基于隐喻对虚劳病补法误区的认知
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国家自然科学基金面上项目(81874514)


Misconception about Tonification Methods for Consumptive Diseases in Traditional Chinese Medicine Based on Metaphorical Cognition
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    摘要:

    以运用补法治疗虚劳病过程中的问题为导向,借助生活中“烧水”“生火”的现象构建隐喻模型,并将其作为始源域,将虚劳病使用补法的过程作为目标域,通过隐喻认知探讨虚劳病使用补法时需要避免的误区。具体来说,首先在煤炉生火过程中,通过拉风箱和掏炉灰的作用,隐喻虚劳病使用补法时应当补中有通,防止呆补形成壅滞的误区;其次借助在添柴生火的过程中,纸、木柴和煤3种材料点燃顺序的隐喻,指出在以“虚”为主要矛盾的前提下,补药需要循序渐进地增加,避免过于峻补的误区;最后借助水壶在水少的情况下烧水的隐喻,指出人体在阴阳两虚的状态下应采用阴阳互助、五脏均衡的补法,避免偏补所伤的误区。

    Abstract:

    Guided by the problems in the treatment of consumptive diseases by tonification methods,the present study established a metaphorical model with “boiling water in a kettle” and “lighting wood to make a fire” as the original domains and tonification in the treatment of consumptive diseases as the target domain,and explore the misconception to be avoided in this treatment strategy.Specifically,in the process of starting a fire in a coal stove,“pulling the bellows” and “digging out the ashes” symbolize the importance of tonification and dredging in the treatment of consumptive diseases by tonification methods,and stagnation from pure tonification should be avoided.Secondly,the ignition sequence of three materials,i.e.,paper,wood,and coal in the process of adding burning materials to make a fire metaphorically reflects that tonic drugs should be added gradually under the premise of “deficiency” as the chief paradox in order to avoid aggressive tonification.Finally,the metaphor of boiling less water in the kettle illustrates that it is recommended to tonify the body using mutual support of yin and yang and the balance of the five internal organs when the body is deficient in both yin and yang to avoid the consequence of only tonifying either yin or yang but harming the other.

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戴明,贾春华,陈俊玲,伊凡,刘小燕.基于隐喻对虚劳病补法误区的认知[J].世界中医药,2022,(07).

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  • 收稿日期:2021-07-07
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  • 在线发布日期: 2022-05-26
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