| 摘要: |
| 广泛性焦虑障碍（GAD）是一种以焦虑为主要表现的精神障碍，便秘是其常见伴随症状，两者互为因果。GAD伴便秘发病机制复杂，西医临床疗效欠佳，抗焦虑药物易加重或诱发便秘，而中医在整体观念的指导下，以“脑肠同调”治疗GAD伴便秘可兼顾“脑” “肠”多个靶点，打破焦虑与便秘的恶性循环。文章对“脑肠同调”治法的理论内涵与其在GAD伴便秘的应用进行梳理与总结，以期为临床中GAD伴便秘的多维度诊疗提供思路。 |
| 关键词: 焦虑 便秘 中医药治疗 针灸 综述 |
| DOI：10.11656/j.issn.1672-1519.2022.08.24 |
| 分类号:R256.35 |
| 基金项目:山东省名老中医药专家传承工作室建设项目[鲁卫函（2019）92号]；山东省中医心脑血管疾病临床医学研究中心（xnlczx-04）。 |
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| Research progress of traditional Chinese medicine in the treatment of generalized anxiety disorder with constipation based on "brain gut homology" |
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SUN Yiyan1, WU Hongyun2, ZHAO Leiyong3, PENG Wei2
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1.College of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan 250014, China;2.Third Department of Neurology, the Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250014, China;3.Department of Psychosomatic Medicine, the Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250014, China
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| Abstract: |
| Generalized anxiety disorder (GAD) is a mental disorder with anxiety as the main manifestation. Constipation is a common concomitant symptom,and the general view is that the two reciprocal causation. The pathogenesis of GAD with constipation is complex, the clinical efficacy of Western medicine is poor,and anti-anxiety drugs are easy to aggravate or induce constipation. However,under the guidance of the overall concept of traditional Chinese medicine,the treatment of GAD with constipation with "brain intestinal homology" can take into account the multi-target of "brain" and "intestine",and break the vicious circle of anxiety and constipation. This paper combs and summarizes the theoretical connotation of "brain intestinal homology" and its application in GAD with constipation,in order to provide reference for the multi-dimensional diagnosis and treatment of GAD with constipation in clinic. |
| Key words: anxiety constipation traditional Chinese medicine treatment acupuncture review |
