世界中医药

本文从大文化、大科学、大医学的视角，溯源求本，从《黄帝内经》研析中医五脏概念形成的文化背景、哲学基础及其医疗实践，认为《黄帝内经》的五脏，是古人将内脏形质作为物象，通过意象思维，产生功能特性“类概念”，并在天人合一观念指导下，纳入“四时法则”之中，从而形成了生长化收藏作核心内涵、精气-阴阳-五行为逻辑方法的五脏概念系统。同时，概念的形成还经历了理论与实践互动互证过程。此外，本文还就《黄帝内经》五脏概念的科学意义进行了研讨，指出中医五脏是一种结构性功能概念，乃中国系统思维的产物，在科学技术发展到综合阶段，包括五脏概念在内的中医理论，对于生命科学与医学科学的发展具有理论上科学意义和医疗实践的一定优势。

English Summary:

From the perspectives of big culture, big science, and big medicine, this article traced back to the root, and analyzed the cultural background, philosophical foundation, and medical practice of the concept of the five internal organs of the TCM from Huangdi Neijing. It is believed that the five internal organs are ancient people who use internal organs as an object image to generate functional concepts “class concepts” through imagery thinking, and under the guidance of the concept of unity between man and nature, they incorporate it in the “four-seasons rule”, thus forming the concept system of the five internal organs with the core connotation of growing collection, the logical method of essential qi-yin and yang-five elements. At the same time, the formation of the concept also experienced a process of interaction and mutual recognition between theory and practice. In addition, this article also discussed the scientific significance of the concept of five internal organs, and pointed out that the five internal organs of the TCM were a structural functional concept. It is the product of the Chinese system thinking. In the development of science and technology to the comprehensive stage, the TCM theories including the concept of five internal organs have certain advantages in the theoretical scientific significance and medical practice, for the development of life sciences and medical sciences.

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