主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2019, Vol. 42 ›› Issue (10): 802-807.doi: 10.3969/j.issn.1006-2157.2019.10.002

• 理论研究 • 上一篇    下一篇

论宋以后心藏象的形上化本体化路径*

谷建军   

  1. 北京中医药大学中医学院 北京 100029
  • 收稿日期:2019-04-08 出版日期:2019-10-30 发布日期:2019-11-25
  • 作者简介:谷建军,女,博士,教授,硕士生导师,研究方向:藏象学术史、中医与哲学,E-mail: jianjungu88@163.com
  • 基金资助:
    *国家社会科学基金资助项目(No. 13BZX035)

Metaphysical and ontological trends in interpreting visceral manifestation of heart since Song Dynasty*

Gu Jianjun   

  1. School of chinese medicine, Beijing University of Traional Chinese Medicine, Beijing 100029, China
  • Received:2019-04-08 Online:2019-10-30 Published:2019-11-25
  • Contact: Prof. Gu Jianjun, Master’s Supervisor. School of chinese Medicine Beijing University of Traditional Chinese Medicine, Beijing 100029. E-mail: jianjungu88@163.com
  • Supported by:
    National Social Science Foundation of China (No.13BZX035)

摘要: 随着宋明理学的兴起,宋以后医学学理呈现了鲜明的哲学化取向,人体脏腑逐渐脱离了实体的存在意义而概念化、形上化。医学之“心”是一个哲学范畴,宋以后医学所经历的是一个将“心”彻底形上化的路径,主要表现在心功能的形上化,以君火为心之用;心范畴的扩展,君相合一;心君的本体化,心为太极;心藏象的去实体化等几个方面。医学在尽力寻找心实体作用的替代者,力图使其摆脱“器”的层次,强调其“道”的本体特征,进而完成了从形上层面覆盖形下的藏象理论模式建构。这些思想表明医学理论的关注点向脏腑形上功能的最终转化,同时也使临床医学辨证论治方式方法发生相应变化。

关键词: 心藏象, 君火, 相火, 本体, 太极

Abstract: With the rise of Neo-Confucianism in the Song and Ming Dynasties, medical theories tended to be philosophical, among which the concepts of zang-fu organs were gradually separated from the entity significance and presented conceptually and metaphysically. The heart in TCM has been discussed in the philosophical scope. After the Song Dynasty, the TCM heart has undergone a path of complete philosophization, mainly manifested in the following aspects: the heart function is metaphysically sumarized as monarch fire; the concept of heart is expanded as a unification of the monarch fire and the ministerial fire; the heart is changed to be ontological as tai chi; the heart is no longer viewed as a physical organ. A replacement for the heart’s physical function is constantly sought, so as to lift the heart out of the “matter” level and emphasize its ontological characteristics of “Tao”, thus completing the construction of a philosophical visceral manifestation theory model. These thoughts indicate that the focus of TCM theory is ultimately transforming to the metaphysical functions of the zang-fu organs, which leads to corresponding changes in clinical pattern identification and treatment.

Key words: visceral manifestation of heart, monarch fire, ministerial fire, ontology, tai chi

中图分类号: 

  • R223.1+1