有关中医问题的探讨
详细信息    本馆镜像全文|  推荐本文 |  |   获取CNKI官网全文
摘要
当代的中国汇集了“传统文化”和“中医”、“科技文化”和“西医”等文化形态。“传统文化”和传统“中医”经过了时间的跨度,“科技文化”和“西医”经过了空间的跨度,所以这在当今的中国可谓是一种“时空”的交汇。不同的文化形态在磨合的过程中势必会产生诸多问题。本论文对已有的文献资料重新进行综合归纳,并理性思辨、探索总结,从“文化”的视角,围绕“有关中医问题的探讨”这一主题,探讨了从“传统文化”到“科技文化”与中医有关的一些问题,并试图探寻解决这些问题的方法。
     论文的核心部分为第一章“传统文化与中医”。我们中医讲:“邪之所凑,其气必虚”,故中医之所以出现种种问题也在于自身“气虚”。如果说一个西医连西医基础是通过解剖、试验等方法而产生的这一基本出发点都不知道的话,那简直是难以想象及不可思议的,但对于我们中医,这种“不可思议”几乎成了“正常”的事情。所以解决相关中医问题的关键,必须要正本清源,“其身正,不令而行。”另外,以战术来说,中医的根源在传统文化,而中医的“高处”亦在传统,《孙子兵法》曰:“激水之疾,至于漂石者,势也……转圆石于千仞之山者,势也”、“善战者,求之于势”。
     全篇论文的主体分三个部分:一、传统文化与中医;二、科技文化与中医;三、中医与西医。
     第一章借助清代名医汪昂的一段话并加以展开,自“道”至“中医”,层层跌进。首先是传统文化的主题“道”,“道”文化影响着我国传统社会的方方面面,以至于可称之为“道统”。而传统社会中“道”文化的主干则是“儒释道”三家。这三家,特别是道家,对中医的影响可谓是源远流长、根深蒂固。另外,传统社会的文学武术也主要依托于这三家而存在,并流转传承。“文”和“武”的学术修为在古代中医界是较为普遍的,这是中医产生的前提和必须条件。本章的主体是“以道成医”,包括两方面:“医术的形成”和“医士的形成”。其中展示了古人让人叹为观止的伟大成就。本章的最后简单地探讨了一些与传统文化有关的中医问题。
     第二章讨论了当中医进入“科技文化”之后所产生的一般性问题及一些个别性问题,在较深或者较初始的层面探讨“科技文化”以及西医与中医之间的关系。首先讨论了“科学”的实质,进而探讨了科学与中医的关系,以及中医在“科技文化”的影响下所产生的问题。其中从中西文化的差异以及西方文明的不足等的层面进行了探讨说明。最后是中医在“科技文化”的环境中所出现的一些散在性问题。
     第三章探讨了“中医与西医”的一些相关问题,其实在第二章就已经有讨论过中医文化与西医文化的内容,在此对于西医则是采取了多肯定的态度。本章从西医说起,讨论了西医的发展变化、现状以及存在的问题。接着讨论了“中西医结合”的有关问题,以“‘干细胞'的应用和经文的对应”为例肯定了“中西医结合”及其发展前景。最后说明了西医将最终有益于中国医学的发展。
     通过以上探讨及分析,本论文主要得出以下若干结论:
     1.“传统文化”是中医赖以产生、发展壮大的滋养源泉,脱离了“传统文化”,中医势必将渐趋枯萎。
     2.中医在百年来所遭遇的一些问题,主要原因在于人们对于包括中医在内的传统文化缺乏“理解”、“体行”等。
     3.目前“科技文化”对中医学的影响弊大于利,甚至中医时常处于一种“有名无实”的状态;但若合理利用“科技文化”,则会有益于中医的发展。
     4.“中西医结合”的道路虽然很曲折,但是却是可期的;西医学终将在整体上有利于中国医学的发展壮大。
     所以本篇论文旨在希望能够有助于中医向传统的方向回归,同时可以避免不应该出现的中医问题以及为解决某些问题提供参考。希望中医能够健康正常的存在、发展壮大。
There are many culture type in China today:"Traditional Chinese Culture" and "Traditional Chinese Medicine","The culture of science and technology" and "Western medicine"."Traditional Chinese Culture" and "Traditional Chinese Medicine" crossed the time,and "The culture of science and technology" and "Western medicine" crossed the muspace,so they are cross in China today.It would cause some questions when different culture type come together. Revolving around the subject of "researching into questions related to TCM" from a cultural angle of view,some questions about TCM is discussed from "Traditional Chinese Culture" to "The culture of science and technology" in this article,and the answers of the questions are tried to be found, thereinto documents and materials are Synthesized,considered and sumed up again in the article.
