中医内科癫狂课件.ppt
,癫狂张志远Valadon onry.ch Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slides for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L,、定义精神抑郁表情淡漠癫沉默痴呆痰迷神窍静而少东神志失常精神亢奋狂燥刚暴狂喧扰不宁动而多怒Valadon onry.ch Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slides for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L,、历史沿革1、内经1)病名之源:出自灵枢癫狂2)症状描述:灵枢癫狂:“癫疾始生,先不乐,头重痛,视举,目赤,甚作极,已而烦Valadon onry.ch Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slides for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L,“狂始生,先自悲也,喜忘、苦怒、善恐者,得之忧饥,狂始发,少卧不饥,自高贤也,自辨智也,自尊贵也,善骂詈,日夜不休,狂言、惊、善笑、好歌乐、妄行不休者,得之大恐,狂目妄见、耳妄闻、善呼者,少气之所生也狂者多食,善见鬼神,善笑不发于外者,得之有所大喜”Valadon onry.ch Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slides for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L,3)病因病机:先天因素:素问奇病论:“人生而有病癫疾者,此得之在母腹中时.”情志因素:灵枢癫狂:“得之忧”、“得之大怒”、“得之有所大喜”,灵枢本神:“喜乐无极则伤魄,魄伤则狂,狂者意不存人。”火能致狂:素问至真要大论:“诸躁狂越,皆属于火”Valadon onry.ch Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slides for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L,阴阳失调,气机逆乱:素问通评虚实论:“癫疾厥狂,久逆之所生也。”素问脉解:“阳尽在上,而阴气从下洗虚上实,过狂癫疾也素问宣明五气论:“五邪所乱:邪入于阳则狂,邪入于阴则痹,搏阳则为癫疾,搏阴则为瘡、阳入之阴则静,因出于阳则怒,是谓五乱。”Valadon onry.ch Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slides for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L,素问生气通天论:“阴不胜其阳,则脉流薄疾,并乃狂素问调经论:“血出于阴,气并于阳,故为惊狂。血并于下,气并于上,乱而喜忘Valadon onry.ch Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slides for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L,4)治疗(主要针对狂病)素问病能论:“有病狂怒者,其病安生?生于阳者也阳气者,因暴折而难决,故善怒也。病名阳厥夺其食则已夫食入于阴,长气于阳,故夺其食则已也。使之服生铁落饮,夫生铁落者,下气痰(疾)也夺其食:减少饮食、禁食;涌吐、泻下。针灸疗法:灵枢癫狂用针刺、刺血法治疗癫狂,常取手足阳明、太阳、太阴经穴Valadon onry.ch Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slides for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L,生铁落:本经列为中品,味辛甘,性平散,质重能镇,能除胸膈中热气,食不下,止烦,镇心平肝、定惊疗狂。取生铁一大块,入火中烧赤红,放砧上用锤重重敲锻时,火花四溅,纷纷坠地者,是名铁落。Valadon onry.ch Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slides for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L,2、难经明确提出癫与狂的鉴别要点:难经二十难有“重阳者狂,重阴者癫”。认为阴阳之偏盛偏衰为其基本病机。难经五十九难从症状表现上加以区别,“狂癫之病何以别之?然:狂疾之始发,少卧而不饥,自高贤也,自辨智也,自尊贵也,善骂詈,日夜不休狂言,惊,善笑,为歌乐,妄行不休者,得之大怒狂,目妄见,耳妄闻。善呼者,少气之所生也狂者多食,善见鬼神,善笑而不发于外者,得之有所大喜Valadon onry.ch Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slides for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L,
