“肾藏精”藏象理论概念体系
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基金资助:国家973计划项目——课题1:“肾藏精”理论文献与临床信息综合分析研究(编号:2010CB530401)


Concept System of “Kidney Stores Essence” Theory
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    摘要:

    目的:阐发“肾藏精”藏象理论的概念体系,传承和创新肾藏象理论,提高中医基础理论学术水平。方法:采用4部关于中医药学名词术语标准化学术著作,整理“肾藏精”藏象理论的相关概念(不包括相关中药、方剂),并依据中国先进的文化基因和中医学理论体系及其临床实践,研究“肾藏精”藏象理论概念体系的层次结构,并加以解析。结果:“肾藏精”藏象理论的相关概念185条,分为三个层次结构,即“道”“象”“器”,形成概念体系。“道”属于哲学层次,以规律、法则为重点,属于抽象逻辑范畴。“肾藏精”藏象理论概念体系之“道”,即以精气学说、阴阳学说、五行学说为核心所构建的基本规律和基本法则。“象”属于理性层次,反映和认知事物的本质和联系,属于理性认识范畴。中医肾藏象理论即肾的“天人合一”之象、“形神合一”之象、“体用合一”之象,肾的生理特性和生理功能正是在“象”的理性层次基础上建立起来的理论。“器”属于物质层次,包括以肾为中心的脏腑、形体、官窍以及生命物质的肾系统。结论:“肾藏精”藏象理论是具有中国文化基因、层次结构明晰、概念内涵丰富的概念体系,对于临床实践具有重要指导意义。

    Abstract:

    To demonstrate the concept system of ‘kidney stores essence’ theory and to pass on and enrich theory of kidney visceral manifestation. Methods: Four academic works on standardized terms of Chinese medicine were selected to sort and analyze the “kidney stores essence” related conceptions,but concepts of Chinese material medica and formula were not included. Based on the advanced Chinese cultural fundament and theoretical system and clinical practice of traditional Chinese medicine,the hierarchical structure of the “kidney stores essence” in visceral manifestation theory was sorted out. Results: One hundred and eighty five items were searched out and sorted into three categories,including dao,xiang and qi. ‘Dao’,pointing at principles and rules,pertained to philosophical fields. The dao in “kidney stores essence” theory was built upon the essence and qi theory,yin-yang theory and five-element theory. ‘Xiang’,manifesting and reflecting things’ nature and the relations in between,pertained to cognition fields. Kidney visceral manifestation was typical for manifestation of ‘corresponding between human and nature’,‘unity of body and spirit’ and ‘unity of physical and function’,which set lights on the whole kidney system in physical characteristic and function. ‘Qi’,referring to the whole related organs,bodily parts,orifices and living substances,pertained to material fields. Conclusion: Inheriting Chinese cultures,“kidney stores essence” theory becomes a clear-structure and full-connotation theoretical system,which is significant in guiding clinical practice.

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郑洪新 师双斌 李 佳.“肾藏精”藏象理论概念体系[J].世界中医药,2014,9(06).

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  • 收稿日期:2014-04-28
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  • 在线发布日期: 2014-06-27
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