基于《黄帝内经》对中医心身疾病病因模型的构建  

The Construction of Traditional Chinese Medicine Etiology Model of Psychosomatic Diseases Based on Huang Di Nei Jing

作　　者：卢静[1,2] 周静珠 朱伟坚[1] 高岑 陈莹[2] 张朝晖[1] 唐金海 LU Jing;ZHOU Jing-zhu;ZHU Wei-jian(Department of Acupuncture,The First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院针灸科,江苏南京210029 [2]南京中医药大学第一临床医学院,江苏南京210023 [3]南京医科大学第一附属医院普外科,江苏南京210029

出　　处：《医学与哲学》2022年第12期63-68,共6页Medicine and Philosophy

基　　金：2018年国家自然科学基金项目(81872365);2019年江苏省社会发展“临床前沿技术”重点项目(BE2019731);2019年第三批江苏省名老中医药专家仲远明学术传承工作室建设项目[苏中医科教(2019)10号]。

摘　　要：在分析恩格尔生物心理社会医学模型与认知心理学模型、心身医学模型之间关系的基础上,结合《黄帝内经》对心身疾病的论述,构建了中医学心身医学和心身疾病模型,以及包括先天失衡、生活不节、外邪入脏、天地运气、社会因素、情志不节六大病因在内的中医学心身疾病病因模型,并对每一种病因从中医学以及传统文化角度进行了针对性分析,同时比较了中、西医心身疾病病因的异同,为后期临床使用中药、针灸等传统方法破解心身疾病病因以治疗心身疾病提供了初步思路。Based on the analysis of the relationship among Engel’s biopsychosocial medical model, cognitive psychological model and psychosomatic medical model, this paper constructed the psychosomatic medicine and psychosomatic disease models of Traditional Chinese Medicine(TCM) by combining the discussion of psychosomatic diseases in Huang Di Nei Jing, and constructed the etiological model of psychosomatic diseases in TCM, including excess or deficiency of Qi and blood in Zang-Fu congenitally, irregular life, external pathogenic factors into Zang-Fu, five elements’ motion and six kinds of natural factors, social factors, emotional disorder, and analyzed each cause from the perspective of TCM and traditional culture, and compared the similarities and differences between the causes of psychosomatic diseases in Chinese and Western medicine. This paper provides a preliminary idea for treating psychosomatic diseases by using traditional methods such as TCM and acupuncture.

关 键 词：《黄帝内经》 生物心理社会医学模型 心身疾病 病因 

分 类 号：R2-03[医药卫生—中医学]