《儒门事亲》中张子和对“辨证行为疗法”的应用初探  

Preliminary exploration of the application effect of Zhang Zihe's dialectical behavior therapy in Rumen Shi Qin

作　　者：张钰 张兴海 付利婷 胡英华[2] ZHANG Yu;ZHANG Xinghai;FU Liting;HU Yinghua(School of Marxism,Changchun University of Chinese Medicine,Changchun 130117,China;School of Acupuncture and Moxibustion and Massage,Changchun University of Chinese Medicine,Changchun 130117,China)

机构地区：[1]长春中医药大学马克思主义学院,长春130117 [2]长春中医药大学针灸推拿学院,长春130117

出　　处：《长春中医药大学学报》2023年第12期1299-1302,共4页Journal of Changchun University of Chinese Medicine

基　　金：国家社科基金(19BKS142);吉林省教育科学“十四五”规划2023年度重点课题(ZD23063)。

摘　　要：金元时期,中医大家张子和深受《黄帝内经》“天人合一”“形神合一”的整体医学思想影响,对情志因素的病因病机理论有独到创见。《儒门事亲》是张子和医学思想的具体体现,在医案中多处灵活使用习以平惊、情志相胜等心理治疗方法。“辨证行为疗法”是现代心理学以不适行为作为切入点,辨治个体因内外环境刺激所产生的失衡反应引起的心理疾病,对于治疗抑郁、焦虑、创伤后应激障碍具有很好的疗效。现对《儒门事亲》中有关“辨证行为疗法”医案进行分析,并总结其与现代心理学“辨证行为疗法”的异同之处,以期为中医心理文化现实应用提供新思路。During the Jin and Yuan dynasties,Zhang Zihe,a master of traditional Chinese medicine,was deeply influenced by the overall medical ideology of"unity of man with Heaven"and"spirit-body combination"in the Yellow Emperor's Internal Classic,and had unique insights into the theory of the etiology and pathogenesis of emotional factors."Rumen Shi Qin"is a concrete manifestation of Zhang Zihe's medical thinking,and in many medical cases,he flexibly used psychological treatment methods,such as habituating patients to harmful stimuli and making them no longer sensitive to them,and emotion interresistance."Dialectical behavior therapy"is a modern psychology approach that uses uncomfortable behavior as a starting point to differentiate and treat individual psychological disorders caused by imbalanced responses to internal and external environmental stimuli.It has a good therapeutic effect on treating depression,anxiety,and posttraumatic stress disorder.This article analyzes the medical cases related to"dialectical behavior therapy"in"Rumen Shi Qin"and summarizes its similarities and differences with modern psychology"dialectical behavior therapy",in order to provide new ideas for the practical application of traditional Chinese medicine psychological culture.

关 键 词：张子和 “辨证行为疗法” 儒门事亲 行为 情志 

分 类 号：R229[医药卫生—中医基础理论]