基于《黄帝内经》五行模式的情志相胜疗法探析

Emotions therapy Based on the Five Elements Model Illustrated in "Huangdi's Canon of Medicine"

情志相胜疗法是在中医理论指导下有意识地激起患者一种暂时的情志,去战胜、制止、克服另一种偏激的情志,使机体恢复平衡,从而达到治愈疾病目的的方法。情志相胜疗法是最具特色的中医心理治疗方法,其理论机制目前有"五行相胜说""阴阳互制说""缓急相对说""气机互调说"4种观点。其中五行相胜为其立论基础,阴阳互制、缓急相对作为补充,从根本上来讲,都是属于气机互调。临床中常见多种情志同时致病,一种情志可以伤及多个脏器,即所谓"五志互病"之说。治疗宜辨证论治,整体调整。因此临床治疗不仅仅是单纯的五行相胜、阴阳互制,还应根据实际情况,灵活运用情志相胜疗法。

Emotions therapy is carried out in a conscious patient by provoking a temporary emotion under the guidance of TCM theory to stop or to overcome the other extreme emotions and restore the balance to the body so as to achieve the purpose of healing disease. Emotions therapy is one of the most characteristic TCM psychotherapies,with four theoretical mechanism being ＂ Conquering among the Five Elements theory＂,＂ Mutual-conquering between Yin and Yang theory＂,＂ relativity of Urgency and Delay＂ and＂ Mutual-modulation of Qi mechanism. In clinical practices,there are often the cases that more than on kind of emotions leading to a certain disease or one kind of emotion injures more than one Zang-Fu organs. Therefore,the clinical treatment is not limited to any medical theory and should be carried out based on the actual situation by giving flexible Emotions therapies.