中医理论体系构建进程中知识创新的基本特征和惯性方向  

Basic Characteristic and Inertial Direction of Knowledge Innovation in the Construction Process of Chinese Medicine Theoretical System

作　　者：孙喜灵[1] 姜伟炜[2] 林霞[1] 张涛 丁宝刚[1] 叶蕾[1] 

机构地区：[1]滨州医学院山东省中医证候研究重点实验室 [2]滨州医学院附属烟台医院 [3]烟台长恩医院

出　　处：《中医杂志》2017年第8期631-634,共4页Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(81273628);山东省卫生厅科学技术发展计划(2012GSF11904)

摘　　要：从世界医药学的历史进程来考察中医理论体系的知识创新路径与基本特征,发现中医理论的起源与构建过程是先积累了天然药物的知识,后产生发展了基础理论。中医理论体系的构建是围绕天然药物的准确应用与疗效最大化,建立起了临床适宜的中药运用的技术方法与体系,反映出的是"先药后医"的基本特征;中药理论和技术体系与脏腑经络气血和病因病机等理论融合为一个整体后,形成了中医理、法、方、药的知识体系。相比较而言,西方医药学一直没有出现医学理论与天然药物知识的融合,而是到近代在解剖生理与病因病理等理论指导下,不断发展出新的化学药物和生物药物及临床诊疗的新方法和技术,呈现出的是"先医后药"的基本特征。Exploring the knowledge innovation pathway and basic characteristic of Chinese medicine theoretical system from the historical process of world medicine,the authors find that the origin and construction process of Chinese Medicine theory is first accumulating knowledge on natural herbs and then forming and developing basic theory.The construction of Chinese medicine theoretical system,based on accurate application of natural herbs and maximum effect,technology,methodology and system suitable for clinical herbs medication is built,which reflects the basic characteristic of ＂herb first,medicine second＂. After herb theory-technology system and theories of Zang-fu viscera,channel-collateral,Qi-blood,etiology-pathogenesis integrate as a whole,Chinese medicine principle-method-recipemedicine knowledge system formed. In comparison,there is no combination between medical theory and natural drug knowledge in Western medicine. Until modern times,under the guidance of theories of anatomy,physiology,etiology and pathology,new chemical and biological drugs,as well as new methods and technologies in clinical diagnosis and treatment develops continuously,which reflects the basic characteristic of ＂medicine first,drug second＂.

关 键 词：医药学发展 中医药学 理论体系构建 

分 类 号：R22[医药卫生—中医基础理论]