情志相胜法在抑郁症临床应用中的思考  

Thinking of Emotional Counterbalance Therapy in Depression Clinical Experience

作　　者：许芳[1] 李侠[1] 

机构地区：[1]北京中医药大学第三附属医院,北京100029

出　　处：《浙江中医药大学学报》2015年第2期95-97,共3页Journal of Zhejiang Chinese Medical University

摘　　要：[目的]探究情志相胜法中"喜胜悲"和"思胜恐"在抑郁症临证中的应用。[方法]通过参阅古籍结合现代研究,阐述情志相胜法的概念;以抑郁症为例,从"悲""恐"这两个情志因素与其发病的关系为切入点,探讨情志相胜法中的"喜胜悲"和"思胜恐"在抑郁症临证中的应用。[结果]情志相胜疗法是根据五行相克的理论,利用一种或多种情绪去调节、控制、克服另一种或多种不良情绪的心理疗法。抑郁症属于中医"郁病"范畴中的情志之郁,其中,"悲""恐"是抑郁症患者临床中最常见的主诉。"悲伤肺""恐伤肾",肺、肾与抑郁的病因病机、症状表现等密切相关,体现了肺、肾在抑郁症治疗中不可或缺的地位。通过情志相胜法,如喜胜悲疗法、思胜恐疗法等在治疗抑郁症疗效显著。同时,结合轻松愉悦的心境、积极开导助其思考亦是治疗情绪低落、悲观失望的良药。[结论]根据五行相克的理论,利用情志之间和情志与五脏之间相互影响、相互制约的关系,来调节失常的情志活动,使其恢复到正常的平衡,是一种治疗情绪疾病行之有效的心理治疗方法。临证当依照不同情况或单用或结合中药治疗,才能收到更好的治疗效果。[Objective] To study emotional counterbalance therapy which is used in depression treatment,it plays an important role in the treatment of emotional disorders. [Method] With the research methods of taking depression for example,through the ＂sad＂, ＂fear＂ of these two emotional factors to explore the pathogenesis of depression,and analyze＂happiness restrains sadness＂ and＂thought restrains fear＂in the emotional counterbalance therapy,which are used in the depression clinical application.[Result]Emotional counterbalance uses one or more of the emotions to regulate,control,overcome the other one or more negative emotions,which based on the restriction among the five elements theory is a kind of psychological therapy. ＂Sad＂ and ＂fear＂ are the most common chief complaints in depression which belong to the emotional depression in ＂depression disease＂ of Chinese medicine. On the basis of ＂sad doing harm to the lungs＂and ＂dread doing harm to the kidneys＂,lung,kidney and depression etiology,pathogenesis,symptoms are closely related. This reflects the lung,kidney play an indispensable role in the treatment of depression. It has significant curative effects to apply the theory of emotion counterbalance,such as happiness restrains sadness,thought restrains fear to cure diseases. At the same time,with a relaxed and pleasant mood,actively guiding to help thinking is also the treatment of depression,pessimistic disappointment medicine.[Conclusion] According to the restriction among five elements theory,to use the relation and restriction between emotion and five zang-organs to regulate emotional disorders can restore to the normal balance,which is an effective psychological treatment for emotional disorders.The therapy should be used alone or combined with traditional Chinese medicine treatment in different situations to relive the treatment effect.

关 键 词：情志相胜法 抑郁症 喜胜悲 思胜恐 情志病 五行相克 

分 类 号：R395[哲学宗教—心理学]