流動於足陽明之脈中的「驚」相關情志病闡釋

Exploring Emotional Diseases from the Discourse of ''Meridian of Foot-Yangming''

本研究目的主要探討足陽明之脈中「驚」的情志病演變，以文獻回顧方法將馬王堆帛書中相關「驚」情志病，《足臂》足陽明之脈記載「數癲」，《陰陽》足陽明之脈描述「病至則惡人與火，聞木音則惕然驚，心惕欲獨閉戶牖而處，病甚則欲乘高而歌，棄衣而走，此為骭厥。」《靈樞．經脈》篇等典籍中有關足陽明之脈「驚」的內容逐一比對，發現《靈樞．經脈》更動足陽明之脈語句：「心惕」為「心欲動」，修正「病甚則欲乘高而歌」為「甚則欲上高而歌」，增添「賁響腹脹」一詞，並且根據《素問》〈陽明脈解〉與〈脈解〉兩篇章來說明《靈樞．經脈》更動之合理性，從研究中更發現經文闕漏而補入「使人妄言罵詈不避親踈」。最後探討《靈樞》作者／編者以〈癲狂第二十二〉專章總結當時對於這類情志疾病的症候表現、分類與針刺治療所選擇經脈，不再侷限於足陽明之脈，而是涵蓋手足陽明之脈、手足太陽之脈，手足太陰之脈。

The following paragraphs attempt to explore emotional diseases associated with one of the seven emotions, surprise, starting from unveiling the Mawangdui Silk Books. The Meridian of Foot-Yangming commonly describes emotional diseases associated with surprise. It has been documented in several ancient books and different descriptions have been added chronologically. Zu Bi Shi Yi Mai Jiu Jing described it with “many types of peak illnesses”, and Yin Yang Shi Yi Mai Jiu Jing described it with “When it is extreme, then there is recession. Patients have an aversion to other people and to fire. When they hear the sound of wood, they are scared and frightened. When they are frightened, they wish to be alone and to stay home with doors and windows closed. When the disease is extreme, then they wish to climb on elevations and to sing, to run around with their clothes thrown off. This is called shin recession”. Meridian Chapter in Ling Su revised two descriptions in Yin Yang Shi Yi Mai Jiu Jing, and added one more article of “borborygmus and abdominal distension”. This manuscript attempts to examine the justifications of this revision in Ling Su based on two chapters, maijie and yangming maijie, in Su wen, and adds in one missing article, “Make them utter absurd words and voice insults, without sparing those near or distant to him”. The author of Ling Su concluded signs and symptoms, classifications and choices of meridian for treatment in emotional diseases associated with surprise in Chapter 22 Dian Kuang, and this chapter not only utilized the Meridian of Foot-Yangming, but also included the Meridian of Foot-Yangming and Hand-Yangming, the Meridian of Foot-Taiyang and Hand-Taiyang and the Meridian of Foot-Taiyin and Hand-Taiyin.