摘要
创建精神行为病志意辨证理论体系的理由有四:其一,不同疾病类属,应该选择各自相适宜的辨证方法。相应辨证思维和方法的缺失,是影响精神行为病证诊疗技能和疗效提高的瓶颈之一;其二,《内经》已经认识到该病证类属,存在神有余、不足,志有余、不足的类证雏形;其三,概念的厘清界定,是突破瓶颈的切入点,情、欲、性、五志具有异质性,精、神、志、意、魂、魄、君,相对精神动作行为调控呈现多元性,而志意兼具驾驭精神、收放魂魄、适应寒温、调和喜怒等更高层次的作用,先于现代心理行为学意志与意识、感知、适应、情感结构,并固有对应理法方药。提出精神行为病以五志类证类药为主要内容的志意辨证新方法,进而修复和建立志意辨证理论体系;其四,精神动作行为病证有着病理演变的阶段性规律。初期只有志、意、精、神、魂、魄本身有余或不足,气血无紊乱、五藏无失调和虚损。中期为志、意、魂、魄、精、神异常,渐有气血紊乱、五藏失调、形体损伤病证,心身共病。最终导致血气耗伤、脏腑形体损害病证。初期,适宜志意辨证;中期,方宜志意辨证与脏腑气血辨证并用;脏伤形损者,可选择脏腑辨证。
There are four reasons for the establishment of the syndrome differentiation theoretical system for mental behavior disease：firstly,the method of syndrome differentiation was different because of the different classification of diseases. Lacking of corresponding syndrome differentiation though and method is the major obstacle for treating mental behavior disease;secondly,in the Inner Classic,this disease was divided into excessive of spirit,deficient of spirit,excessive of emotion and deficient of emotion;thirdly,the concept should be concise and correct,for emotion,desire,nature,five emotions are heterogeneous,essence,spirit,emotion,will,hun-spirit,po-spirit,monarch were diverse,and emotion and will could lead the spirit,control hun-spirit and po-spirit,adapt to cold and warm,harmonize happy and anger,which is beyond the will,consciousness,sensation,adaption,emotion structure with corresponding method,principle,formula and herb;also the author propose that a new syndrome differentiation system with the mental behavior disease as the center,to establish a mental and will syndrome differentiation system;fourthly,the pathological changes of mental behavior disease could be divided into different stages;in the early stage,there is the excess or deficiency of emotion,will,essence,spirit,hun-spirit,po-spirit,without disorder of the qi and blood,and disorder of the internal organs;in the middle stage,there is the abnormal emotion,will,essence,spirit,hun-spirit,po-spirit,gradually with disorder of qi and blood,disorder of internal organs,and damage to the body;in the last stage,there is the consumption of qi and blood,damage of body and internal organs. In the early stage,syndrome differentiation of mental and will could be applied;in the middle stage,syndrome differentiation of mental and will should be in combination with syndrome differentiation of qi,blood and internal organs;when there is the damage of internal organs and body,syndrome differentiation of internal organs should be applied.
出处
《山东中医杂志》
2017年第1期3-5,8,共4页
Shandong Journal of Traditional Chinese Medicine
基金
山东省科技发展规划项目(编号:2009G2002048)
关键词
精神动作行为病证
志意辨证
理论特点
病机阶段
mental and behavioral diseases
differ entiation of mental and will
theoretical characteris tics
stage of disease mechanism