     The hardcore of this article is chapter one,which is "Traditional Chinese Culture and Traditional Chinese Medicine".In Traditional Chinese Medicine,we say that "If one body is being invaded,this body must be weak." In a similar way,the questions about TCM also stem from weak.lf a doctor of Western medicine doesn't know the basic theory of Western medicine is come from dissect, experiment,and so on,it is can't be imagined,but it seems normal for us.In order to deal with problems about TCM,radical reform must be effected,"If one person is upright,though he says nothing,others do the things spontaneous." Moreover,if tactics is used,the root of TCM is traditional Chinese culture,and the high-end of TCM is also in traditional culture,<the art of war>says that:"The reason that big water Sweeps the boulder rolling along the mountain is water height is high","The person who usually put up a good fight must be able to get help from height".
     The main part of this article is divided into three parts:First, "Traditional Chinese Culture" and "Traditional Chinese Medicine";Second, "The culture of science and technology" and "Traditional Chinese Medicine";Third,"Traditional Chinese Medicine" and "Western medicine".
     In the first chapter,the article describes from "Tao" to "TCM" by means of passage which come from Wang Ang who was a famous doctor in Qing Dynasty. It is "Tao" in the first place,which is the subject of Traditional Chinese Culture,the culture of "Tao" had influenced every aspect in the past,so we call it "Tao orthodoxy".The main of "Tao Culture" is "Confucian,Buddhism and Taoism".This three religions,especially Taoism,had influenced TCM enormously. Moreover,Civil and military used to depend on this three religions to exist and hand down.Civil and military are universal in the past,as a result,TCM can be born.The main part of the first chapter is "From Tao to TCM",including two parts:"The forming of TCM" and "The forming of doctor of TCM".In this part,there are great accomplishment which were created by the ancients.Some TCM questions concerning Traditional Chinese Culture had been discussed at last in this chapter.
     In the second chapter,some general questions and some separate questions which were born when TCM in culture environment of science and technology had been discussed,and the relation between "The culture of science and technology", "Western medicine" and TCM had been discussed at a profound or incipient Level.At first,the article explained the substance of science,and then the relation between science and TCM had been discussed,and questions which were born when TCM in culture environment of science and technology.The difference between Chinese and Western culture and the defect of Western culture had been also discussed in the article.Some separate questions concerning TCM which in culture environment of science and technology had been discussed at last in this chapter.
     In the third chapter,some questions concerning "TCM and Western medicine" had been discussed,in fact,some of these questions had been discussed in the second chapter,hereon,it has more affirmative attitude.Begin with Western medicine,the development and change,current situation and open questions about Western medicine had been discussed.And then the questions about "combination of Chinese tradiational and Western medicine" had been discussed, "combination of Chinese tradiational and Western medicine" and the development prospect of which had been affirmative by the corresponding between Stem Cell Applications and Scriptures.Question related to Western medicine will be beneficial to the whole Chinese medicine had been discussed at last in this chapter.
     From what has been discussed above,we may draw the main conclusion:
     1."Traditional Chinese Culture" is the source of TCM,and TCM got stronger in culture environment of Tao,break away from "Traditional Chinese Culture",TCM will wither gradually.
