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“病由心生”疾病观探讨

发布时间:2018-12-09 14:26
【摘要】:[目的]探寻"心"在不同延伸层面所包含的不同内涵和意义,以期从不同角度来认识疾病的病因,进而对中医临床有所启发和借鉴。[方法]通过历代相关古籍的整理研究,简述七情病因学说的沿革,考究"病"、"心"、"情"等字的古汉语意义,探寻《黄帝内经》中对于"病由心生"疾病观的相关佐证,结合中国传统文化中儒释道的精髓,举例儒家仁学思想对《黄帝内经》中疾病命名的影响,最后例举中医大家在临床上对该疾病观的应用。[结果]中国传统文化概念中的"心"不仅是肉体心脏之意,也不局限于心理学层面的七情之"心",还有意义深远的延伸意,甚至超越个体,上升至道的层面,心还包含着人之所以为人的道理乃至宇宙的至理和"天人合一"的智慧。历代医家对此均有深刻认识,并借此指导临床。[结论]"心"的不同层面都与健康有着密切的关系,特别是后者,值得探讨和深思。中医学根植于中国传统文化,同样传统文化离不开中医学,两者水乳交融,从医入道,道以医显。
[Abstract]:[objective] to explore the different connotations and meanings of "heart" in different extension levels, in order to understand the etiology of disease from different angles, and to enlighten and draw lessons from the clinical practice of traditional Chinese medicine. [methods] the history of the etiology of the seven emotions was briefly introduced through the study of the ancient books, and the significance of the words "disease", "heart" and "emotion" in ancient Chinese was studied. This paper explores the relevant evidence of the view of disease in Huangdi's Internal Classic, and combines the essence of Confucianism, Buddhism and Taoism in Chinese traditional culture, and gives an example of the influence of Confucian benevolence thought on the naming of disease in Huangdi's Internal Classic. Finally, examples of the clinical application of TCM to the disease. [results] the "heart" in the traditional Chinese cultural concept is not only the meaning of the physical heart, nor is it limited to the "heart" of the seven emotions in the psychological level, but also has a far-reaching extension, and even transcends the individual and rises to the level of the Tao. The heart also contains the reason why man is human, even the supreme theory of the universe and the wisdom of "the unity of heaven and man". Physicians of all dynasties have a profound understanding of this and use it to guide clinical practice. Conclusion: the different levels of heart are closely related to health, especially the latter, which is worth exploring and pondering. Chinese medicine is rooted in Chinese traditional culture, and the same traditional culture can not be separated from traditional Chinese medicine.
【作者单位】: 浙江中医药大学;浙江省中医院;临安中医乳腺病医院;
【分类号】:R228

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