“志意失畅”致焦虑:基于形神一体观的情志致病新假说的初步构建
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1. 山东中医药大学 中医药创新研究院,济南 250355;2. 山东中医药大学 实验中心,济南 250355; 3. 国家中医药管理局高水平中医药重点学科中医基础理论学科,济南 250355

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From “insufficiency of ZhiYi” to anxiety onset: a preliminary construction of the emotion-pathogenesis hypothesis based on body-spirit integration theory
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1. Innovation Institute of Chinese Medicine and Pharmacy, Shandong University of Chinese Medicine, Jinan 250355, China; 2. Experimental Center, Shandong University of Chinese Medicine, Jinan 250355, China; 3. Key Discipline of Traditional Chinese Medicine Basic Theory, National Administration of Traditional Chinese Medicine, Jinan 250355, China

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    摘要:

    焦虑作为一种主要的情绪障碍,表现为个体对未来威胁的预期,发病率约为7.3%,终生患病率位居首位,且与抑郁存在重叠机制,为多种精神疾病(中医情志病证)的典型症状,共病率及致残率高,严重危害人民健康。动物模型作为研究焦虑的重要载体,对破解焦虑发病机制及研发药物具有重要意义。但传统上的应激致焦虑公认范式却较为局限,本文基于“传统理论 + 临床数据 + 动物实验数据”初步提出一种“志意失畅”致焦虑新假说,定义为“个体经过多次尝试后自身需求无法满足、需求受限或被剥夺,是一种因愿望受阻又无能为力时所诱发的焦虑状态”,本假说把现代医学焦虑临床患者绝望放弃、快感缺乏和社交退缩的典型表现,与“饥而不能食,食而不能得,得而不能饱”的传统中医情志病证理论建立联系提出“志意失畅”致焦虑的中医病机观点,并在一种仿真饲料设计及造模的动物实验中得到数据支撑,据此建立的造模范式易于操作、重复性好、成本低廉,可用于建立大小鼠焦虑模型,为抗焦虑药物的研发及药效学评价提供理论和模型依据。

    Abstract:

    Anxiety is a major emotional disorder manifested in the individual’s expectation of future threats. The incidence rate of anxiety is about 7.3%, with the highest lifetime prevalence rate among mental health conditions. The mechanism of anxiety overlaps with depression, and anxiety is a typical symptom of various mental diseases or emotional disorders in traditional Chinese medicine. The high rates of comorbidity and disability pose serious threats to people’s health. Animal models are important tools for studying anxiety and are of great use for deciphering the pathogenesis of anxiety and for developing drugs. The traditional paradigm of stress-induced anxiety, however, is relatively limited. Based on traditional theory combined with clinical and animal experimental data, we propose a new hypothesis of “insufficiency of ZhiYi’ causing anxiety, defined as “an anxiety state induced by the inability of an individual to meet their own needs, limited or lacking after multiple attempts, rendered hindered and powerless by an inability to meet their desires”. This hypothesis is more in line with the typical manifestations of despair, lack of pleasure, and social withdrawal in clinical patients, and is supported by traditional theory and experimental data showing “hunger but unable to eat, food but unable to obtain, and gain but not full”. Based on this, the established modeling paradigm is easy to apply, with good repeatability and low cost, and can be used to establish anxiety models in rats and mice, to provide a theoretical and model basis for the development and pharmacological evaluation of antianxiety drugs.

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高明周,胡明会,董洪玮,李由,赵月,王新宇,李自发,耿希文,魏盛,张浩.“志意失畅”致焦虑:基于形神一体观的情志致病新假说的初步构建[J].中国实验动物学报,2025,33(9):1320~1328.

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  • 收稿日期:2024-12-26
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  • 在线发布日期: 2025-10-21
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