     2.The reason that some questions TCM encountered in the past one hundred years,is people cannot understand and implement Traditional Chinese Culture which including TCM.
     3.Under the influence of "The culture of science and technology",TCM has more harm than good,even exist in name only;but it will be usefull by rational utilization of "The culture of science and technology".
     4.The road of "combination of Chinese tradiational and Western medicine" is winding,but it is expected;Western medicine will be beneficial to the development of the whole Chinese medicine at last.
     Therefore,it is hoped that the paper can contribute to return to the Traditional Chinese Medicine,and to prevent and resolve some questions concerning TCM.It is hoped that TCM can exist in the right way and get stronger.
引文
[1]明·张介宾.类经,北京:学苑出版社,2005,9.
    [2]清·汪昂.医方集解,北京:人民卫生出版社,2006,6.
    [3]战国·曾参,子思.大学中庸,陕西:陕西旅游出版社,2003.
    [4]春秋·关尹子.文始经,北京:中国社会出版社,2003,1.
    [5]春秋·孔丘等.论语,陕西:陕西旅游出版社,2003.
    [6]汉·班固.汉书,北京:中华书局,2005,3,1.
    [7]战国·荀况.荀子,北京:北京燕山出版社,1995,10,1.
    [8]东汉·许慎.说文解字,北京:中国书店,1989.
    [9]清·刘熙载.艺概,上海:上海古籍出版社,1978,12,1.
    [10]战国·庄周.庄子,北京:北京燕山出版社,2005,2.
    [11]清·康有为.广艺舟双楫注,上海:上海书画出版社,2006,1,1.
    [12]唐·杜甫.杜工部集,上海:上海古籍出版社,2003.
    [13]唐·张彦远.历代名画记,北京:人民美术出版社,2004,4,1.
    [14]清·道济.石涛画语录,北京:人民美术出版社,1959,1.
    [15]明·程登吉.幼学琼林,陕西:陕西旅游出版社,2003.
    [16]南宋·朱熹注.四书集注,江苏:凤凰出版社,2005,5,1.
    [17]李兆生.真元宝芨,北京:学苑出版社,1995.
    [18]上古·黄帝,岐伯等.王洪图主编.内经选读,上海:上海科学技术出版社,1997.
    [19]明·张君宝著,胡道静等主编.藏外道书第5册·张三丰先生全集·大道论,四川:巴蜀书社,1994.
    [20]孙关龙,宋正海主编.自然国学,北京:学苑出版社,2006:6.
    [21]史华.宋代的佛教与医学.中医药文化,2007,2:44-45.
    [22]英国·李约瑟.中国科学技术史,北京:科学出版社
    [23]南怀瑾.南怀瑾选集,上海:复旦大学出版社,2003.
    [24]张荫麟.东汉前中国史纲,青年书店,1944,7:56.
    [25]杨天宇.礼记译注,上海:上海古籍出版社,2007,4.
    [26]宋·陆游.陆放翁全集,北京:中国书店出版社,1997,12.
    [27]李兆生.文武同宗与武当山祖版.武当,2003;(2):11-12.
    [28]春秋·李耳.道德经,吉林:吉林文史出版社,2004.
    [29]李兆生.翰墨缘,北京:红旗出版社,1992.
    [30]李兆生.声律真诠·万字长联,北京:学苑出版社,1995:52.
    [31]周潜川.气功药饵疗法与救治偏差手术,山西:山西人民出版社,1959.
    [32]李兆生.中国太极拳统真大典·以道成医篇,北京:中国商务印书馆国际出版公司,1998.
    [33]上古·伏羲,商·姬昌,西周·姬旦等.周易,北京:蓝天出版社,2006,7.
    [34]清·吴楚材,吴调侯选编.古文观止,黑龙江:哈尔滨出版社,2005.
    [35]明·李时珍.奇经八脉考,上海:上海第二军医大学出版社,2005,6.
    [36]东汉·张机.范永升主编.金匮要略,北京:中国中医药出版社,2003,1.
