摘要
中医学蕴含的“中和”理论是对人、自然、社会之间对立统一与动态平衡关系的阐释,认为“失中”为病,注重调阴阳、和五行以达“中”。基于“中和”理论,从圜道时中、空间中土、神志和中三个方面对抑郁症进行论述,认为阴阳的自和稳态性、脏腑的系统关联性与气机的恒动性被打破为致郁根本,土气主“化”、土气主“平”的功能失常为致郁的重要条件,情志“失和”累及脏腑是致郁的直接因素,脾胃功能的失调与上述病机密切相关。治疗上,以“执中”为法度,以和为期,注重调理脾胃功用贯彻始终,和气血以养神志,和脏腑以安神志,和时气以调神志,最终使机体阴阳“中和”而神志安和。
The theory of“harmony”in traditional Chinese medicine explains the relationship of unity of opposites and dynamic balance among human beings,nature and society.It holds that“loss of balance”leads to diseases and emphasizes regulating yin and yang and harmonizing five elements to achieve the“balance”.Based on the theory of“harmony”,this paper discussed depression from three aspects:Huandao Shizhong,the central position of earth in space,and the harmony of mind and spirit.It is believed that the disruption of the self-harmony and stability of yin and yang,the systemic connection of zang-fu organs,and the constant movement of qi are the fundamental causes of depression.The dysfunction of earth qi governing“transformation”and“balance”is an important condition for causing depression.The“disharmony”of emotions affecting zang-fu organs is the direct factor causing depression.It is believed that the dysfunction of spleen and stomach is closely related to the above pathogenesis.In terms of treatment,the principle of“grasping the balance”is followed,with harmony as the goal.It emphasizes regulating the function of spleen and stomach throughout the treatment,harmonizing qi and blood to nourish mind,harmonizing zang-fu organs to calm mind,and harmonizing the seasonal qi to regulate mind.Ultimately,this leads to the“harmony”of yin and yang in the body and a peaceful state of mind.
作者
张晶
房振兴
胡安鑫
努尔买买提·木依丁
ZHANG Jing;FANG Zhenxing;HU Anxin;Nurmamat Muydin(Gansu University of Chinese Medicine,Lanzhou 730030,China)
出处
《山东中医药大学学报》
2025年第4期436-440,445,共6页
Journal of Shandong University of Traditional Chinese Medicine
基金
甘肃省自然科学基金项目(编号:301/30140406)。
关键词
“中和”理论
抑郁症
圜道时中
中土五行
和气血
和脏腑
和时气
theory of“harmony”
depression
Huandao Shizhong
central earth of five elements
harmonizing qi and blood
harmonizing zang-fu organs
harmonizing seasonal qi
