《黄帝内经》心之变动——忧涵义探析
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摘要
通过整理《辞海》《辞源》《说文解字注》等文字工具书以及《黄帝内经》中的相关原文,结合后世医家的注解,追本溯源,从《黄帝内经》原文、文字学涵义、中医学涵义、临床意义等方面对心之变动——忧进行具体详明的分析。认为心之变动——忧是心经异常变动的表现,表现为言语失常或心气上逆所致的打嗝、呃逆等症状。掌握心之变动——忧的确切涵义,对于五行理论研究和临证治疗具有重要意义。
By sorting out the reference books such as Cihai,Ciyuan,Annotations of Shuowenjiezi and the related original texts in Huangdi Neijing,and combining the annotations of later generations of doctors,this paper traces back to the source,and makes a detailed analysis of the changes of the heart-melancholy from the original text of Huangdi Neijing,the meaning of philology,the meaning of traditional Chinese medicine and the clinical significance.It is believed that the change of heart-melancholy is the expression of abnormal changes of heart meridian,which is manifested by the symptoms of speech disorder or the hiccups caused by the counterflow of heart-qi. It is of great significance to grasp the precise meaning of melancholy for the theoretical study of the five elements and clinical treatment.
By sorting out the reference books such as Cihai,Ciyuan,Annotations of Shuowenjiezi and the related original texts in Huangdi Neijing,and combining the annotations of later generations of doctors,this paper traces back to the source,and makes a detailed analysis of the changes of the heart-melancholy from the original text of Huangdi Neijing,the meaning of philology,the meaning of traditional Chinese medicine and the clinical significance.It is believed that the change of heart-melancholy is the expression of abnormal changes of heart meridian,which is manifested by the symptoms of speech disorder or the hiccups caused by the counterflow of heart-qi. It is of great significance to grasp the precise meaning of melancholy for the theoretical study of the five elements and clinical treatment.
引文
[1]郑红斌.《黄帝内经》呕吐哕病证探讨[J].中华中医药杂志,2015,30(7):2316-2319.
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[4]熊继柏.从经典到临床———熊继柏《内经》与临证治验十三讲[M].北京:人民卫生出版社,2012:26.
[5]王洪图.王洪图内经讲稿[M].北京:人民卫生出版社,2008:337-338.
[6]王永炎,王燕平,于智敏.“心为噫”,嗳气治心[J].天津中医药,2013,30(2):65-66.
[7]费爱华.蔡圣朝学术思想总结及通调心肾法治疗中风后运动性失语的临床研究[D].南京:南京中医药大学,2015.
[8]陈玲玲.李士懋辨治冠状动脉粥样硬化性心脏病合并顽固性嗳气验案1则[J].环球中医药,2012,5(5):367-368.
[9]文雯,呼兴华.邓沂教授运用“五气所病”理论治验举隅[J].甘肃中医学院学报,2009,26(2):3-4.
[2]徐达,吴颢昕.浅析吴颢昕从肺论治抑郁症经验[J].中华中医药杂志,2018,33(1):162-164.
[3]郜亚茹,韩学杰,刘大胜.从脏腑气机升降观探讨冠心病病机[J].辽宁中医药大学学报,2019(1):1-3.
[4]熊继柏.从经典到临床———熊继柏《内经》与临证治验十三讲[M].北京:人民卫生出版社,2012:26.
[5]王洪图.王洪图内经讲稿[M].北京:人民卫生出版社,2008:337-338.
[6]王永炎,王燕平,于智敏.“心为噫”,嗳气治心[J].天津中医药,2013,30(2):65-66.
[7]费爱华.蔡圣朝学术思想总结及通调心肾法治疗中风后运动性失语的临床研究[D].南京:南京中医药大学,2015.
[8]陈玲玲.李士懋辨治冠状动脉粥样硬化性心脏病合并顽固性嗳气验案1则[J].环球中医药,2012,5(5):367-368.
[9]文雯,呼兴华.邓沂教授运用“五气所病”理论治验举隅[J].甘肃中医学院学报,2009,26(2):3-4.