    [37]廖厚泽,吉贵宝.明堂浅义--气功经络学浅说,上海:上海科学技术文献出版社,1989,5.
    [38]李兆生.中国太极拳统真大典·医宗慧照心传,北京:中国商务印书馆国际出版公司,1998:179-180.
    [39]李兆生.中国太极拳统真大典·以道成医篇,北京:中国商务印书馆国际出版公司,1998:176.
    [40]唐·王冰注解,宋·林亿补注.重广补注黄帝内经素问·表,北京:学苑出版社,2004,6,1.
    [41]李兆生.声律真诠·万字长联,北京:学苑出版社,1995:57.
    [42]北宋·周敦颐.周子通书·文辞,上海:上海古籍出版社,2000.
    [43]南宋·朱熹.朱子文集·答黄道夫书,上海:商务印书馆,1936,12,1.
    [44]三国·王肃.孔子家语,兰州:兰州大学出版社,2004.
    [45]李兆生.声律真诠·真阳对韵,北京:学苑出版社,1995:14.
    [46]李兆生.声律真诠·真阳对韵,北京:学苑出版社,1995:29.
    [47]李兆生.声律真诠·万字长联,北京:学苑出版社,1995:24.
    [48]李兆生.声律真诠·万字长联,北京:学苑出版社,1995:50.
    [49]沈玉成.左传译文,北京:中华书局,2002.
    [50]刘力红.思考中医,广西:广西师范大学出版社,2002.
    [51]东汉·张机.梅国强主编.伤寒论讲义,北京:人民卫生出版社,2003:161.
    [52]郑建明.张仲景评传,南京:南京大学出版社,1998,12:267.
    [53]清·永珞,纪昀主编.四库全书总目·经部易类小序,海南:海南出版社,1999,5,1.
    [54]李兆生.中国太极拳统真大典·医宗慧照心传,北京:中国商务印书馆国际出版公司,1998:181.
    [55]李兆生.中国太极拳统真大典·医宗慧照心传,北京:中国商务印书馆国际出版公司,1998:177.
    [56]上古·黄帝,岐伯等.黄帝内经,黑龙江:黑龙江人民出版社,2004.
    [57]张锡纯.医学衷中参西录,河北:河北科技出版社,2001:347.
    [58]李兆生.中国太极拳统真大典·医宗慧照心传,北京:中国商务印书馆国际出版 公司,1998:178.
    [59]战国·孟轲.孟子,河南:中州古籍出版社,2007.
    [60]李兆生.中国太极拳统真大典·以道成医篇,北京:中国商务印书馆国际出版公司,1998:175.
    [61]牛兵占,肖正权主编.黄帝内经素问译注,北京:中医古籍出版社,2003,3:73.
    [62]郝学兵,张炳厚.易道素养与气化认同.中国中医药报,2008,10,9:4.
    [63]唐·孙思邈.备急千金要方,北京:中医古籍出版社,1999,8,1.
    [64]汉·司马迁.史记,北京:中华书局,2005.
    [65]南齐·褚澄.清·袁开昌撰.养生三要·褚氏遗书,内蒙古:内蒙古科学技术出版社,2002.
    [66]明·冯梦龙.东周列国志,北京:华夏出版社,2008.
    [67]李瀚曼,高翔.“肾生骨髓,髓生肝”的科学内涵.中医杂志,2006;47(1):6-8.
    [68]古希腊·亚里士多德.形而上学,上海:上海人民出版社,2005,5:15.
    [69]李致重.科学、哲学、人、中医、名实--关于中医的科学定位.中国中医药报,2008,10,27:3.
    [70]韩民青主编.千年伟大思想家,山东:济南出版社,2005,6:238.
    [71]战国·尸佼.李守奎注解.尸子译注,黑龙江:黑龙江人民出版社,2003,1,1.
    [72]黄建平,匡调元,祝世讷等.中西医比较研究,湖南:湖南科学技术出版社,1993,12:5.
