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从形神同调探析《伤寒杂病论》心悸证治规律
引用本文:侯承志,王婷婷,胡木,程晓振,冯玲. 从形神同调探析《伤寒杂病论》心悸证治规律[J]. 中医学报, 2022, 37(2): 227-230. DOI: 10.16368/j.issn.1674-8999.2022.02.041
作者姓名:侯承志  王婷婷  胡木  程晓振  冯玲
作者单位:北京中医药大学,北京100029;中国中医科学院广安门医院,北京100053;中国中医科学院广安门医院,北京100053
基金项目:国家重点研发计划项目(2019YFC1708404);国家自然基金委员会资助项目(81774128);国家中医药管理局京津冀中医药协同发展项目(GZY-GCS-2017-0)。
摘    要:心主血脉、主藏神,为形神并重之脏.《伤寒杂病论》中关于心悸的证治体现了形神同调的思想.从调形的角度而言,仲景以调形为先,将心悸的主要病理因素归为水饮和痰浊,治疗上以蠲饮涤痰为法,形和则神昌;从调神的角度而言,仲景以调神为上,善用桂枝配甘草以辛甘化阳、养心安神,因其既可平冲悸以调神,亦可通血脉以调形,神安则形全.从形神同...

关 键 词:心悸  形神同调  证治  《伤寒杂病论》  张仲景

Discussion on Law of Treatment of Heart Palpitation in Shang Han Za Bing Lun from Perspective of Simultaneous Regulation of Body and Mind
HOU Chengzhi,WANG Tingting,HU Mu,CHENG Xiaozhen,FENG Ling. Discussion on Law of Treatment of Heart Palpitation in Shang Han Za Bing Lun from Perspective of Simultaneous Regulation of Body and Mind[J]. ACTA CHINESE MEDICINE, 2022, 37(2): 227-230. DOI: 10.16368/j.issn.1674-8999.2022.02.041
Authors:HOU Chengzhi  WANG Tingting  HU Mu  CHENG Xiaozhen  FENG Ling
Affiliation:(Beijing University of Chinese Medicine,Beijing China 100029;Guang'anmen Hospital Affliated to China Academy of Chinese Medical Sciences,Beijing China 100053)
Abstract:The Heart governs Blood and the spirit.It is the Zang that is related to body and mind.The treatment of heart palpitations in Shang Han Za Bing Lun embodies the idea of Simultaneous regulation of the body and mind.From the perspective of regulating body, which Zhongjing put first, the main pathological factors of heart palpitations was classified as Water-rheum and Phlegm, and treating with Water-rheum eliminating and Phlegm clearing method, which is based on the idea that form harmony leads to spirit prosperity.From the perspective of regulating the mind, which Zhongjing put as the better and more important method.Zhang Zhongjing made good use of Guizhi(cinnamon sticks) and Gancao(licorice) to activate Yang with spicy and sweet tastes of the drugs, to nourish Heart and calm the mind, because it can calm the palpitations to regulate the mind and can also activate the blood to regulate the form.The clam spirit would lead to the health of form.The thoughts of preventing diseases in Shang Han Za Bing Lun is fully embodied by regulating of the body and mind simultaneously.
Keywords:Heart palpitations  regulation of the body and mind  syndrome and treatment  Shang Han Za Bing Lun  Zhang Zhongjing
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