CAJ | 학술논문

[目的]探析《伤寒杂病论》中有关中医心身疾病学的理论，以期指导临床诊疗。[方法]通读《伤寒杂病论》，借助计算机技术，运用文献法筛选出心身疾病相关内容，并进行总结与分析。[结果]仲景以“烦”“狂”“谵语”“欲、喜、嗜、恶”等词来描述生理疾病时的心理表现，如以“烦”的发作时间、兼证、程度来判定疾病的病因、病机、病情、病势等；此外，在《金匮要略》中还专门对百合病、奔豚气病、癫狂病、惊悸、失眠、脏躁、诈病等心身疾病做了详细阐述，如百合病的主要病机为心肺阴虚内热，百脉受病，以养阴清热为治疗大法，方用百合地黄汤。[结论]仲景《伤寒杂病论》对心身疾病有较为系统的阐述，其不仅擅以异常心理现象为依据进行辨证，而且确立了常见心身疾病理、法、方、药的辨治体系，这些阐述至今仍有较高的理论及临床价值。
[목적]탐석《상한잡병론》중유관중의심신질병학적이론，이기지도림상진료。[방법]통독《상한잡병론》，차조계산궤기술，운용문헌법사선출심신질병상관내용，병진행총결여분석。[결과]중경이“번”“광”“섬어”“욕、희、기、악”등사래묘술생리질병시적심리표현，여이“번”적발작시간、겸증、정도래판정질병적병인、병궤、병정、병세등；차외，재《금궤요략》중환전문대백합병、분돈기병、전광병、량계、실면、장조、사병등심신질병주료상세천술，여백합병적주요병궤위심폐음허내열，백맥수병，이양음청열위치료대법，방용백합지황탕。[결론]중경《상한잡병론》대심신질병유교위계통적천술，기불부천이이상심리현상위의거진행변증，이차학립료상견심신질병리、법、방、약적변치체계，저사천술지금잉유교고적이론급림상개치。
[Objective] To enrich the theories of psychosomatic medicine of TCM and guide the clinical diagnosis and treatment through summarizing and analysing the literature of psychosomatic diseases in Treatise on Febrile and Miscellaneous Diseases. [Method] To read the book thoroughly. By means of literature research method and computer technology, col ecting a number of relevant documents for refining. [Results] “Vexation”, “Mad”,“Delirious Speech”and other words are used to describe the psychological performance. In adition, Zhongjing detailedly expounded the psychosomatic diseases such as Baihe disease, Bentunqi disease, depressive psychosis and so on. [Conclusion] On the one side, Zhongjing was good at syndrome differentiation according to abnormal psychological phenomena. On the other hand, he established the system of differentiation and treatment of psychosomatic diseases. The theories stil have great clinical value now.