中医中情志的重要性.docxVIP

[摘要] 情志是由“情”与“志”两种成分构成的综合体。情志郁结指突发而强烈、或长期持久的致病性情志。其特征为情境性、持久性、表现形式多样性、可意识或无意识、表里不一性、复合性、动力性、致气机紊乱。2010年3月~2011年3月收集门诊咨询病例108例，其情志障碍基本可以怒、悲忧、思、恐惊四类概括。怒郁结36例（33.3%）；忧悲郁结32例（29.6%）；恐郁结24例（22.2%）；思郁结10例（9.26%）；典型的复合性情志郁结6例（5.6%）。气机紊乱由情志郁结所致，包括躯体与精神两方面。脏腑功能气机紊乱具有连带性；气机知觉可反映心理事件真相；借助躯体知觉线索以牵动意识或潜意识中的情志郁结。情志顺势心理治疗步骤：首先是情志郁结表达，常用取象比类法、意象体动宣泄法、体感聚焦法；第二步处理认知障碍；第三步强化积极成分；第四步心身灵整合，常用推拿督脉，形意动作法进行善后处理。[关键词] 情志郁结，情志顺势心理治疗 Qing Zhi Stagnation and Qing Zhi Homeopathic PsychotherapyZHANG Bohua1, LIU Yuxi， SONG Jingjie, ZHANG DexiuShandong University of Traditional Chinese Medicine, Jinan 250355, China [Abstract] Qing zhi in TCM psychology is a complex of emotion and cognition. Qing zhi stagnation means a sudden, intense or long-lasting pathogenic qing zhi. Its features are nature of situation, persistence, diversity in manifestations, consciousness and unconsciousness, duplicity, multiplicity, motility, and vulnerability to disturbance of qi activity. 108 cases of a clinical psychotherapy center have been collected from March 2010 to March 2011. The disorders of qing zhi can basically be summarized in four types: anger, anxiety and sorrow, preoccupation, fear and fright. 36 cases（33.3%）had anger stagnation. 32 cases（29.6%）had anxiety and sorrow stagnation. 24 cases（22.2%）had fear and fright stagnation. 10 cases（9.26%）had preoccupation stagnation. 6 cases（5.6%）are typically complicated qing zhi stagnation.Disturbance of qi activity, due to qing zhi stagnation, consists of two aspects: body and mind. Disturbance of qi activity of zang-fu organs has joint characteristic. Perception of qi activity can reflect psychological truths. The clues to perception of the body help to trigger qing zhi stagnation in either consciousness or unconsciousness.Qing zhi homeopathic psychotherapy is performed in four steps: (1) Expression of qing zhi stagnation: Common methods include analogy by appearance method, cathartic method of body movement with imagery thinking, somatosensory focusing method.