中国现代神经疾病杂志 ›› 2023, Vol. 23 ›› Issue (1): 58-61. doi: 10.3969/j.issn.1672-6731.2023.01.011

• 功能性神经系统疾病 • 上一篇    下一篇

2 功能性神经系统疾病150年

李建平, 陈生弟, 王刚   

  1. 200025 上海交通大学医学院附属瑞金医院神经内科
  • 收稿日期:2022-12-13 出版日期:2023-01-25 发布日期:2023-02-08
  • 通讯作者: 王刚,Email:wg11424@rjh.com.cn
  • 基金资助:

    国家自然科学基金资助项目(项目编号:81971068);上海市医苑新星杰出青年医师计划项目(项目编号:2019-72)

One hundred and fifty years of functional neurological disorder

LI Jian-ping, CHEN Sheng-di, WANG Gang   

  1. Department of Neurology, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China
  • Received:2022-12-13 Online:2023-01-25 Published:2023-02-08
  • Supported by:

    This study was supported by the National Natural Science Foundation of China (No. 81971068), and Shanghai "Rising Stars of Medical Talent" Youth Development Program-Outstanding Youth Medical Talents (No. 2019-72)

摘要:

功能性神经系统疾病(以下简称功能性神经疾病)最早由古埃及人描述,中医学也早有记载,归入郁证、癔病、百合病、脏躁、癫证等范畴。纵观对功能性神经疾病的认识和研究历程,经历“癔症”、“歇斯底里症”、“转换性/分离性障碍”、“心因性神经系统疾病”、“功能性神经疾病”等术语的更替,体现出神经病学与精神病学交叉联系的紧密发展。自1859年Pierre Briquet将歇斯底里症描述为躯体化障碍以来,功能性神经疾病已有近150年的发展历史,代表现代神经精神心理学结合探索的历史。本文拟对功能性神经疾病的发展史进行系统回顾,并展望其诊断与治疗模式和前景。

关键词: 转换障碍, 医学史, 综述

Abstract:

Functional neurological disorder (FND) was first described by ancient Egyptians. Meanwhile, traditional Chinese medicine has long recognized this kind of disease, and it was classified into the categories of depression syndrome, hysteria, lily disease, mania, epilepsy, and so on. Throughout the understanding and research process of FND, we have experienced the iteration of terms such as "hysteria", "conversion/dissociative disorder", "psychogenic neurological disease", and "functional neurological disorder", which reflected the tight development of the cross connection between neurology and psychiatry. Since Pierre Briquet described hysteria as somatization disorder in 1859, FND have developed for nearly 150 years, representing the history of modern neuropsychology and psychology combined exploration. This article aims to systematically review the history of FND, look forward to their diagnositc and therapeutic models and prospects.

Key words: Conversion disorder, History of medicine, Review