基于因果链理论的百合病发生发展演变规律及证治探析  

Exploring the Evolutionary Pattern and Treatment of Lily Disease Based on the Causal Chain Theory

作　　者：周昀璐 李荣群[1] 金越 沈祥峰[1] ZHOU Yunlu;LI Rongqun;JIN Yue(Zhejiang Chinese Medical University,Hangzhou(310053),China)

机构地区：[1]浙江中医药大学,杭州310053

出　　处：《浙江中医药大学学报》2024年第11期1377-1383,共7页Journal of Zhejiang Chinese Medical University

基　　金：第五批全国中医临床优秀人才研修项目(国中医药人教函[2022]239号);浙江省自然科学基金探索项目(LTGY24H270003);国家自然科学基金面上项目(81673863)。

摘　　要：[目的]基于因果链理论探讨百合病发生发展的演变规律及治疗思路。[方法]运用因果链分析方式梳理百合病的条件原因、根本原因,追溯百合病的直接原因,并总结相应的治则治法,列举临床验案一则加以佐证。[结果]通过构建百合病的因果链条,捋清了百合病发展中的演变规律,分析出因果关系。百合病条件原因为余邪未尽与情志不遂;心肺阴虚内热是根本原因,是百合病发生的关键因素;在此基础上,心肺进一步受损引起“心失神,肺失魄”的病变直接导致情志、行为、感觉三大方面的异常,最终发展为百合病。因此,“心失神,肺失魄”是百合病的直接原因。并且本病的直接原因与根本原因可形成反馈链,相互作用影响。针对直接原因提出百合病治则为心肺同调、安神定魄。所附医案辨证属于心肺阴虚内热、神魄失司证,治法为滋阴清热、养心润肺、安神定魄,取得较好疗效。[结论]心肺神魄失司是百合病的直接原因。运用因果链分析百合病,能够聚焦本质,指导临床更加全面、直观、立体地认识百合病,为临床诊疗提供新的思路和方法,以提高精准辨治能力。因果链现代思维的运用也有助于中医学科思维模式的创新与发展。[Objective]To explore the evolution law and treatment ideas of lily disease based on causal chain theory.[Methods]The causal chain analysis method is used to sort out the conditional and root causes of lily disease,trace the direct causes of lily disease,summarize the corresponding treatment principles and methods,and it lists a clinical case to prove it.[Results]By constructing the causal chain of lily disease,the evolution law in the development of lily disease is clarified and the causal relationship is analyzed.The cause of the condition of lily disease is the remaining evil and the failure of emotion;heart and lung Yin deficiency and internal heat are the root cause and the key factor in the occurrence of lily disease;on this basis,the further damage of the heart and lung causes the lesion of“heart loss of mind,lung losing soul”which directly leads to the abnormality of emotion,behavior and sensation,and finally develops into lily disease.Therefore,“heart loss of mind,lung losing soul”is the direct cause of lily disease.The direct cause and root cause of the disease can form a feedback chain and interact with each other.In view of the direct cause,it is proposed that the treatment of lily disease is regulating heart and lung together,and calming the spirit.The syndrome differentiation of the attached medical records belonged to the syndrome of heart and lung Yin deficiency and internal heat,and the spirit was out of control.The treatment was nourishing the heart and moistening the lung,nourishing Yin and clearing heat,calming the nerves and calming the soul,with good effect.[Conclusion]Heart and lung spirit loss is the direct cause of this disease.The analysis of lily disease by causal chain can focus on the essence,guide the clinical understanding of lily disease in a more comprehensive,intuitive and three-dimensional way,and provide new ideas and methods for clinical diagnosis and treatment,so as to improve the ability of accurate diagnosis and treatment.The application of modern thinking of the ca

关 键 词：百合病 《金匮要略》 因果链 心失神 肺失魄 安神定魄 

分 类 号：R395[哲学宗教—心理学]