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中医郁病理论的源流与发展 被引量:23

Origin and development of depression theory in traditional Chinese medicine
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摘要 郁证的含义有二:一为病机,指疾病过程中人体气血郁滞不畅的状态,为广义郁证;二为郁病,由情志不舒、气机郁滞所致的一类病证,为狭义郁证。金元之前,二者无明确之分,郁多指病机。明代以后,张景岳首次提出“因郁致病”,明确了狭义郁证。二者从相互渗透到层次分明,狭义郁证最终被定义为“郁病”。郁病的范畴广泛,包括多种情感性精神障碍,如焦虑症、抑郁症、神经衰弱、癔病、强迫症等。从秦汉时期至近现代,郁病逐渐形成了系统的理论体系。 There are two meanings of depression in traditional Chinese medicine(TCM):The first is pathogenesis,which refers to the state of stagnation of qi and blood in the human body during the disease process,which is a generalized depression syndrome;the second is depression disease,caused by emotional uneasiness and qi stagnation,which is the narrowsense depression syndrome.Before Jin and Yuan dynasties,there was no clear distinction between them,and depression often referred to the pathogenesis.After Ming dynasty,ZHANG Jing-yue first put forward‘the disease caused by depression’and defined the depression syndrome in a narrow sense.Generalized depression and narrow depression from infiltrate each other into distinct layers,and narrow depression is finally defined as‘depression’.From Qin and Han dynasties to modern times,the theory of depression in TCM has gradually formed a systematic theoretical system.
作者 王萌 周永学 WANG Meng;ZHOU Yong-xue(Traditional Chinese Medical College of North China University of Science and Technology,Tangshan 063210,China;Shaanxi University of Traditional Chinese Medicine,Xianyang 712046,China)
出处 《中华中医药杂志》 CAS CSCD 北大核心 2022年第4期1878-1881,共4页 China Journal of Traditional Chinese Medicine and Pharmacy
关键词 郁病 理论体系 源流 发展 Depression Theoretical system Origin Development
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