本文關鍵詞：象思維在失眠診療中的應用初探　出處：《北京中醫(yī)藥大學》2017年碩士論文　論文類型：學位論文

  更多相關文章： 失眠 TIP 象思維 心身疾病 中醫(yī)

【摘要】：背景認知科學正在發(fā)生一場具身性革命的思潮,諸多的理論和實驗已經論證了身體與心智、主體與客體、感性與理性的統(tǒng)一性。象思維被認為是中醫(yī)的特征性思維,關于象思維在中醫(yī)中的應用研究涉及到哲學、語言和思維框架等角度,其研究內容覆蓋了大部分中醫(yī)學領域,并出現(xiàn)了一些跨學科研究和創(chuàng)新診療方法。失眠是最常見的心身疾病。中醫(yī)對失眠的認識角度多樣,治法不同,但療效肯定,主要有內服法、外治法和行為與心理療法。低阻抗意念導入法(TIP)是源自中醫(yī)心理學的創(chuàng)新療法,在失眠的治療上可以不借助藥物等理化手段,起效迅速、療效確切、持久,已經形成一套規(guī)范的診療體系。筆者從自己的臨床實際出發(fā),圍繞象思維的臨床與應用,從失眠的診療著手,采用文獻研究和質性研究的方法,旨在嘗試初步探索象思維的存在方式(即象思維認識事物的方式方法、影響因素,和對人體的反作用),其形成和發(fā)展的原因,及其同心身疾病的關系,以解釋TIP療法的原理,以及中醫(yī)不同診治法都能夠起效的原因。理論研究象思維是在心身一元、物我一體的哲學思想指導下,從表象出發(fā),運用表象的自我運動進行認識活動及其他思維操作,并以從根本上基于身體感覺的概念形式來進行表述的思維方法。在農業(yè)生產生活方式、漢語的思維習慣和大一統(tǒng)的意識形態(tài)的影響下,具有系統(tǒng)性的象思維得以充分發(fā)展和鞏固,并成為中國人認識事物的核心方法。從臨床應用角度劃分,中醫(yī)象思維包含了意象思維和具象思維兩個方面,即身體參與思維和思維領導身體兩個方面,認知在這種身體與環(huán)境的互動中逐漸發(fā)展起來,身體也在被認知塑造著,二者組成了一個動態(tài)的過程。心身一元、形神合一是中醫(yī)的指導思想之一,與心身醫(yī)學一樣,中醫(yī)也將所有的疾病視為心身問題,并描述為氣血的逆亂。情志由心主宰,出于五臟,對氣血有直接的作用,因此能夠直接影響五臟功能。五臟的正常功能有其特定的運動方向,因此,診斷就是根據(jù)種種表象,是找出能夠帶來這些氣血變化的因素,并根據(jù)一定的系統(tǒng)進行判斷,包括經絡、六經、五臟、氣血等;而"治之要"在"極于一",找到神層面的病因,對因治療。中醫(yī)治療的方法形式上雖然不同,但原理都是通過調理氣血,使之恢復平衡。診斷過程屬于意象思維,是象思維的理性認識,由表象的概括、判斷、確證、深化而得到。高層次的具象思維能夠實現(xiàn)意識改變感知覺的作用,因此可以利用這一點提高治療的效果。質性研究目的:探索中醫(yī)心理學對失眠的診療特色和取效原因,以為中醫(yī)理論和實踐的創(chuàng)新提供更細微的見解。核心問題:失眠的中醫(yī)心理診療是如何應用象思維的?具體問題:患者對于失眠都有哪些體驗和認識?它們是如何形成的?與失眠有什么關系?有什么因素對這些過程造成了影響?TIP為什么能夠獲得療效?對象與方法:研究者在廣安門醫(yī)院心理科、睡眠醫(yī)學專題門診以及北京廣安中醫(yī)心理研究院進行觀察、基于WIIQ的訪談和案例分析的質性研究,研究對象須是采用TIP睡眠調控技術治療失眠的患者,并曾經尋求過其他治療方法,包括西藥、中藥和針灸;入選者均精神、記憶能力正常;有完整的漢語表達能力并且自愿參與本研究。研究者會對轉錄后的資料和現(xiàn)場觀察筆記用Atlas.ti進行編碼和質性分析,即在全面把握這些資料的基礎上,找出對失眠形成有意義的部分進行編碼,從中引申和歸納出一系列分類和主題,并且就其關鍵環(huán)節(jié)的表述開展精密的解析分析,建立理論框架,最終回到患者處進行驗證。結果:知識、期待、壓抑(憤怒)、焦慮、創(chuàng)傷感、恐怖、控制是失眠患者所表述的共同主題。象思維是一種基于體驗的思維方式,具有接近、導致、反映事物的本質的能力。然而,受種種主客觀因素的影響,表象在接近和導致事物的本質過程中也會不同程度地偏離事物的本質。與此同時,象思維對身體有能動作用,這是心身疾病的來源。象思維能即刻產生生理效應,但可視、可感的癥狀可能會延遲出現(xiàn),因為存在壓抑和屏蔽作用。結論:重視和利用感覺,是TIP療法成功治療失眠等心身疾病的關鍵。
[Abstract]:The background of cognitive science is a body of revolution thoughts, theories and experiments have demonstrated many of the body and mind, subject and object, the unity of emotional and rational thinking. As is regarded as a characteristic of thinking of traditional Chinese medicine, on the application of image thinking in Chinese traditional medicine research involves philosophy, language and the thinking frame of point of view, its research content covers most of the field of Chinese medicine, and there have been some interdisciplinary research and innovative treatment methods. Insomnia is the most common psychosomatic disease. Understanding TCM for insomnia treatment varied, different, but curative effect, mainly oral administration, external treatment and behavioral and psychological therapy. Low impedance ideas into method (TIP) is an innovative therapy from the psychology of TCM, in the treatment of insomnia can means without the use of drugs such as quick and effective, durable, has formed a set of standardized treatment. Department. The author from his own clinical practice, clinical application and thinking around like, starting from the diagnosis and treatment of insomnia, using literature research and qualitative research methods, attempts to explore the existence way of thinking (that is, like, thinking way and influencing factors on human body reaction) and the formation and development of the cause of disease, and its relationship to explain the concentric body, the principle of TIP therapy, traditional Chinese medicine and different treatment methods are able to effect the reason. The theoretical research on image thinking in a mental element, were I one philosophy under the guidance, from the appearance of the self motion imagery of understanding other activities and thinking, and based on the fundamental concept in the form of feeling to express the thinking method. In the agricultural production and life style, influence the ideology of Chinese thinking habits and the unification, has The system of image thinking can be fully developed and consolidated, and become the core method of understanding things. Chinese divided from the aspect of clinical application of traditional Chinese medicine, like thinking includes two aspects: image thinking and concrete thinking, the body in the two aspects of thinking and thinking of leadership body, cognition develops gradually in the interaction between body and environment in the body are also cognitive shaped, two formed a dynamic process. A psychosomatic element of one spirit, is one of the guiding ideology of Chinese medicine, Chinese medicine and psychosomatic medicine, also all diseases as psychosomatic problems, and described as disorder of Qi and blood. The emotional heart dominate out of the five internal organs, has a direct role in the blood, so it can directly affect the normal function of the five zang viscera function. The direction of movement, therefore, the diagnosis is according to various images, is to find out these can bring the change of Qi and blood Factors and judging according to certain system includes six meridians, Qi and blood, organs, etc.; and the "rule" in the "on", to find the cause of God level, due to the treatment method of Chinese medicine treatment on the form. Although different, but the principle is through regulating qi and blood, so as to restore the balance. The diagnosis process belongs to the image thinking, image thinking is the rational understanding of representation by summary judgment, confirmation, and deepening. Concrete thinking high level can realize the change of consciousness of perception, so we can use this to improve the treatment effect. The purpose of qualitative research: to explore the characteristics of diagnosis and treatment of insomnia in TCM psychology the reason and effect, thought innovation theory and practice of Chinese medicine to provide more subtle insights. The core problem: TCM psychological diagnosis and treatment to insomnia is how to use image thinking? What are the specific problems with experience and understanding of them is like insomnia? What form? What is the relationship with insomnia? What are the factors affecting the process? TIP why can obtain curative effect? Objects and methods: researchers in the psychology department of Guanganmen hospital, Beijing special out-patient and sleep medicine of Guang'an traditional Chinese Medicine Institute of mental observation, qualitative research interviews and case analysis based on WIIQ. The object of study is to use TIP sleep regulating technique in the treatment of insomnia patients, and have sought other treatments, including western medicine, Chinese medicine and acupuncture; subjects had spirit, memory ability is normal; Han language complete expression ability and willingness to participate in this study. The researchers of post transcriptional data and field observations with notes Atlas.ti analysis of encoding and qualitative, which is based on a comprehensive understanding of the data, find out the insomnia form meaningful part in extension and encoding, summed up a series of points And theme, and carry out the analysis precision of the analysis of the key expression, the establishment of theoretical framework, finally returned to the patient tested. Results: knowledge, expectations, depression, anxiety (anger), a sad, terror, control is a common theme of insomnia patients expressed. Like thinking is a kind of experience the way of thinking, based on close, which reflect the nature of things. However, affected by various subjective and objective factors, and lead to close representation in the essence of things will vary from things. At the same time, like thinking of the dynamic role of the body, and this is a source of psychosomatic diseases like. Thinking can instantly produce physiological effects, but the visual sense, the symptoms may be delayed, because of the presence of depression and shielding effect. Conclusion: the attention and use feeling, is the key to successful treatment of TIP therapy of psychosomatic diseases such as insomnia.

