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中医志本质探微

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文章以"志"为切入点,梳理典籍以探求"志"的溯源,从精气化志、肾藏志神、志意相合、五神之志、中医五志5个角度探讨"志"本质深层次含义.通过不同视角,提炼"志"含义如下:志由精气所化,藏舍于肾,得先后天之精以濡养.肾藏志神,蕴含"肾精舍志,志神调肾"的形神内涵;肾在志为恐,与"藏精起亟"密切相关.志意相合,参与主持后天认知的加工与执行.五神系统之机要环节,受心神统帅,与意共主思与行动决策.五脏有志,系志之细化与分支;五志由五脏生化,不离元气时空演化与五脏气化;五志藏于五脏,得五脏以濡养,以无形之形态承担五脏功能之要职.总结"志"生理功能如下:御精神,收魂魄,适寒温,和喜怒.在此基础上,探讨了"志"与肾、脾、心、肝四脏关系以及对于中医藏象疾病的临床指导意义.
Exploration of the nature of Zhi soul in traditional Chinese medicine
This article takes'zhi'as the breakthrough point,combs the classics to explore the source of the will,and explores the'zhi'from five perspectives:Essence and qi transforms the aspiration,the kidney stores the mind and spirit,the harmony of the mind and the mind,the aspiration of the five gods,and the five notes of traditional Chinese medicine.The deep meaning of the essence.From different perspectives,the meaning of'zhi'is refined as follows:Aspirations are transformed by the essence of energy,hidden in the kidneys,and nurtured by the essence of the heavens.The kidney stores the spirit and spirit,which contains the connotation of'the essence of the kidney and the spirit of the spirit and the spirit of the kidney'.Consistent with intentions,participate in the processing and execution of acquired cognition.The key link of the five gods system is under the command of the mind and mind,and shares thoughts and action decisions with yi.The five organs have aspirations,which are the refinement and branching of the records;the five senses are biochemically transformed from the five internal organs,and are not separated from the evolution and gasification of the five internal organs;the five senses are hidden in the five internal organs,and the five internal organs are used to nourish the five internal organs in an intangible form to assume the important functions of the five internal organs.The physiological functions of'zhi'are summarized as follows:guarding the spirit,regaining the soul,adapting to cold and temperature,and being happy and angry.On this basis,the relationship between'zhi'and the four internal organs of kidney,spleen,heart and liver and its clinical guiding significance for organs image diseases in traditional Chinese medicine were discussed.

ZhiEssenceFive godsKidney storing zhiSpiritual psychology

钟霞、赵天恩、焦华琛、滕晶

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山东中医药大学第一临床医学院,济南 250014

济南历下德正堂中医医院,济南 250000

山东中医药大学附属医院心病科,济南 250012

精气 五神 肾藏志 精神心理

山东省重点研发计划

2021SFGC0503

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(5)