“独语”源流考  

Origin and development of'soliloquy'

作　　者：陈一凡 杨东方 CHEN Yifan;YANG Dongfang(Chinese Classics College of Beijing University of Chinese Medicine,Beijing 102488,China)

机构地区：[1]北京中医药大学国学院,北京102488

出　　处：《中华中医药杂志》2024年第7期3768-3773,共6页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家社会科学基金后期资助项目(No.22FTQB012);中央高校基本科研业务费专项资助“揭榜挂帅”重点项目(No.2023-JYB-JBZD-064)。

摘　　要：当今中医诊断学中“独语”的概念由多部古医籍中的论述整合而成,历代医家对其归属或独立于谵语、郑声等其他语言异常及其属于阴证或阳证有不同认识。其中,阴证并不局限于现代所述心气虚弱、气郁痰阻,尚有中气虚、心阳虚、脾阳虚等分别;阳证则有热轻、热甚的程度差异,应结合兼症加以区分。“独语”除多见于癫病、郁病外,外感热病、狂病、产后病等各类疾病中亦可见之,针对不同病机,有补心安神、温通心阳、补中益气、化痰祛瘀、清心泻火、通腑泄热、芳香避秽等治法,当随证而治之。因此,对“独语”一词的梳理,有助于临床相关疾病的诊治,也可为中医闻诊教学内容的完善提供文献支持。The concept of'soliloquy'in modern diagnostics of traditional Chinese medicine(TCM)can be integrated from ancient medical books.Doctors in previous dynasties had different understanding of its attribution or independence from delirium,Zhengsheng and other language abnormalities,as well as its belonging to yin syndrome or yang syndrome.Yin syndrome was not limited to the weakness of heart qi,depression of qi and phlegm resistance described in modern textbooks,but also manifested as deficiency of middle-jiao qi,heart yang,or spleen yang,and so on.Yang syndrome also ranged from mild heat to severe heat,which should be differentiated according to the concurrent symptoms.In addition to epilepsy and depression,soliloquy'can also be seen in various diseases such as exogenous febrile disease,maniac disease and postpartum disease.For different pathogenesis,there are also therapies such as tonifying the heart and calming the nerves,warming heart yang,tonifying middle-jiao and qi,removing phlegm and blood stasis,clearing the heart and heat,purging fu and relieving heat,and aroma and avoiding filth,which should be treated according to the syndrome.Therefore,the research of'soliloquy'is conducive to the diagnosis and treatment of related diseases,and can also provide literature support for the improvement of the teaching content of TCM auscultation.

关 键 词：独语 闻诊 术语 源流 中医诊断学 文献研究 

分 类 号：R241[医药卫生—中医诊断学]