ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2025, Vol. 17 ›› Issue (2): 137-141.doi: 10.20274/j.cnki.issn.1674-3865.2025.02.008

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王雪峰教授基于“木火刑金”理论治疗癔症发作喘证应用浅析

李瑞雪, 王雪峰, 蔡壮   

  1. 110847 沈阳,辽宁中医药大学2022级中医儿科学专业研究生(李瑞雪);110032 沈阳,辽宁中医药大学附属医院儿科(王雪峰)；110847 沈阳,辽宁中医药大学2021级中西医结合临床专业研究生(蔡壮)
  • 收稿日期:2024-06-17 出版日期:2025-04-25 上线日期:2025-04-25
  • 通讯作者: 王雪峰,E-mail:lnzywxf＠163.com
  • 基金资助:
    王雪峰全国名老中医药专家传承工作室建设项目(国中医药人教函〔2022〕75号)

Application analysis of Professor Wang Xuefeng′s treatment for hysterical attack syndrome characterized by dyspnea based on the theory of "wood fire tormenting metal"

LI Ruixue1,WANG Xuefeng2,CAI Zhuang1   

  1. 1Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China；2Affiliated Hospital of Liaoning University of Traditional Chinese Medicine，Shenyang 110032,China

  • Received:2024-06-17 Published:2025-04-25 Online:2025-04-25
  • Contact: WANG Xuefeng,E-mail:lnzywxf＠163.com

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摘要： 癔症，现称功能性运动障碍，是一种功能性神经系统疾病，多与心理、社会等因素相关。其发作时可出现中医学喘证所表现的呼吸困难，甚至张口抬肩等临床表现，是本病发作的一种特殊表现形式，常因情绪变化发病。小儿脏腑功能较弱，更易受情志因素左右。本病发作时起病急，变化快，容易出现过度换气综合征，进而导致呼吸性碱中毒等危急情况，威胁患儿身心健康。王雪峰教授依据中医脏腑辨证，以五行生克理论为总领，认为此类疾病的发生与肺肝密切相关，从古籍中溯源，基于“木火刑金”理论，在治疗时将内治法与外治法结合应用，采取疏肝解郁的根本治法，调理气机，以求肝肺升降有序、脏腑功能正常。本文通过追溯古籍对“木火刑金”理论的记载，结合现代研究对情志类疾病导致喘息的机制诠释，进一步探究“木火刑金”在临床治疗中的指导意义。并附典型医案一则，以期在中医疗法上对此类情志病合并肺系病的复杂疾病提供更深的理论与方药经验指导。

关键词: 癔症, 喘证, 木火刑金, 内外合治, 儿童

Abstract: Hysteria,now known as functional motor disorders,is a functional neurological disorder that is often associated with psychological,social,and other factors.During its onset,there may be clinical manifestations of traditional Chinese medicine asthma,such as dyspnea and even opening the mouth and lifting the shoulders,which are special forms of this disease and often occur due to emotional changes.Children have weaker organ function and are more susceptible to emotional factors.The onset of this disease is sudden and rapid,and it is prone to hyperventilation syndrome,which can lead to respiratory alkalosis and other critical situations,threatening the physical and mental health of the affected children.Based on the theory of TCM zang fu syndrome differentiation and taking the theory of generation inhibition of five elements as the general principle,Professor Wang Xuefeng thinks that the occurrence of such diseases is closely related to the lungs and liver.Tracing the origin from ancient books and based on the theory of "wood fire tormenting metal",Professor Wang Xuefeng combines the internal treatment with the external treatment in the treatment,adopts the fundamental treatment method of soothing the liver and resolving depression,and regulates the qi mechanism,so as to ensure the orderly rise and fall of the liver and lungs and the normal function of the zang fu organs.This paper,by tracing the records of the theory of "wood fire tormenting metal" in ancient books and combining with modern research on the mechanism of wheezing caused by emotional diseases,further explores the guiding significance of "wood fire tormenting metal" in clinical treatment.A typical medical case is attached in order to provide deeper theoretical and prescription experience guidance for the TCM treatment of such complex diseases of emotional diseases combined with pulmonary diseases.

Key words: Hysteria, Syndrome characterized by dyspnea, Wood fire tormenting metal, Internal and external treatment, Child