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《黄帝内经》"清浊"理论探析

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中医"清浊"理论发源于《黄帝内经》,是中医学对形象思维的具体运用,具有哲学层面与科学层面的双重内涵.本研究首先对"清浊"概念进行溯源,探讨"清浊"理论在中国古代哲学中的产生背景.其次从自然生理与疾病诊治两个视域下诠释《黄帝内经》"清浊"理论的具体内涵:前者包含天地之"清浊"、寒热之"清浊"、气血之"清浊"、营卫之"清浊"与脏腑之"清浊"5个方面;后者涉及病机、诊断、体质、针刺、神志、药性6个方面.最后对"清浊阴阳"问题进行辨析,提出"清浊"概念具有动态性及相对性的特点,"阳清阴浊观"与"阴清阳浊观"共同构成了《黄帝内经》"清浊"理论体系,应全面、辩证地看待.
Exploration on the theory of'clear-turbid'in Huangdi Neijing
The theory of'clear-turbid'in traditional Chinese medicine originated from Huangdi Neijing,which is a specific application of image thinking in traditional Chinese medicine,with dual connotations at the philosophical and scientific levels.This study firstly traces the origin of the concept of'clear-turbid',and explores its background in ancient Chinese philosophy.Secondly,the specific connotations of the theory of'clear-turbid'in Huangdi Neijing are interpreted from the perspectives of nature and physiology and diagnosis and treatment.The former includes five aspects,heaven and earth,cold and heat,qi and blood,ying and wei,and five viscera and six organs.The latter involves six aspects:pathogenesis,diagnosis,physique,acupuncture,emotion,and drug properties.Finally,the basic problems of'clear-turbid'and yin-yang are distinguished,and it is proposed that the concept of'clear-turbid'has the characteristics of dynamic and relativity.The views of yang-clear and yin-turbid and yin-clear and yang-turbid together constitute the theoretical system of'clear-turbid'in Huangdi Neijing,which should be treated comprehensively and dialectically.

Huangdi NeijingClear-turbidYin-yangConnotationRelativity

王婧琳、李鸿涛

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中国中医科学院中医药信息研究所,北京 100700

《黄帝内经》 清浊 阴阳 内涵 相对性

国家重点研发计划国家重点研发计划全国中医临床优秀人才研修项目(第五批)

2023YFC35029002023YFC3502901国中医药人教函[2022]239号

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(6)
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