主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2020, Vol. 43 ›› Issue (12): 985-990.doi: 10.3969/j.issn.1006-2157.2020.12.003

• 理论研究 • 上一篇    下一篇

《黄帝内经》心风对神志病治疗的启示*

金珏, 陈晓#   

  1. 上海中医药大学基础医学院 上海 201203
  • 收稿日期:2020-06-22 出版日期:2020-12-30 发布日期:2021-01-05
  • 通讯作者: #陈晓,男,博士,教授,博士生导师,主要研究方向:《黄帝内经》病证研究,E-mail:chenxiao2121@126.com
  • 作者简介:金珏,女,博士,讲师
  • 基金资助:
    *上海市进一步加快中医药事业发展三年行动计划项目[No.ZY(2018-2020)-CCCX-2001-01],上海市卫健委中医药传承和科技创新项目(No.ZYCC2019001)

Inspiration by heart wind in Huangdi Neijing for the treatment of mental disorders*

Jin Jue, Chen Xiao#   

  1. School of Basic Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China
  • Received:2020-06-22 Online:2020-12-30 Published:2021-01-05
  • Contact: Prof. Chen Xiao,Ph.D,Doctor's Supervisior.Shanghai University of Traditional Chinese Medicine. No.1200 Cailun Road, Pudong District,Shanghai 201203. E-mail:chenxiao2121@126.com
  • Supported by:
    Three-year Action Plan for Further Accelerating the Development of Traditional Chinese Medicine in Shanghai [No. ZY(2018-2020)-CCCX-2001-01], Traditional Chinese Medicine Inheritance and Scientific and Technological Innovation Project of Shanghai Municipal Health Commission (No. ZYCC2019001)

摘要: 心风,现代概念多与癫病等同。心风之说本身源自《黄帝内经》,属脏腑风病,其本质是脏虚感风而发,以恚恨恼怒、言语缓慢等精神情志变化为主症。经后世发展演变,心风向着神志病范畴变型与转化。基于心风神志病证特点,结合后世发展,推荐远志汤为治疗基础方。综合以上研究发现:第一,心风病证非一般意义上外感而发的风病,而是属于内因叠加外感而发的脏腑病;第二,心风作为神志病有其内在依据;第三,心风证治可启发现代神志病从风论治。

关键词: 黄帝内经, 心风, 神志病

Abstract: In modern concept, heart wind is often equivalent to depressive psychosis. The term, originating from Huangdi Neijing (Huangdi’s Internal Classic), referred to a wind disease of zang-fu organs. The disease was believed to be caused by deficiency in zang organs and exposure to pathogenic wind. Its main symptoms included mental and emotional changes such as anger, retardation in speech, etc. In later development, the connotation of heart wind changed and it fell more into the category of mental illness. Based on the characteristics of heart wind as a mental disorder and the development of its understanding in the later generations, Yuanzhi Tang (Thin-leaf Milkwort Root Decoction) is recommended to be the basic formula for its treatment. Through the above research, the following conclusions are reached. Firstly, heart-wind disease is not a wind disease caused by contraction of external pathogenic wind in its general sense, but a zang-fu disease caused by a combination of internal and external pathogenic factors. Secondly, it falls into the category of mental health disorders because of its internal basis. Thirdly, the pattern differentiation and treatment of heart wind may inspire modern treatment of mental and emotional disorders from the perspective of wind.

Key words: Huangdi Neijing, heart wind, mental disorder

中图分类号: 

  • R223.1+