中医心身医学——心身疾病的刚柔辩证PPT.ppt

第二个时代 ——东汉时期 The second stage--Eastern Han Dynasty (25AD-220AD) 三阴三阳的伤寒病六经辩证 ——经方派 伤寒论 第三个时代——金元时期The third stage-Jin and Yuan Dynasty (1115AD-1368AD) 刘完素 张子和 李东垣 朱丹溪 寒凉 攻下 补土 滋阴 金元四大家 第四个时代——清代The fourth stage-Qing Dynasty (1644-1911AD) 叶天士 吴鞠通 等 温病卫气营血辩证和三焦辩证 温热论 The fifth stage-Psychosomatic Medicine 心身医学的时代 第五个时代 2、心身疾病的中医病因病机研究 (2) Research on Etiology and Pathogenesis of TCM psychosomatic medicine “形神合一论”“天人合一论”“脏腑相关论”“阴阳五行学说”。“The theory on combination of physique and mentality into one”, “the theory on correspondence between man and universe”, “the theory on relations between zang and fu” and “the theory on yin-yang and five elements” Neijing (Internal Classic) “主明则下安……，主不明则十二官危，使道闭塞不通，形乃大伤”“悲哀愁忧则心动，心动则五脏六腑皆摇”“精神内伤，身必败亡” 精辟地阐述了心理对生理的影响..“Mentality in order makes physique healthy … Mentality in disorder makes twelve organs sick, tracts obstructed and physique seriously damaged.” “Sadness and depression make the heart disturbed, affecting all internal organs.” Neijing “人之有生也，有阴有阳，有短有长，有柔有刚”。中医的心理生理具有阴阳刚柔对立统一的特点,归纳为“中医刚柔心身论”(刚柔心理生理学说)。 “People by birth have yin and yang, short and long, flexibilityandrigidity.”Therefore,TCM psychophysiology is characterized by the unity of opposites between yin and yang and between flexibility and rigidity. The authors sum it up as “the flexible-rigid theory on TCM psychosomatic medicine” (the flexible-rigid doctrine on psychophysiology). 关于病因《内经》的正(内因)，邪(外因)学说与现代心身医学认识一致。内因有先天禀赋、气质、体质。外因有七情、六淫和饮食劳逸等。是心理、社会、生物、生活方式、行为等各种应激因素。 Neijing is identical to modern psychosomatic medicine in the theory on internalandexternalfactors.Internalfactorsincludecongenitalendowment,temperament and physique. External factors include seven emotions, six climatic conditions,diet, labor and rest. 调查内因可以找出心理素质和生理素质的虚弱所在，即正气虚的表现。调查外因则可找出心理、社会、生物、行为诸种致病因素，即邪气实的表现。 Investigation into internal factors can find what are feeble in psychological and ph