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辨证论治在心理亚健康中的得失与改进思考 被引量:1

Advantages,Disadvantages and Improvement of Dialectical Treatment of Mental Sub-health
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摘要 总结了运用中医理论对心理亚健康中辨证论治的现状,归纳出在心身共调、方证相应、及早干预3角度的优势。指出在精神症状与辨证意义模糊、诊疗过程易受主观因素影响、证型命名欠缺针对性、心理干预存在欠缺4方面的局限性。提出改进建议:(1)借助现代心理学术语,探寻精神症状-辨证间联系;(2)发展微观辨证-体质辨识结合的辨证思路;(3)制定更具针对性的心理亚健康细化证型;(4)形成以辨病位-病性为主导的心理干预体系,以使中医辨证论治更好地运用于心理亚健康防治领域。 This article summarizes the status of dialectical treatment of mental sub-health, and generalizes the advantages in terms of co-treatment of mind and body, corresponding of prescriptions and syndromes, and early intervention.The limitations of uncertainty of mental symptoms and dialectical significance, diagnosis and treatment process susceptible to subjective factors, lack of targets in naming syndrome types, and lack of psychological intervention are pointed out.Suggestions for improvement:(1)Explore the relationship between mental symptoms and dialectics by quoting modern psychological terms.(2)Develop the dialectical ideas of combining micro syndrome differentiation and constitution identification.(3)Formulate more refined syndrome types for mental sub-health.(4)Form a psychological treatment system is guided by identification of the nature and position of diseases.In this way, dialectical treatment of TCM can be better applied in the field of mental sub-health.
作者 潘超然 周浩 王超 PAN Chaoran;ZHOU Hao;WANG Chao(College of Acupuncture and Massage,Chengdu University of Traditional Chinese Medicine,Chengdu Sichuan 610075,China;Sub-health Center,Sichuan Provincial Hospital of Integrated Traditional Chinese and Western Medicine,Chengdu Sichuan 610041,China)
出处 《四川中医》 2021年第7期17-21,共5页 Journal of Sichuan of Traditional Chinese Medicine
基金 四川省人力资源和社会保障厅项目“基于横断面调查亚健康态失眠患者的体质分型与穴位敏化的相关性研究” 四川省中医药管理局项目“中医临床治疗方案的数字化人机交互表达应用示范研究——亚健康态入睡延迟的个体化管理应用程序的开发研究”(编号:2018QN005)。
关键词 心理亚健康 辨证论治 精神症状 微观辨证 体质辨证 证型细化 心理干预 Mental sub-health Dialectical treatment Mental symptoms Micro syndrome differentiation Constitution identification Refinement of syndrome types Psychological intervention
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