摘要
通过知识考古学的方法对中医郁证理论形成进行历史考察,可以发现,现代中医郁证体系的形成不是沿着传统认为的线性发展而来的,而是在吸收历代中医情志病理论的基础上,借鉴西医《精神病学》中抑郁症和神经症的理论,重新构建的一个全新体系,是"范式转换"的科学革命的过程。不可否认,在现代郁证理论体系中,包含有《黄帝内经》五郁、丹溪六郁等理论的"成分",如在论述病机的时候,提到"气郁""木郁",在治疗中,依然会使用越鞠丸,但是现代郁证的理论体系已经与此前完全不同,其中所存在的来源于《黄帝内经》、朱丹溪的"成分"均已被重新定义,不再是当时的原意。
The evolution of the melancholia theory in traditional Chinese medicine（ TCM） was traditionally considered as a linear process. However,examine the evolution of the melancholia theory with the method of the archaeology of knowledge. We find that the modern melancholia theory is based on the ancient theory of Psychiatry,and borrowed from the psychiatry in western medicine,this theory is becoming a relatively perfect system gradually. Undeniale,five-depression in Huangdi Neijing,six-depression by Zhu Danxi are contained in modern melancholia theory. Clarifying the construction of the theory is conducive to the research into the melancholia theory in TCM and the law of the TCM development.
出处
《中医学报》
CAS
2015年第1期59-62,共4页
Acta Chinese Medicine
基金
国家重点基础研究发展计划(973计划)资助项目(2011CB505100)
关键词
郁证
知识考古学
中医郁证理论
邪郁
疏肝理气法
朱丹溪
黄帝内经
张从正
“现代郁证”
depression syndrome
archaeology of knowledge
melancholia theory in Chinese medicine
evil accumulation
reliefing liver and smoothing the vital energy
Zhu Danxi
Huangdi Neijing
Zhang Congzheng
＂modern melancholia theory＂
