摘要
以《黄帝内经》(以下简称《内经》)为研究核心,系统溯源中医“和”思想的文化根基与理论脉络。研究揭示其哲学渊源植根于儒家“致中和”的伦理观与道家“冲气以为和”的宇宙论,《内经》创造性转化为“天人相应”的生命节律观、“阴阳五行”的动态之“和”及“形气神统一”的形神共生体系三大理论支柱。“和”思想体系体现在以“和”为纲的治疗原则、以“和”为法的治疗手段及以“和”为目标的养生实践,形成中医学区别于对抗医学的独特范式。“和”思想体系的临床应用包括察其“失和”及“和”其“不和”。传承创新《内经》“和”思想体系,对于建立中医临证思维有着重要的指导意义,值得总结并推广。
Taking the Yellow Emperor’s Canon of Medicine(黄帝内经)as the core of research,this study systematically traces the cultural foundations and theoretical lineage of the harmony concept in traditional Chinese medicine(TCM).Our study reveals that the philosophical origins of harmony in TCM are based on the following three theoretical pillars:the Confucian ethical notion of achieving equilibrium and harmony,the Daoist cosmological principle of blending qi to attain harmony,as well as the body-spirit symbiotic system,which was creatively transformed by the Yellow Emperor’s Canon of Medicine into the concept of correspondence between humanity and nature as a reflection of life’s rhythms,the dynamic harmony embodied in the theories of yin-yang and the five elements,and the holistic system of unity of body,qi,and spirit.The ideological system of harmony is manifested in treatment principles that regard harmony as the guiding norm,therapeutic methods that employ harmony as the core strategy,and health-preserving practices that aim at harmony as the ultimate goal.This forms a unique paradigm that distinguishes TCM from allopathic medicine.The clinical application of the harmony framework involves diagnosing the loss of harmony,harmony and disharmony.It is of significant guiding value to establish clinical reasoning in TCM via inheriting and innovating the ideological system of harmony in the Yellow Emperor’s Canon of Medicine,and then summarize and promote this conceptual framework.
作者
徐朝辉
严骅
严世芸
刘永明
XU Zhaohui;YAN Hua;YAN Shiyun;LIU Yongming(Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Anhui Hospital of Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Hefei 230000,China)
出处
《时珍国医国药》
北大核心
2025年第24期4723-4727,共5页
JOURNAL OF LI-SHIZHEN TRADITIONAL CHINESE MEDICINE
基金
上海市卫生健康委员会科研项目(202340158)
安徽省卫生健康科研项目(AHWJ2023A20461)
安徽省中医药传承创新项目(2024CCCX122)
安徽省高校科研项目(2024AH050989)
国家自然科学基金(82574967)。
关键词
《黄帝内经》
“和”思想
调和
失和
Yellow Emperor’s Canon of Medicine(黄帝内经)
Harmony ideology
Restoring harmony
Loss of harmony
