“形神-五脏-六经”调气法针刺郁证

形神一体是人的基本特征,内则为神,外则为形,形神相倚密不可分。形神的联系建立在五脏藏神的基础上,脏气平和、不盛不虚是神志安而不乱的根本。此外,五脏与六经表里沟通,生理相因,病理相传,六经经气疏调才能保证五脏之气畅达。然人的七情过激、饮食不节或过于烦劳,会直接导致六经气机逆乱,日久必内传脏腑致脏气不调,引起神志不安,发生各种精神情志疾病。郁证是其中之一,其症状特点不仅涉及“神伤”,更包括诸多“形坏”,是形神共病的典型。其发病机制复杂,常涉及五脏失调、六经紊乱,临床诊治十分棘手。故在其治疗中应突出整体观,从形神一体、五脏协同、六经一气三个层面总体把握,利用针刺内调脏腑、外通经络的特殊作用,主取五脏背俞穴,直调五脏之气,又能通太阳经,同时取少阳经之外关,阳明经之合谷,厥阴经之太冲,少阴经之神门,太阴经之三阴交等各经调气安神之穴,则五脏六经皆顾。考虑其兼证、变证繁多,根深难拔,辅以膻中、百会、丰隆,强化全方理气化痰安神之功,实现形神并调。诸穴相配而刺,可使五脏六经之气机条畅,形与神俱,郁证自愈。

Participation in Mind-Body-Spirit Programs and Length of Stay in a Residential Addiction Treatment Facility: A Retrospective Analysis

Length of stay in treatment is thought to be the best predictors for long-term recovery from substance use disorders. The objective of this study was to examine the relationship between participation in mind-body-spirit (MBS) therapeutic programs and length of stay in a residential treatment facility. A retrospective analysis of data from 1719 subjects who were admitted to a 30-day residential program for substance use disorders (SUD) was conducted. Subjects participated in MBS programs that included yoga, acupuncture and meditation. We examined the effects of subject participation in MBS programs for subjects who left against staff advice (ASA) and those who successfully completed the residential program. A higher percentage of subjects with severe heroin use disorder left ASA compared with subjects with severe alcohol use disorder (16% vs. 9%, respectively). Most subjects from both substance groups who failed to complete the 30-day treatment program, left within the first two weeks of stay (59% of alcohol group and 75% of heroin group);however, again, the percentage of heroin users leaving during the first two weeks was significantly greater compared with that of alcohol subjects. We found a highly significant, positive correlation (r = 0.56, p < 0.01) and a statistically significant increase in LOS for all subjects, regardless of the substance type, and the number of MBS program sessions attended showing an association between MBS participation and increased LOS. These data support the inclusion of MBS programs as part of a comprehensive treatment strategy for SUD in combination with traditional counseling to help develop a sustainable long-term recovery.

早期辞赋中的身体治疾与山水观想研究--以《七发》为中心

早期辞赋中的山水的观看与想象和身体疾病的治愈、本能欲望的满足联系在一起。以枚乘《七发》为中心,对比宋玉《高唐赋》、汉初竹书《反淫》,在以治疾为目的的讲述和倾听中,山水广大、惊骇的美感,进入观看和想象,以观想的方式牵引着身体的微妙感受,绾合气血和精神的起伏变化,深深地铭刻在身体的记忆中,开启山水审美化的进程。

3D v_P and v_S models of southeastern margin of the Tibetan plateau from joint inversion of body-wave arrival times and surface-wave dispersion data

A new 3D velocity model of the crust and upper mantle in the southeastern （SE） margin of the Tibetan plateau was obtained by joint inversion of body- and sur- face-wave data. For the body-wave data, we used 7190 events recorded by 102 stations in the SE margin of the Tibetan plateau. The surface-wave data consist of Rayleigh wave phase velocity dispersion curves obtained from ambient noise cross-correlation analysis recorded by a dense array in the SE margin of the Tibetan plateau. The joint inversion clearly improves the Vs model because it is constrained by both data types. The results show that at around 10 km depth there are two low-velocity anomalies embedded within three high-velocity bodies along the Longmenshan fault system. These high-velocity bodies correspond well with the Precambrian massifs, and the two located to the northeast of 2013 Ms 7.0 Lushan earthquake are associated with high fault slip areas during the 2008 Wenchuan earthquake. The aftershock gap between 2013 Lushan earthquake and 2008 Wenchuan earthquake is associated with low-velocity anomalies, which also acts as a barrier zone for ruptures of two earthquakes. Generally large earthquakes （M 〉 5） in the region occurring from 2008 to 2015 are located around the high-velocity zones, indicating that they may act as asperities for these large earthquakes. Joint inversion results also clearly show that there exist low-velocity or weak zones in the mid-lower crust, which are not evenly distributed beneath the SE margin of Tibetan plateau.

