《金匮要略》情志病治法浅述

Comment Therapeutic Method on Emotional Disease in Jinkui Yaolue

目的:探讨《金匮要略》中情志病的一般治疗规律。方法:查阅并分析《金匮要略》中关于情志病的相关记载。结果:《金匮要略》中涉及到情志异常的条文有很多,有些是出现在杂病过程中的异常情志症状,有些则是由多种病因引起的以情志异常为主要表现的情志病,如百合病、虚劳虚烦不得眠、奔豚气、梅核气、脏躁等。《金匮要略》中明确提出的情志病应针对病因,辨证论治,提出了滋阴清热安神、平冲降逆、开郁降逆化痰、养心安神和中的治疗方法。结论:《金匮要略》中情志病的治疗规律对临床应用有一定的指导意义。

Objective：To explore general treatment rules on emotional disease in Jinkui Yaolue（ Synopsis of Golden Chamber）. Methods： Relevant records about Jinkui Yaolue were referred. Results ： There were many terms about emotional abnormality in Jinkui Yaolue. Some of them were abnormal emotion symptoms in the process of miscellaneous disease. But some of them were emotional disease showed as emotional abnormality which caused by different kinds of pathogenesis, for example, baihe disease, consumptive and virtual tired so as to insomnia, up-rushing gas syndrome, globus hysteriocus, zang zao,and so on. Jinkui Yaolue put forward definitely that emotional disease should be aimed at pathogeny, and syndrome differentiation and treatment. And it also proposed that the method of therapeutic was nourishing yin, clearing heat, and soothe nerues;balance rushing and descending adverse-rising;relieving gloomy, descending adverse-rising and reduce phlegm;nourishing heart, soothe nerves and strengthen spleen and stomach. Conclusion：Treatment rules on emotional disease in Jinkui Yaolue have certain guiding significance to modem clinical application.