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论郁证的认知与调治——节选自国医大师孙光荣教授在“世界中医药联合会心身医学专业委员会第七届学术年会”上的讲话
孙光荣
0
(湖南省中医药研究院,湖南 长沙,410006;北京中医药大学,北京,100029)
摘要:
中医学之郁证,涵盖了现代医学之“抑郁症”。对该病的认知与调治,已成为心身医学高度重视和共同攻克的重大课题。国医大师孙光荣教授认为,中医心身医学认知郁证的源泉是“天人合一”观;而中医调治郁证必须遵循“形神合一”观。孙老认为,中医临床必须具备3个基本思维:四诊审证、审证求因的“求解思维”,求因明机、明机立法的“上升思维”,立法组方、组方用药的“决断思维”。因此,中医心身医学的医、护、药工作者,在郁证的调治过程中首先要注重以“神形”为主线,把握20个“天”“人”元素,运用“求解思维”“上升思维”进行心身疾病的辨证,并做到“五注重”,方可达到事半功倍的良好效果。
关键词:  郁证  天人合一  形神合一  认知  调治  孙光荣
DOI:
Understanding and recuperative medical care of depression syndrome:An excerpt from the speech of National Chinese Medicine Master Professor Sun Guangrong at The 7th Annual Conference of Specialty Committee of Psychosomatic Medicine,World Federation of Chinese Medicine Societies
SUN Guangrong
(Hunan Academy of Chinese Medicine,Changsha 410006,Hunan,China;Beijing University of Chinese Medicine,Beijing 100029,China)
Abstract:
Depression syndrome in traditional Chinese medicine (TCM) covers the disease of “depression” in modern medicine,and the understanding and recuperative medical care of depression syndrome has become an important subject to be taken seriously in the field of psychosomatic medicine.National Chinese Medicine Master Professor Sun Guangrong believes that the understanding of depression syndrome in TCM psychosomatic medicine originates from the concept of “harmony between the heaven and human”,and the recuperative medical care of depression syndrome should follow the concept of “unity of body and soul” in TCM.Professor Sun thinks that there are three basic ways of thinking in TCM clinical practice,i.e.,the “solution thinking” for the four diagnostic methods to observe symptoms and signs and differentiation of symptoms and signs to identify etiology,the “rising thinking” for determining etiology to clarify pathogenesis and establish treatment methods,and the “decisive thinking” for establishment of treatment methods to decide prescriptions and drug combinations.Therefore,physicians,nurses,and pharmacists involved in TCM psychosomatic medicine should pay attention to the concept of “body and soul” in the recuperative medical care of depression syndrome,master the twenty elements of the heaven and human,apply the “solution thinking” and the “rising thinking” for the syndrome differentiation of psychosomatic diseases,and emphasize the five important aspects,thereby yielding twice the result with half the effort.
Key words:  depression syndrome  harmony between the heaven and human  unity of body and soul  understanding  recuperative medical care  Sun Guangrong

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