基于心理场理论探讨医患双方心理因素对针刺得气的影响  

Influence of Psychological Factors of Both Doctors and Patients on Acupuncture Deqi Based on Psychological Field Theory

作　　者：何坤泽 刘步平 王忠升[1] 洪学勤 HE Kunze;LIU Buping;WANG Zhongsheng;HONG Xueqin(Clinical Medical College of Acupuncture Moxibustion and Rehabilitation,Guangzhou University of Chinese Medicine,Guangzhou Guangdong China 510403;School of Public Health and Management,Guangzhou University of Chinese Medicine,Guangzhou Guangdong China 511400)

机构地区：[1]广州中医药大学针灸康复临床医学院,广东广州510403 [2]广州中医药大学公共卫生与管理学院,广东广州511400

出　　处：《中医学报》2024年第1期44-48,共5页Acta Chinese Medicine

摘　　要：心理场理论由德国著名心理学家勒温提出,根据该理论,人的心理活动是在一种心理场或生活空间里发生的,生活空间就是个体行为表象的背后,决定该行为的内在动力的力量,包括个人环境及心理环境。结合心理场理论来看,医患双方在针刺过程中均处于自身与对方的心理场之中,在针刺时得气的反应与表现,亦会受到自身心理因素与周围人际互动环境的影响。从患者角度来说,信任医者,情绪平稳,意志坚定者,其则处于正向积极的心理场中,易诱发正向的人际互动,针刺时能全神贯注地配合针刺,给医者及时、准确的针刺反馈,使医者能更好地调整针刺补泻等操作,使患者得气;从医者角度来看,医者认知水平高,知识渊博,操作熟练,医德医风好,心境平和,针刺时属意患者,亦能良好地诱发与患者的正向人际互动,使患者能更好地放松身心,接受治疗,意守经气。于此则能医患二心相感,产生神应,取得最好的疗效。The psychological field theory was proposed by the famous German psychologist Lewin.According to this theory,human psychological activities occur in a psychological field or living space,which is the power behind the appearance of individual behavior and determines the internal motivation of the behavior,including personal environment and psychological environment.From the perspective of psychological field theory,both doctors and patients are in the psychological field between themselves and the other party during the acupuncture process.The reaction and expression of Qi during acupuncture are also influenced by their own psychological factors and the surrounding interpersonal interaction environment.From the perspective of patients,those who trust doctors,have stable emotions,and firm willpower are in a positive and positive psychological field,which can easily induce positive interpersonal interaction.During acupuncture,they can fully concentrate on cooperating with acupuncture,providing timely and accurate acupuncture feedback to doctors,enabling them to better regulate acupuncture,tonifying,and reducing pain,and enabling patients to De Qi;From the perspective of doctors,they have a high level of cognitive ability,profound knowledge,proficient operation,good medical ethics,and a peaceful mood.Acupuncture is beneficial to the patient and can also effectively induce positive interpersonal interaction with the patient,enabling them to better relax their body and mind,receive treatment,and maintain their meridian Qi.In this way,it can heal the patient′s sense of empathy,generate divine response,and achieve the best therapeutic effect.

关 键 词：心理场理论 针刺得气 心理因素 医者 患者 

分 类 号：R246[医药卫生—针灸推拿学]