“Focusing on Treating the Spirit(神)”in Acupuncture and Moxibustion:The Dialectical Unity of Regulating the Body and the Spirit

“Focusing on treating the spirit(神)”is an important principle in acupuncture and moxibustion.It is a unique psychosomatic therapy involving the doctor and the patient,which includes regulating the spirit and the body.Traditional Chinese medicine attaches great importance to it.Focusing on treating the spirit is also a component of the standards of medical ethics.Only when doctors have noble medical ethics can they achieve clinical treatment of the mind and give full play to their skills to cure diseases.Focusing on treating the spirit runs through the entire clinical process of acupuncture and moxibustion.Before the treatment,it is necessary to focus on the spirit to distinguish the spirit and qi.During the treatment,attention should be paid to the mind to regulate the spirit and qi.It is the premise of clinical diagnosis and treatment of acupuncture and moxibustion and the key to the curative effect.Focusing on treating the spirit is also in the realm of doctor-patient double treatment,which requires doctor-patient communication before treatment and the preservation of the body and spirit after treatment.Therefore,concentration of the mind is the key to acupuncture and moxibustion treatment.

Analysis of the Variations of Body Build of Middle-and Old-aged and Research on the Prototype

The characteristics of body build of middle - and old -aged women and its rule of variations as well as the basic sizes of various parts are discussed. All these are based on the body measurements of this age group, and also on the statistical studies of the measurement data. By setting the regression equation, the calculating formulae of various control parts are obtained, thus establishing the prototype of this age group for women.

Auto-measuring System of 3-Dimensional Human Body

To realize the automation of fashion industry measuring,designing and manufacturing, the auto-measurement of 3D size of human body is of great importance. The auto measurement system of 3D human body based on Charge Coupled Devices (CCD) and infrared sensors is presented in this paper. The system can measure the bare size of human body that excludes the effect of clothing quickly and accurately.

基于表观遗传-肿瘤微环境互作论肿瘤“形气神同病”

形气神同病是中医对疾病病机的高度概括,肿瘤亦不例外。表观遗传失控对生命活动及情志的影响揭示了神失所倚的生物学效应,肿瘤微环境的免疫抑制与代谢物堆积反映出气的功能异常,肿瘤的增殖进展体现形之改变。表观遗传异常调控及由此引起的肿瘤微环境改变致使肿瘤发生发展这一过程正是肿瘤“形气神同病”病理演进的微观映射。本文通过探析形气神同病的生物学内涵,提出基于“形气神同病”的肿瘤证治方法,以期为中医整体论治肿瘤的基础和临床研究提供新思路。

Series of Interpretation on Yellow Emperor’s Internal Classic (Ⅲ):Unity of Spirit and Body:Views from Huang Di Nei Jing (《黄帝内经》Yellow Emperor’s Internal Classic)

Human life activities are inevitably affected by the surrounding environment,such as natural and social environment.It is the basic principle of TCM to set a series of medical practice activities.TCM believes that the social environment has an inestimable influence on the mind and body of human beings.This study introduces the unity of spirit and body in traditional Chinese medicine.

3-Dimensional Body Measurement Technology

3 - dimensional body measurement technology, the basis of developing high technology in industry, accelerates digital development of aplparel industry. This paper briefly introduces the history of 3 - dimensional body measurement technology, and recounts the principle and primary structure of some types of 3 - dimensional automatic body measurement system. With this understanding, it discusses prospect of 3- dimensional CAD and virtual technology used in apparel industry.

历史禁锢下的人性突围--读叶弥长篇小说《风流图卷》

叶弥的长篇小说《风流图卷》以历史和人性作为叙事的思想内核,透过细腻的笔致,想象和书写出了一代人的心灵传记和精神史诗。文章试图从历史还原、人性突围、创作心理等方面呈现小说的内在价值,由此建立起进入历史的逻辑原点。对于小说的深度阐释不仅能有效还原和抵达某种历史真相,同时能够相对清晰地辨识出叶弥与同时代作家的历史观念和小说美学等方面的共振与差异。

智能革命对人性的深度拷问

当科学技术发展到影响人类行为的所有领域时,合乎伦理的技术发展和基于技术发展的伦理学研究就成为时代之需。因为智能机器的自主性、适应性和交互性带来了人类劳动或工作形态的大变革,突破了传统的制度安排和伦理规范的限度,提出了如何重新理解“自由”“劳动”“成功”等关乎人性的概念问题;基因编辑、脑机接口等技术的发展促进了人的身体技术化趋势,互联网、大数据、元宇宙、可穿戴设备等技术的发展导致了人的精神技术化趋势,提出了如何认知人的身体边界、精神愉悦、自我尊严、自我实现乃至生命意义等关乎人性的实践问题。对这些问题的回答,建立在对人性的深度拷问之基础上。这开启了“人,成之为人”的第二个过程,提出了必须平衡科技发展与人类价值保护,平衡技术的应用价值与社会责任的要求。这种情况表明,人类社会在从工业文明转向智能文明的过程,迫切需要重塑或营造有利于人的身心成长和生命意义提升的人文环境。

汉代盘鼓舞中的身体观探赜

盘鼓舞是我国汉代舞蹈中的一种类型,此舞不仅以高超的舞技流传千古,更以意蕴深长的表演境界震撼人心。汉代盘鼓舞精湛的舞蹈技艺背后,体现着我国传统道教所倡导的身体观。本文通过对汉代盘鼓舞动作技术以及表演的分析,窥探其中体现的身体技艺观。提出要练就此舞,舞人需要修炼“气炁技术”“反胴动律”的身体技术,从而达到“形神相守”的表演。

