浅谈中医象思维及其应用
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摘要
中医思维是象思维。象思维是根植于古代哲学、传统文化的重要思维方式。中医临床辨治也是以象思维为指导,病为形徵,症为表象,证为意象,"司外揣内"治未病和治已病。以传承中医象思维为切入点,从物象、意象、道象,表观、内观、因观,构象、比象、抽象等角度分析中医象思维,在唯象辨证、唯象论治等方面分析中医象思维的具体应用,在发展中医象思维上提出要形成现代中医思维模式,继承好、发展好、利用好中医药。
Traditional Chinese medicine(TCM) thinking is Xiang thinking(imagery thinking). Imagery thinking is an important way of thinking rooted in ancient philosophy and traditional culture. The clinical differentiation and treatment of TCM is guided by imagery thinking, the disease is the form, the symptom is the manifestation, the syndrome is the image and "governing exterior to infer interior" is the method to preventive treatment of disease and already-disease. This research takes the inheritance of TCM image thinking as the starting point and analyzes TCM image thinking from the perspectives of object image, indicating image, Tao image, appearance, internal view, cause view, conformation, comparison image and abstraction and other perspectives. It analyzes the specific application of TCM image thinking in the aspects of phenomenological syndrome differentiation and phenomenological treatment. In developing TCM image thinking, it is proposed to form modern thinking mode of TCM to inherit, develop and make use of TCM well.
Traditional Chinese medicine(TCM) thinking is Xiang thinking(imagery thinking). Imagery thinking is an important way of thinking rooted in ancient philosophy and traditional culture. The clinical differentiation and treatment of TCM is guided by imagery thinking, the disease is the form, the symptom is the manifestation, the syndrome is the image and "governing exterior to infer interior" is the method to preventive treatment of disease and already-disease. This research takes the inheritance of TCM image thinking as the starting point and analyzes TCM image thinking from the perspectives of object image, indicating image, Tao image, appearance, internal view, cause view, conformation, comparison image and abstraction and other perspectives. It analyzes the specific application of TCM image thinking in the aspects of phenomenological syndrome differentiation and phenomenological treatment. In developing TCM image thinking, it is proposed to form modern thinking mode of TCM to inherit, develop and make use of TCM well.
引文
[1]周振甫.周易译注[M].北京:中华书局, 2016.
[2]王树人,喻柏林.论“象”与“象思维”[J].中国社会科学,1998(4):38.
[3]王树人.回归原创之思:“象思维”视野下的中国智慧[M].南京:江苏人民出版社, 2005(1):65.
[4]史业骞,初杰.浅谈象思维在认识中药功效方面的应用[J].中华中医药杂志, 2015, 30(4):1163.
[5]丁世芹.《内经》取象思维方式及其对后世医学认知方法的影响[J].河南中医, 2007, 27(11):7-9.
[6]邢玉瑞.中医象思维的概念[J].中医杂志, 2014, 55(10):811-814.
[7]仝小林,郑玉娇,刘文科,等.浅谈现代中医思维模式及其临床应用[J].中医杂志, 2017, 58(13):1104-1107.
[8]孙岸弢,孙劲晖,赵鲲鹏,等.中医象思维的相关理论探讨[J].中医药学报, 2014, 42(4):1-5.
[9]王小强,白雪.探索中医象思维的应用方法[J].中国中医基础医学杂志, 2017, 23(12):1691-1693.
[10]王永炎,于智敏.象思维的路径[J].天津中医药, 2011,28(1):1-4.
[11]刘佩珍,刘月生.论中医辨证论治的象思维特性[J].上海中医药大学学报, 2008, 48(5):24-26.
[12]陈自佳,王素梅.运用象思维探讨风在小儿注意力缺陷多动障碍中的作用[J].北京中医药, 2017, 36(11):1011-1012.
[13]吴瑭.温病条辨[M].北京:人民卫生出版社, 2005:14-17,22, 26-27, 62-63, 94, 122, 149, 174, 190.
[14]仝小林.维新医集[M].上海:上海科学技术出版社,2015:34.
[15]王涵,周强,仝小林.仝小林治疗糖尿病并发症应用黄芪经验[J].环球中医药, 2013, 6(4):272-274.
[16]史业骞.象思维对方药学的影响[D].沈阳:辽宁中医药大学, 2015:38.
[17]李绍林,梁飞.《本草纲目》“释名”象思维探析[J].世界中西医结合杂志, 2018, 13(3):428-431.
[18]孙岸弢,王永炎,谢雁鸣.中医“意象”思维理念刍议[J].中医杂志, 2011, 52(2):89-91.
[19]邢玉瑞.中国传统思维与中医学术创新[J].中国中医基础医学杂志, 2017, 23(2):199-200.
[20]杨燕,熊婕,王传池,等.人工智能思维模式与中医“象思维”的相似性探析[J].中华中医药杂志, 2018, 33(10):4419-4421.
[2]王树人,喻柏林.论“象”与“象思维”[J].中国社会科学,1998(4):38.
[3]王树人.回归原创之思:“象思维”视野下的中国智慧[M].南京:江苏人民出版社, 2005(1):65.
[4]史业骞,初杰.浅谈象思维在认识中药功效方面的应用[J].中华中医药杂志, 2015, 30(4):1163.
[5]丁世芹.《内经》取象思维方式及其对后世医学认知方法的影响[J].河南中医, 2007, 27(11):7-9.
[6]邢玉瑞.中医象思维的概念[J].中医杂志, 2014, 55(10):811-814.
[7]仝小林,郑玉娇,刘文科,等.浅谈现代中医思维模式及其临床应用[J].中医杂志, 2017, 58(13):1104-1107.
[8]孙岸弢,孙劲晖,赵鲲鹏,等.中医象思维的相关理论探讨[J].中医药学报, 2014, 42(4):1-5.
[9]王小强,白雪.探索中医象思维的应用方法[J].中国中医基础医学杂志, 2017, 23(12):1691-1693.
[10]王永炎,于智敏.象思维的路径[J].天津中医药, 2011,28(1):1-4.
[11]刘佩珍,刘月生.论中医辨证论治的象思维特性[J].上海中医药大学学报, 2008, 48(5):24-26.
[12]陈自佳,王素梅.运用象思维探讨风在小儿注意力缺陷多动障碍中的作用[J].北京中医药, 2017, 36(11):1011-1012.
[13]吴瑭.温病条辨[M].北京:人民卫生出版社, 2005:14-17,22, 26-27, 62-63, 94, 122, 149, 174, 190.
[14]仝小林.维新医集[M].上海:上海科学技术出版社,2015:34.
[15]王涵,周强,仝小林.仝小林治疗糖尿病并发症应用黄芪经验[J].环球中医药, 2013, 6(4):272-274.
[16]史业骞.象思维对方药学的影响[D].沈阳:辽宁中医药大学, 2015:38.
[17]李绍林,梁飞.《本草纲目》“释名”象思维探析[J].世界中西医结合杂志, 2018, 13(3):428-431.
[18]孙岸弢,王永炎,谢雁鸣.中医“意象”思维理念刍议[J].中医杂志, 2011, 52(2):89-91.
[19]邢玉瑞.中国传统思维与中医学术创新[J].中国中医基础医学杂志, 2017, 23(2):199-200.
[20]杨燕,熊婕,王传池,等.人工智能思维模式与中医“象思维”的相似性探析[J].中华中医药杂志, 2018, 33(10):4419-4421.