The Digest of Pattern Differentiation Analysis in TCM

中醫神志病的辯證分析簡述 The Digest of Pattern Differentiation Analysis in TCM 杨常青 Joseph Yang 医学硕博，加州执照针灸师. Ph. D. L. Ac. CA

内经是医学圣经 Inner Classic is the Medical Bible

神志病診斷的三個層次 The Three Layers of Shen Diagnosis * 陰陽癲狂 Yin Yang and Dian Kuang * 基本的陰陽屬性 Basic yin yang property * 神氣辯證 Shen Qi pattern diagnosis * 神志的活動類型 shen activity pattern * 五神辯症 Five shen symptoms differentiation * 神志的具體表現 shen activity detailed characters

神志辯證與臟腑經絡辯證相結合 Shen Diagnosis with Zang Fu/Meridians * 神志辯證 Shen pattern differentiation * 臟腑辯證 Zang fu pattern differentiation * 經絡辯證 Meridians pattern differentiation

神志辯證的範圍 The Scope of Shen Diagnosis * 病前：天人性格：Pre clinical: personality * 病中：神志狀態：During: Mental status * 病後：恢復情況：Post clinical: Recovery situation

先別陰陽 Know Yin Yang at First * 素問，陰陽應象大論 Yin Yang Phenomenon 5 * 善診者，察色按脈，先别陰陽 As a good doctor, when diagnose patients, firstly distinguish yin and yang

天人性格的神氣活動特點 The Character of Natural Human Personality * 靈樞，通天 Ling Shu -- Tong Tian 72 * 太陰，少陰，太陽，少陽，陰陽和平五型人 There are five type people in the yin yang types, they are tai yin, shao yin, tai yang, shao yang, yin yang harmony types. * 辨陰陽而調陰陽 Diagnosis in yang condition, and regulate yin yang to treat the yin yang type person. * 靈樞，癲狂 Ling Shu – Dian Kuang 22 * 針灸及刺血療法 Treatment in Acupuncture, moxibustion, bleeding

陰陽之人的神氣活動特點 The Characters of Shen Qi Activity in Yang Type * 靈樞，行針 Ling Shu – Xing Zhen 67 * For yang surplus people, their shen is easily commoving, their qi is easily mobilized (重阳之人，其神易动，其气易往也) * For yin surplus people, their shen is easily stagnating, their qi is easily tranquilized (重阴之人，其神易凝，其气易留 也 – Joseph Yang)

陰陽與癲狂 Yin Yang and Dian Kuang * 難經，二十，Nan Jing 20 * 重陽則狂，重陰則癲 Yang excess is kuang; yin excess is dian

癲狂辯證 Dian Kuang Pattern Differentiation * 癲証：神氣內收，多內心體驗，好靜惡動 Dian: shen qi moving inward and more inner experiencing, prefer quiet and dislike movement * 狂証：神氣外越，多外在表現，好動惡靜 Kuang: shen qi moving outward, more external expression, prefer movement and dislike quiet

神氣的活動特點 The Characters of Shen Qi Activities * 素问生气通天，精神合一 Su Wen chapter 3 shen and body harmony in oneness * ‘阴平阳秘，精神乃治；阴阳离决，精气乃绝。’Yin Yang harmony, essence and shen will be peaceful; Yin Yang disharmony, essence will be exhausted

得神状态 Shen in Harmony Condition * * * 神气如一，Shen 神气自知，Shen 神气清爽，Shen 神气自如，Shen 神气淡定，Shen qi qi qi unity (Integration) awareness clarity flexibility stability

得神状态 Shen in Harmony Condition * * * 神气平衡，Shen 神气充盛，Shen 神气应物，Shen 神气始动，Shen 神气运行，Shen qi qi qi balancing powering reactivity initiation processing

失神状态 Shen in Disharmony Condition * * * 神气虚损，Shen 神气怠惰，Shen 神气虚弱，Shen 神气不安，Shen 神气不清，Shen 神气浮越，Shen qi qi qi insufficiency lassitude weakness irritability cloudiness floating

失神状态 Shen in Disharmony Condition * * * 神气涣散，Shen 神气昏乱，Shen 神气呆滞，Shen 神气麻木，Shen 神气过敏，Shen 神气丧失，Shen qi qi qi scattering confusion inflexibility numbness over-sensitivity loss

五臟之神的失神状态 Five Shen in Disharmony Condition * * * 心神失調，Heart shen disharmony 肝魂失調，Liver hun disharmony 肺魄失調，Lung po disharmony 脾意失調，Spleen yi disharmony 腎志失調，Shen zhi disharmony

若風吹雲 As if Wind Breezing Clouds

四气调神 Four Seasonal Qi Regulating Shen

神志病的周期性 Shen Disturbance Cycles *持续性 consistency *间歇性 remission *季节性 seasonality *诱发性 triggering 24 8/9/17

警告与失败 Warnings and Failures * 坚持以中医为本的治疗原则 TCM theory as the base and root * 坚持以调气为要的治疗原则 Regulate qi is the clinic key * 坚持以神气为纲的治疗原则 The shen qi dynamics is the pattern * 坚持以天人合一的治疗原则 The nature and human is in harmony 25 8/9/17

警告与失败 Warnings and Failures * 坚持以形神兼备的治疗原则 together * 坚持以辩证论治的治疗原则 guide * 坚持以灵活变通的治疗信息 flexibly * 坚持以西医为像的治疗原则 manifestations Body and shen are take care Pattern differentiation as the Handle all of the information Biomedical signs are 26 8/9/17

天地萬物和諧 Harmony with Universe