黄世敬教授基于“形神一体观”论治广泛性焦虑症的经验总结

本文总结黄世敬教授基于“形神一体观”论治广泛性焦虑症的诊疗经验。从“形神失和”角度总结广泛性焦虑症的病因病机,认为广泛性焦虑症患者具有一定发病基础,其情绪特点为过度思恐,思恐过度使脾、肾之脏神受扰,最终表现为精神性焦虑及一系列躯体化症状。广泛性焦虑症的药物治疗中调神与补形并重,并结合情志疗法,在诊疗过程中对患者进行宣教,强调情志调护的重要性。根据“形神同调”治则总结其常用药为丹琥宁神方,并举验案1则,以期为广泛性焦虑症的中医治疗提供新思路。

周亚滨基于“形神一体观”论治双心疾病经验

心血管系统疾病合并精神心理障碍被称为“双心疾病”。从中医学角度分析,双心疾病乃形神共病,血脉心体病变会影响心神的功能,同时心神受损也会影响心体病变的发生发展,二者生理相依,病理互损。周亚滨教授基于心脉受损、心神失养这一双心疾病的根本病机,从中医学的整体观念出发,提出当以综合调理形神为主要目标,立“形神同调”为基本法则治疗本病。治形重在扶正补虚、化瘀豁痰,调神重在育心安神、疏肝解郁,同时配合精神疏导、中医特色外治疗法,形神兼顾而并调,方达双心和合之佳效。

针灸治“神”理论在心身病中的应用

《黄帝内经》的形神观念对心身医学的研究具有重要的引领作用,其中“神”在心身病的发生发展中占有核心主导地位。通过探讨心身医学中“神”的重要性,阐释神与经络脏腑的关系和针灸调神在心身病中的关键角色。详述针灸治疗心身病的全过程,强调医患之间的神气互动和腧穴选择的重要性,达到针灸调神养形的治疗效果。以期为现代心身病的治疗提供新的视角和方法。

李东垣从形神论治眼病

眼科疾病是李东垣诊疗的特色病种之一,其治疗眼病注重形神同调,调形尤重调理脾胃,调神尤重潜降心火。在眼科用药中善于运用苦寒药配伍风药以清热泻火,运用甘温之品配伍甘凉质润及酸寒敛阴之品以养血益阴,运用益气健脾配伍升提清阳之品以调理脾胃,重视目与经脉的联系,细心洞察以知病变之经脉,调病变之经脉以疗目疾。除用药治疗外,李东垣还重视非药物疗法,强调宁心少语以调摄心神,充分体现了其形神同调治疗眼病的学术特色,对后世眼病治疗具有重要的借鉴意义。

运用“形神同调”理论探析功能性胃肠病症状重叠的诊治思路与方法

功能性胃肠病(functional gastrointestinal disorders,FGIDs)症状重叠现象在临床上非常普遍,其发生机制与“脑-肠互动障碍”密切相关,这与中医“形神失和”理论核心的内涵高度契合。“形神合一”作为中医整体观念的重要组成部分,认为形为神之舍,神依附形而存在,二者具有相互为用的特点。FGIDs病机以脾胃功能失调、神明失用为主。治疗方面当以形神同调为基本原则,辨证选方用药,为FGIDs症状重叠患者的临床诊疗提供了新思路。

从ICD-10分析“亚健康”

通过对ICD-10中涉及亚健康的相关类目分析,阐述了亚健康的概念范畴、相关症状表现、相关因素以及防范和纠正,尤其详细论述了亚健康的重点——疲劳状态。"亚健康",本质上主要是一类心身失调,其防范或纠正,不能只依赖药物、食物等生物学手段,而应更多地借助认知疗法、心理调整、行为纠治等非生物学手段。此外,笔者还创新性的提出:在未来的《ICD》中专列亚健康类目的构想。

基于“形气神一体观”探讨斑秃的诊疗思路

形气神一体观是中医整体观念的表现,也是中医独特地从物质形态、能量功能、精神思维三个层面探索人体的认知体系。斑秃作为临床常见的心身疾病,从形、气、神的视角出发,认为该病的发生与形质病变、气化失常、神志异常有关。“形质病变”是斑秃最突出的外在表现,脱发或被毛区的毛发损伤均可归于不同程度的“形变”,而该类“形变”的微观基础是玄府的病理变化,故“玄府形变”为斑秃发生的病理基础;“气化失常”是斑秃发生的中心环节,包括先后天脏腑虚衰和人体气机失常;神志异常古称“神不使”,贯穿于疾病的始终,是斑秃发生的关键因素。因此,斑秃的发生发展多由形、气、神三个层次的结构功能紊乱所致。本文从形气神一体观来诊疗斑秃,并依此提出急以固形、缓以治气、统以调神的治疗原则,以期为临床治疗斑秃提供又一新的思路。