    [73]马克思.中共中央马克思恩格斯列宁斯大林著作编译局编译.马克思恩格斯全集(第1卷)·德谟克利特的自然哲学和伊壁鸠鲁的自然哲学的差别,北京:人民出版社,1995.
    [74]英·戴维斯,布朗.易心洁译.原子中的幽灵,湖南:湖南科学技术出版社,1992:前言页1.
    [75]日·江本胜.日·猿渡静子译.水知道答案,海南:南海出版公司,2004,1.
    [76]李兆生.老子三清大法,香港:中国哲学文化出版社,2007,1.
    [77]北宋·张伯端.王沐浅解.悟真篇浅解,北京:中华书局,1990.
    [78]战国·列御寇.列子,吉林:时代文艺出版社,2008,7,1.
    [79]金·张从正.儒门事亲,北京:人民卫生出版社,2005,8,1.
    [80]汉·董仲舒.春秋繁露,山东:山东友谊出版社,2001.
    [81]赵博,陈芳.后现代主义下的中医学解读.中华中医药杂志,2005;20(10):619-620.
    [82]费耶阿本德.反对方法,上海:上海译文出版社,1992:306-307.
    [83]王前.中西文化比较概论,北京:中国人民大学出版社,2005:77.
    [84]姜子夫主编.仁王经,北京:大众文艺出版社,2005.
    [85]王永炎.灵枢经·序,北京:人民卫生出版社,2005,5:3.
    [86]朱清时,姜岩.东方科学文化的复兴,北京:北京科学技术出版社,2004,2:216-223.
    [87]英·戴维斯.徐培译.上帝与新物理学,湖南:湖南科学技术出版社,1992:236
    [88]徐行言主编.中西文化比较,北京:北京大学出版社,2004,9,1:238.
    [89]曹东义.回归中医,北京:中国中医药出版社,2007,1:55.
    [90]阎孝诚主编.中医药理论与实验研究,北京:中医古籍出版社,1993:25.
    [91]孙国栋,吕冬梅.中药干预基因表达的研究新进展.菏泽医学专科学校学报,2003:15(1):70-72.
    [92]Alexandre Loktionov*,Serena Scollen,Nicola McKeown.Gene-nutrient interactions:dietary behaviour associated with high coronary heart disease risk particularly affects serum LDL cbolesterol in apolipoprotein E e4-carrying free-living individuals.British Journal of Nutrition,2000,84:885-890.
    [93]祝世讷.中西医学差异与交融,北京:人民卫生出版社,2000:17.
    [94]祝世讷.中西医学差异与交融,北京:人民卫生出版社,2000:18-19.
    [95]祝世讷.中西医学差异与交融,北京:人民卫生出版社,2000:34.
    [96]黄建平,匡调元,祝世讷等.中西医比较研究,湖南:湖南科学技术出版社,1993,12:263.
    [97]曹东义.回归中医,北京:中国中医药出版社,2007,1:36.
    [98]春秋·孙武.孙子兵法,上海:上海古籍出版社,2006,7,1.
    [99]甄橙.18世纪中西医学比较研究的重要性.中医药学刊,2003;21(1):33-35.
    [100]邓铁涛.正确认识中医.湖北民族学院学报·医学版,2005;22(4):1-3.
    [101]赵立军,邵翔绪,牛志军等.自体干细胞移植术治疗脱疽9例疗效观察.北京中医,2006;25(3):134-135.
    [102]杨晓凤,吴雁翔,王红梅等.自体外周血干细胞移植治疗血栓闭塞性脉管炎:8例报告.中国临床康复,2005;(18):41-43.
    [103]Eriko Tateishi-Yuyama.Therapeutic angiogenesis for patients with limb ischaemia by autologous transplantation of bone-marrow cells:a pilot study and arandomised controlled trial.THE LANCET,2002,360(8):10.b104]清·吴瑭.温病条辨,北京:人民卫生出版社,2005,8,1:18.
    [105]陈梦赉编著.中国历代名医传,北京:科学普及出版社,1987,1.