试述金元四大家对《黄帝内经》狂病理论的继承发展  

Discussion on the Inheritance and Development of the Theory of Madness in Huang Di Nei Jing by the Four Great Masters of Jin Yuan

作　　者：徐英杰 李林美 于双嘉 朱鹏举[1] 谷峰[1] XU Yingjie;LI Linmei;YU Shuangjia;ZHU Pengju;GU Feng(Liaoning University of Chinese Medical,Shenyang 110032,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110032

出　　处：《陕西中医药大学学报》2025年第2期49-52,共4页Journal of Shaanxi University of Chinese Medicine

基　　金：“十三五”中医药科技创新专项计划(KJS-ZHYC-2020-010)

摘　　要：金元时期是中国医学知识体系发展和转变的关键时期。刘完素、张从正、李东垣、朱丹溪在继承《内经》狂病理论的基础上各所发挥,提出了新的见解。刘完素论狂病以火热立论,主张以辛苦寒治之,退热散郁;张从正则明确指出病位在阳明胃,运用汗吐下法治疗,还进一步发扬了以情胜情的心理疗法;李东垣强调情志化火,损伤元气,阴火又影响情志,形成恶性循环;朱丹溪取法河间学派,更创从痰论治。这些创新值得参考和学习。Jin-Yuan period was a critical period in the development and transformation of the Chinese medical knowledge system.LIU Wansu,ZHANG Congzheng,LI Dongyuan,and ZHU Danxi,on the basis of their inheritance of the theory of madness from Neijing,each played a different role and put forward new insights.LIU Wansu discussed the theory of madness with fire and heat,and advocated to treat it with hard and cold to dispel heat and depression;ZHANG Congzheng clearly pointed out that the disease was located in the stomach of Yangming,and used the method of sweating,vomiting and lowering to treat the disease,and further developed the psychotherapy of overcoming the feelings with feelings;LI Dongyuan emphasized that the fire of feelings and wills would damage the vital energy,and the fire of Yin and affects the feelings and wills,which would form the vicious circle;ZHU Danxi took the method of the school of Hejian,and created a new theory of treating the disease from the phlegm.These innovations are worthy of reference and study.

关 键 词：黄帝内经 癫狂篇 狂病 金元四大家 刘完素 张从正 李东垣 朱丹溪 

分 类 号：R277.7[医药卫生—中医学]