从形神一体观到心身医学:针灸临床的理论与实践  

From the body-mind holism to psychosomatic medicine:theory and practice of acupuncture and moxibustion

作　　者：王舢泽 杨超[2] 田鸿芳[3] 杜世豪 符文彬[1,5,6] 赵吉平 WANG Shan-ze;YANG Chao;TIAN Hong-fang;DU Shi-hao;FU Wen-bin;ZHAO Ji-ping(Second Clinical Medical College of Guangzhou University of CM,Guangzhou 510120,Guangdong Province,China;Department of Acupuncture and Moxibustion,Dongzhimen Hospital Affiliated to Beijing University of CM,Beijing 100700;Department of Acupuncture-Moxibustion and Tuina,Third Affiliated Hospital of Zhejiang Chinese Medical University;Institute of Acupuncture and Moxibustion,Chinese Academy of Chinese Medical Sciences;Fu Wen-bin's Guangdong Famous TCM Inheritance Studio;Situ Ling Inheritance Studio of Lingnan Acupuncture School)

机构地区：[1]广州中医药大学第二临床医学院,广东广州510120 [2]北京中医药大学东直门医院针灸科,北京100700 [3]浙江中医药大学附属第三医院针灸推拿科 [4]中国中医科学院针灸研究所 [5]符文彬广东省名中医传承工作室 [6]岭南司徒铃针灸流派传承工作室

出　　处：《中国针灸》2023年第4期390-394,共5页Chinese Acupuncture & Moxibustion

基　　金：国家重点研发计划资助项目:2019YFC1712203;广东省中医院博士后科研专项:10819。

摘　　要：中医学传统的"形神一体"生命观,在现代心身医学的发展下得到新的关注."形神一体观"对针灸临床实践具有直接的指导意义,但历代医家多停留在理论层面的讨论.本文主要从《黄帝内经》的认识出发,比较形神理论与心身医学的异同,结合临床观察,从形神病机、察神揣穴、形神治法3个方面论述"形神一体观"对针灸临床诊疗的指导,厘清了"形"与"神"在疾病、诊断、治法不同层面的指代对象,讨论了"形神一体观"视域下的针灸治疗策略.The traditional life concept of"body-mind holism"in Chinese medicine has drawn a special attention with the development of modern psychosomatic medicine.The"body-mind holism"is valuable in the guidance for clinical acupuncture practice,but,it is only remained on the theoretical significance by the medical masters in the past dynasties.In the paper,based on the understanding of Huangdi Neijing(Yellow Emperor's Internal Classic),the similarities and differences are compared between the body-mind theory and psychosomatic medicine.In association with clinical observation,from three aspects,i.e.body-mind pathogenesis,acupoint detection and observing the mind,and body-mind treatment,the guidance of"body-mind holism"is explored for the clinical diagnosis and treatment of acupuncture and moxibustion;the referents of"body"and"mind"are clarified in views of disease,diagnosis and treatment;and the treatment strategies of acupuncture and moxibustion are discussed in the perspective of"body-mind holism".

关 键 词：形神一体观 心身医学 治神 经络诊察 针灸 

分 类 号：R245[医药卫生—针灸推拿学]