基于知识考古学的《临证指南医案》“肝阳”概念形成分析  

Concept of liver yang in “A guide to clinical practice with medical record”based on archaeology of knowledge

作　　者：王维广[1] 李成卫[1] 王庆国[1] 

机构地区：[1]北京中医药大学基础医学院中医临床基础系,北京100029

出　　处：《长春中医药大学学报》2015年第6期1101-1103,共3页Journal of Changchun University of Chinese Medicine

基　　金：国家重点基础研究发展计划(973计划)(2011CB505100)

摘　　要：《临证指南医案》"肝阳"概念的对象是肝及肝病本身的特征。肝阳与肝的关系是肝生肝阳,肝阳与肝阴之间是体用关系。肝阳概念的对象及肝阳与其他概念间的关系源于理学中的"理一分殊""理学世界图示"和"体用一源"。理一分殊决定了肝阳的对象是肝及肝病本身的特征;理学世界图式决定了肝阳与肝的关系是肝生肝阳;体用一源确定了肝阳与肝阴之间是体用关系。《临证指南医案》的肝阳概念主要来源于理学。厘清《临证指南医案》肝阳的发生学基础,解决其理论来源问题,无论是对古代文献的研究、肝脏象理论、中医脏象理论的研究,还是对现代肝脏象理论、中医脏象理论和中医理论的构建都有积极的意义。The concept of Liver Yang in Lin Zheng Zhi Nan Yi An（ A Guide to Clinical Practice with Medical Record）relates to the Liver and the characteristics of liver diseases. The relationship between Liver Yang and the Liver is one which the Liver gives rise to Liver Yang; while that between Liver Yang and Liver Yin is one between substance and function. The concept of Liver Yang and its connection to other concepts originated from Neo-Confucianism＇s ＂Universality and Particularity＂,＂World diagram＂,and ＂Oneness in Form and Function＂. ＂Universality and Particularity＂determined that Liver Yang relates to the Liver and the characteristics of liver diseases; the World picture of NeoConfucianism determined that Liver gives rise to Liver Yang; ＂Oneness in Form and Function＂determined the relationship between Liver Yang and Liver Yin as one between substance and function. As such,the concept of liver yang in Lin Zheng Zhi Nan Yi An is originated from Neo-Confucianism. The clarifying of the formation of Liver Yang in Lin Zheng Zhi Nan Yi An and resolving of issues surrounding the origin of said theory is of positive significance to the modern Liver Zang-Viscera Theory,the Visceral Picture Theory,and the structuring and construction of Chinese Medicine Theory.

关 键 词：《临证指南医案》 知识考古学 “肝阳” 

分 类 号：R249[医药卫生—中医临床基础]