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"心主神明"观点之商榷

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"心主神明"观点在内涵上与"神为形之主"相抵牾,使中医理论不能自洽.分析"心主神明"的依据,发现该观点源于对《黄帝内经》经文的不正确理解.①混淆了"心藏神"与"心主神明"的区别.②未考虑《黄帝内经》时代"君主"的含义和"官"字应用的避讳规则,将前者解释为"帝王",后者解释为"官职";将"神明"理解为"神".继而错解经文.③过度解读"心者,五脏六腑之大主",使之具有心主宰"神"的内涵.与"神"密切相关的中医原理和临床事实也不支持该观点.说明"心主神明"的观点并不成立.
Discussion on the viewpoint of 'heart governing Shenming'
'Heart governing Shenming',conflicted with'Shen is the lord of body',affected the treatment in psychological disorders.By analyzing the theoretical basis that support'heart governing Shenming',it was found that the basis was derived from misunderstanding of the words in Huangdi Neijing:①Confusing the differences between'heart governing Shenming'and'heart stores Shen'.②Without considering the meaning of 'Junzhu'in Huangdi Neijing era,application restriction of'Guan',it explained'Junzhu'as'emperor',and the'Guan'as an'official title'.Then the words was misunderstood.③Overinterpreted of'heart being the master of the five zang and six fu organs'for having the meaning of'heart governing Shenming'.It is also lack of support in theory and clinical evidence related with'Shen'.All these showed that'heart governing Shenming'could not stand.

Heart governing ShenmingHeart stores ShenViscus likened to the monarch in the bodyShen is the lord of body

戈武杨、张久亮

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三六三医院,成都 610041

中日友好医院,北京 100029

心主神明 心藏神 君主之官 神为形之主

中国康复医学会2022年度科技发展项目

KFKT-2022-007

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(9)