【學位授予單位】：北京中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R256.23

【參考文獻】

相關期刊論文 前10條

1 辛基梁;;《傷寒論》中大棗應用的象數(shù)思維[J];國醫(yī)論壇;2017年01期

2 張志強;王燕平;張華敏;王永炎;;意象思維的本源與臨床[J];北京中醫(yī)藥大學學報;2016年11期

3 曾妙麟;陳凌;陳克龍;黎斌;支海鴦;張妤婷;胡萬華;;中醫(yī)綜合療法治療亞健康失眠的臨床觀察[J];中國現(xiàn)代醫(yī)生;2016年31期

4 張峰菊;王曉雪;劉欣欣;;認知行為療法治療原發(fā)性失眠的療效[J];中國實用神經疾病雜志;2016年20期

5 李帥;趙遠紅;;中醫(yī)治療失眠機制的實驗研究進展[J];山東中醫(yī)雜志;2016年06期

6 王海霞;;中醫(yī)睡眠相關理論在治療失眠中的應用[J];光明中醫(yī);2016年10期

7 王振春;羅再瓊;羅欣雨;呂德;黃文強;;從象思維的視角認識風藥及其性能[J];時珍國醫(yī)國藥;2016年05期

8 畢思玲;張宇忠;;論象思維在中醫(yī)學中的應用[J];北京中醫(yī)藥大學學報;2016年04期

9 焦妃;王全年;;中醫(yī)脈象新解初探[J];中國民族民間醫(yī)藥;2016年06期

10 張廣政;羅秀清;李小蘭;張端端;;中醫(yī)外治法治療失眠的臨床研究進展[J];中醫(yī)外治雜志;2016年01期

，

本文編號：1388863