浅析刘完素情志学术思想
DOI:
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R249

基金项目:

浙江省中医药重点学科建设项目(2024-XK-68)


Analysis of LIU Wansu's Academic Thoughts on Emotional Disorders
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    从情志概念、情志异常相关疾病的病因病机、情志致病特点、情志异常相关疾病的治疗、情志养 生6个方面浅析刘完素《素问玄机原病式》《素问病机气宜保命集》《黄帝素问宣明论方》中有关情志的学术思 想。刘完素对情志概念的认识包括七情和五志两个方面:七情是指喜、怒、哀、惧、爱、恶、欲(好),是人 与生俱来的;五志是指怒、喜、悲(忧)、思、恐,源于五脏气化,分属于五脏,怒归肝、喜归心、思归脾、 悲(忧) 归肺、恐归肾。在病因方面,刘完素认为情志异常及相关疾病与抚养失当、饮食药物、失治误治等有 关。在病机方面,刘完素认为情志异常及相关疾病多与火热有关,火热令肺燥则悲;心火热盛则喜极而笑,肾 水衰心火旺则失志羞惭且痒而为笑;心火热盛、内有积热、肾水衰心火旺而突然扰动心神则惊;肝气虚、肾水 亏虚肾失其志则恐;心火旺盛、水衰火旺则肝旺而怒;火旺水衰肾失其志则惑,胆虚、肝虚热则谋虑不决;心 火上炎、心膈有热、肝血不足、肾水亏心火旺则心神不安而烦;心热甚而多喜则癫,火旺制金不能平木,肝气 旺而多怒则狂。在情志致病特点方面,刘完素认为情志过度则劳伤本脏之精气,情志所伤而引发的病症多属火 热,情志所伤可导致气血失调。治疗方面,刘完素在治疗与怒相关的疾病时,以养阴、宁心、清肝、平肝为 主,兼以理气;在治疗与惊相关的疾病时以清热、泻火、泻下、养阴、宁心为主;在治疗与烦相关的疾病时以 清热、泻火、泻下、宣热、滋阴、养血、宁心为主。在情志养生方面,刘完素强调通过梦境了解人之情欲,而 情欲为养生之道的祸患,善于养生者需要做到远离情欲而不被情欲所干扰,同时强调顺应四时以调神。

    Abstract:

    Abstract: This paper analyzes LIU Wansu's academic thoughts on emotions from six aspects: the concept of emotions,etiology and pathogenesis of emotional disorders and related diseases,characteristics of emotional disorders, treatment of emotional disorders and related diseases,and emotional health preservation,based on his works Su Wen Xuan Ji Yuan Bing Shi(Explanation of Mysterious Pathogeneses and Etiologies Based on the ‘Basic Questions’),Su Wen Bing Ji Qi Yi Bao Ming Ji(Collection of Writings on the Mechanism of Disease, Suitability of Qi, and the Safeguarding of Life as Discussed in the‘Basic Questions’),and Huang Di Su Wen Xuan Ming Lun Fang(Formulas from the Discussion Illuminating the Yellow Emperor's Basic Questions). LIU Wansu's understanding of emotions includes two aspects:the seven emotions and the five minds. The seven emotions refer to joy,anger,sorrow,fear, love, aversion, and desire(liking), which are innate to humans. The five minds refer to anger, joy, sorrow (anxiety),thought,and fear,which originate from the qi transformation of the five zang organs and are associated with them—anger belongs to the liver,joy to the heart,thought to the spleen,sorrow(anxiety)to the lung,and fear to the kidney. In terms of etiology, LIU Wansu believed that emotional disorders and related diseases are associated with improper upbringing,diet and medications,and incorrect or failed treatments. Regarding pathogenesis,he proposed that emotional disorders and related diseases are mostly related to heat and fire. Heat and fire causing lung dryness lead to sorrow;excessive heart fire leads to extreme joy and laughter;kidney water deficiency and heart fire excess result in loss of will,shame,itching,and laughter;excessive heart fire,internal accumulated heat,kidney water deficiency, and heart fire excess suddenly disturbing the heart spirit cause fright; liver qi deficiency, kidney water deficiency, and loss of kidney will lead to fear;heart fire excess,water deficiency,and fire excess cause liver hyperactivity and anger;fire excess and water deficiency leading to loss of kidney will cause confusion;gallbladder deficiency and liver deficiency-heat result in indecisiveness; heart fire flaring upward, heat in the heart and diaphragm, liver blood deficiency,kidney water deficiency,and heart fire excess cause restlessness and irritability;extreme heart heat and excessive joy lead to mania; fire excess restricting metal and failing to restrain wood, and liver qi excess lead to excessive anger and madness. Regarding the characteristics of emotional disorders,LIU Wansu believed that excessive emotions damage the essential qi of their corresponding organs,that emotional disorders often manifest as heat and fire, and that emotional damage can lead to qi and blood imbalance. In terms of treatment,for anger-related diseases,LIU Wansu focused on nourishing yin,calming the heart,clearing and pacifying the liver,supplemented by regulating qi; for fright-related diseases, he emphasized clearing heat, draining fire, purging, nourishing yin, and calming the heart;for irritability-related diseases,his approach included clearing heat,draining fire,purging,dispersing heat, nourishing yin,enriching blood,and calming the heart. In terms of emotional health preservation,LIU Wansu stressed understanding human desires through dreams,considering desires as detrimental to health preservation. Those skilled in health preservation must distance themselves from desires and avoid being disturbed by desires,while also emphasizing harmony with the four seasons to regulate the spirit.

    参考文献
    相似文献
    引证文献
引用本文

陈志雨,赵元琛,朱文宗.浅析刘完素情志学术思想[J].新中医,2025,57(21):145-150

复制
分享
相关视频

文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2025-11-11
  • 出版日期:
文章二维码