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 ›› 2020, Vol. 43 ›› Issue (6): 469-474.doi: 10.3969/j.issn.1006-2157.2020.06.005

• “气”专题讨论 • 上一篇    下一篇

《黄帝内经》“正气”概念内涵辨析*

石翎笙, 贺娟#   

  1. 北京中医药大学中医学院 北京 102488
  • 收稿日期:2019-11-12 发布日期:2020-07-06
  • 通讯作者: #贺娟,女,博士,教授,博士生导师,主要研究方向:中医哲学、中医基础理论、五运六气学说,E-mail:hejuan6428@sina.com
  • 作者简介:石翎笙,女,在读博士生
  • 基金资助:
    *北京市自然科学基金资助项目(No.7182094)

Analysis of the concept of “Zhengqi” in Huangdi Neijing*

Shi Lingsheng, He Juan#   

  1. School of Chinese Medicine,Beijing University of Chinese Medicine,Beijing 102488,China
  • Received:2019-11-12 Published:2020-07-06
  • Contact: Prof. He Juan,Ph.D., Doctoral Supervisor. Beijing University of Chinese Medicine.Intersection of Yangguang Nandajie Street and Baiyang Donglu Road, Liangxiang Campus of Beijing University of Chinese Medicine, Liangxiang Higher Education Park, Fangshan District,Beijing 102488. E-mail: hejuan6428@sina.com
  • Supported by:
    Beijing Natural Science Foundation (No.7182094)

摘要: “正气”在现代中医学中多与“邪气”相对称,是表达邪正病机理论的重要概念。然而《黄帝内经》中“正气”表达“正风”之义,本质内涵是与时节所应方位相正的风,具有一定的致病性,属于现代外邪的范畴。“正气”在魏晋南北朝最早出现生理性内涵,后逐渐成为“人体生理之气”的明确代指。再至宋代《素问遗篇·刺法论篇》以“正气存内,邪不可干”之言彻底确立了“正气”生理之气的认识以及与邪气相抗争的对立关系,成为现代“正气”概念的重要理论依据。

关键词: 正气, 风, 正风, 八正, 八风, 正邪, 邪正合病, 实风

Abstract: In modern Chinese medicine, “Zhengqi”, often juxtaposed with “Xieqi”,is an important concept in the theory of pathogenesis based on exuberance and debilitation of Xieqi (pathogenic factors) and Zhengqi (healthy qi).However,in Huangdi Neijing (Huangdi’s Internal Classic), “Zhengqi” originally meant “Zhengfeng” (right wind), essentially referring to wind in the right direction in the right season. Therefore, it was also an external pathogenic factor in modern sense because of its potential capacity to cause diseases. It was in the Wei, Jin, and Southern and Northern dynasties (220 AD-589 AD) when “Zhengqi” began to acquire its physiological sense. Later, it gradually became clear that the term referred to healthy qi.Its connotation of “Zhengfeng” was formally replaced with “healthy qi” in the sentence “when there is sufficient Zhengqi inside the body,Xie (pathogen) cannot invade the body” in the chapter “Discussion on Acupuncture Methods”, the original contents of which were lost in history and the present contents were added by scholars in the Song Dynasty to Suwen (Plain Conversation). Since then, it was thoroughly established that “Zhengqi” denoted antipathogenic physiological factors,providing significant theoretical basis for the modern concept of “Zhengqi”.

Key words: Zhengqi, wind, Zhengfeng, eight directions, eight kinds of wind, Zhengxie (Zheng pathogen), Zhengqi-Xieqi combination of diseases, Shifeng (invigorating wind)

中图分类号: 

  • R221