“神、魂、魄”理论在精神疾病辨治中的应用

摘要

The internal relationship among TCM theory of spirit,ethereal soul and corporeal soul and mental diseases and clinical application were discussed in this paper based on ancient literature and clinical experience for investigating systematically the application of this TCM.The authors analyzed the physiology and pathology of spirit,ethereal soul and corporeal soul,and syndrome differentiation and medication in clinic,and indicated that spirit is closely related to main consciousness,ethereal soul,to subconsciousness and corporeal soul,to the function of vegetative nervous system.Therefore,the symptoms of mental diseases like hallucination,delusion,enforcing and somatic disorders in clinic all can be induced by uneasiness and disquieted spirit of spirit,ethereal soul and corporeal soul.The therapies for treating these mental diseases include nourishing the heart to tranquilize,emolliating liver and settling ethereal soul,and diffuse the lung and refreshing corporeal soul.%结合古代文献及临床应用经验,对中医“神、魂、魄”理论与精神疾病病机、证候的内在联系和临床应用进行探讨.以临床为基础,从神、魂、魄的生理、病理及辨证用药等角度进行论述,认为神与主意识、魂与潜意识、魄与植物系统的功能相似并密切相关,因此临床诸多精神疾病出现的幻觉、妄想、强迫、躯体障碍等症状均可由神不安、魂不守、魄不宁等病机所导致,并提出养心安神、柔肝镇魂、益肾(肺)定魄、宣肺畅魄的精神疾病治疗方法,对于精神疾病中“神、魂、魄”理论的运用进行系统探讨.