实用中医内科杂志2026，Vol.40Issue(6)：17-20,4.DOI:10.13729/j.issn.1671-7813.Z25081801
基于中医心身医学思想探讨疼痛的证治思路
Discussion of the Diagnosis and Treatment Approach of Pain Based on Traditional Chinese Medicine's Mind Body Medicine Philosophy
摘要
Abstract
Pain is a complex emotional experience involving unpleasant sensory and emotional perception,arising not only from physiological injury but also from closely intertwined psychological and social factors.Traditional Chinese medi-cine embodies a rich tradition of psychosomatic thought,with the Huangdi Neijing explicitly stating that"all pains pertain to the Heart."Based on the Neijing,this paper explores the mechanisms of pain from three perspectives—the Heart gov-erning spirit,the Heart governing blood and vessels,and the Heart as a Yang organ—and analyzes how pain development is closely associated with the perceptual role of Heart-spirit,the circulation of blood in the vessels,and the action of Heart-fire.Accordingly,it proposes that the clinical management of pain disorders should focus on the Heart by selecting Heart-meridian herbs in prescriptions,using acupoints related to the Heart system in acupuncture to regulate spirit,and incorporating psychological and emotional therapies,thereby integrating physical and mental approaches.In light of the 2020 revised definition of pain by the International Association for the Study of Pain,this paper emphasizes that,beyond treating the primary condition,greater attention should be paid to patients'emotional and psychological factors,and that multimodal therapies should be employed to enhance analgesic efficacy,thereby offering new perspectives for the clinical management of pain disorders.关键词
疼痛/心身医学/诸痛属心/心主血脉/身心同治Key words
pain/psychosomatic medicine/all pains pertain to the Heart/heart governing blood and vessels/integrat-ing body and mind分类
医药卫生引用本文复制引用
刘伟群,魏真,陈晓,林新强,张锦锈..基于中医心身医学思想探讨疼痛的证治思路[J].实用中医内科杂志,2026,40(6):17-20,4.基金项目
国家自然科学基金项目(82374557) （82374557）
福建省自然科学基金项目(2026J008343) （2026J008343）
莆田学院校院医学科研联合基金项目(2026067) （2026067）
