首页|中医学营卫辨证模型的内涵与逻辑管窥

中医学营卫辨证模型的内涵与逻辑管窥

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围绕中医辨证论治的思路与方法,《黄帝内经》寓有多重理论模型,后世医家对此各抒己见,逐渐形成六经辨证、气血津液辨证、脏腑辨证等理论模型.这些理论模型虽视角不同,探讨的病机内涵各异,但本质上却是针对相同或相似的病理状态做出的规律总结.基于"气一元论",将营卫看作人体的一个整体,试图构建营卫辨证模型,进而揭示营卫理论与气血津液理论、五脏理论、六经理论之间的关系.机体的生理、病理状态均可以营卫理论模型概之,营卫辨证模型能够为中医辨证体系的完善提供范式.
Connotation and Logic of Nutrient-defense Syndrome Differentiation Model in Traditional Chinese Medicine
Huangdi's Internal Classic(Huang Di Nei Jing)encompasses multiple theoretical models based on the thinking and methods behind syndrome differentiation and treatment in traditional Chinese medicine(TCM).Successive generations of physicians have offered diverse interpretations of these models,gradually developing theories such as the six-meridian syndrome differentiation,qi-blood-body fluid syndrome differentiation,and Zang-fu syndrome differentiation.Although these models differ in perspective and the pathological concepts they explore,they essentially represent systematic summaries of similar or identical pathological states.Based on the"qi monism",which views nutrient and defense as an integrated whole within the human body,there is an attempt to construct a syndrome differentiation model for nutrient and defense.This model seeks to reveal the relationship between the theories of nutrient and defense,qi-blood-body fluids,the five Zang organs,and the six meridians.Both physiological and pathological states of the body can be conceptualized through the nutrient-defense theoretical model.This nutrient-defense syndrome differentiation model can serve as a paradigm for the refinement of the TCM syndrome differentiation system.

Nutrient-defense theorySyndrome differentiation modelFive Zang organsQi,blood and body fluidSix meridiansConnotation

孙萌、叶放

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南京中医药大学,国医大师周仲瑛传承研究工作室,南京,210023

营卫理论 辨证模型 五脏 气血津液 六经 内涵

国家中医药管理局"国医大师周仲瑛传承工作室"建设项目(2010年)全国和省名老中医药专家传承工作室基层工作站建设项目(2018年)江苏省(社会发展)重点研发计划项目中国中医科学院学部委员学术传承与传播专项

BE2019723CI2022E028XB

2024

10.3969/j.issn.1673-7202.2024.16.014

世界中医药
世界中医药学会联合会

世界中医药

CSTPCDCHSSCD北大核心
影响因子：1.266
ISSN：1673-7202
年,卷(期)：2024.19(16)