Liver organs. Clinically, emphasis is placed on nourishing the Qi and Blood of the Heart and Liver to calm the spirit and soul. This study aims to provide a theoretical reference for the multi-dimensional diagnosis and treatment of panic disorder in TCM.