Li Qizhong's experience in treating emotional disorders with modified Sini San

DENG Jianqing; LI Qizhong

doi:10.16305/j.1007-1334.2026.z20250505002

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Li Qizhong's experience in treating emotional disorders with modified Sini San

更新时间：2026-02-09

- Li Qizhong's experience in treating emotional disorders with modified Sini San
- Shanghai Journal of Traditional Chinese Medicine Vol. 60, Issue 2, Pages: 44-48(2026)
- 作者机构：
  
  1.上海中医药大学附属市中医医院血液病科（上海 200071）
  2.上海中医药大学科技人文研究院（上海 201203）
- 作者简介：
- 基金信息：
- DOI：10.16305/j.1007-1334.2026.z20250505002
  CLC：
- Received：05 May 2025，
  
  Published：10 February 2026
- 稿件说明：
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邓剑青,李其忠.李其忠运用四逆散化裁治疗情志病经验[J].上海中医药杂志,2026,60(2):44-48.

DENG Jianqing,LI Qizhong.Li Qizhong's experience in treating emotional disorders with modified Sini San[J].Shanghai Journal of Traditional Chinese Medicine,2026,60(2):44-48.
邓剑青,李其忠.李其忠运用四逆散化裁治疗情志病经验[J].上海中医药杂志,2026,60(2):44-48. DOI： 10.16305/j.1007-1334.2026.z20250505002.

DENG Jianqing,LI Qizhong.Li Qizhong's experience in treating emotional disorders with modified Sini San[J].Shanghai Journal of Traditional Chinese Medicine,2026,60(2):44-48. DOI： 10.16305/j.1007-1334.2026.z20250505002.

摘要

介绍李其忠教授运用四逆散化裁治疗情志病的临床经验。提出“双相病机，身心互参”的辨证观点，认为情志病存在“因郁致病”与“因病致郁”相互影响的病机。其肝郁为纲，中焦为枢，核心病机为气机郁滞。临床以四逆散为基础方，遵循“辨体-辨证-辨病”三辨融通策略，坚持“疏而不耗、和而不滞”的配伍原则，注重复方联用。同时结合心理疏导，临床疗效显著，为情志病治疗提供了新思路。并附验案2则。

Abstract

This paper presents Professor Li Qizhong's clinical experience in treating emotional disorders with modified Sini San. The dialectical viewpoint of "biphasic pathogenesis and the mutual interaction between body and mind" is proposed， suggesting that emotional disorders involve a pathogenesis where "emotional depression causes disease" and "disease causes emotional depression" mutually influencing each other. Therefore， liver qi depression is identified as the key principle， with the middle energizer serving as the pivot， and the core pathogenesis is the depression and stagnation of qi movement. Clinical practice is based on the formula Sini San， integrating three differentiation strategies： "body differentiation， syndrome differentiation， and disease differentiation". Professor Li adheres to the compatibility principle of "dispersing without depleting， and harmonizing without stagnation"， emphasizing the combination of compound formulas. Additionally， psychological counseling is incorporated， resulting in significant clinical efficacy and providing new ideas for the treatment of emotional diseases. Two clinical cases are presented for reference.

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references

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