当代中医病机概念的演变  

Evolution of Pathogenesis Concept in Contemporary Chinese Medicine Theory

作　　者：王维广[1] 陈子杰[1] 王慧如[1] 李梦琳[1] 梁艳[1] 刘金涛[1] 翟双庆[1] 

机构地区：[1]北京中医药大学中医学院

出　　处：《中医杂志》2017年第17期1441-1443,1457,共4页Journal of Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划("973"计划)(2013CB532001)

摘　　要：通过考察全国统编1至9版中医基础理论教材及中医诊断学教材,对比分析这些教材中病机概念的内容及理论结构。认为现代中医病机概念的内容主要是机制,在其概念的构建过程中,病理概念的影响极大,这与古代病机的内容强调"关键"是有很大区别的,主要体现在临床诊治思路上从处理"关键问题"到处理"抽象概念"这一方面。这种转变与现代中医受西医的影响,强调"机理""机制"等内容,使古代中医中的"象"被边缘化有关。This article compares and analyzes the content and theoretical structure of the concept of pathogenesis from the national textbooks of Basic Theory of Chinese Medicine and Diagnostics in Chinese Medicine from the first to the ninth version. The authors consider the mechanism as the main content of pathogenesis concept in contemporary Chinese medicine. During the construction of this concept,the concept of pathology has a profound influence,which differs a lot from the emphasis on ＂key＂in ancient pathogenesis content,mainly reflected in clinical diagnosis and treatment ideas transferring from dealing with ＂key issues＂to dealing with ＂abstract concept＂. This change is associated with the impact of western medicine on modern Chinese medicine,emphasizing the ＂mechanism＂and so on,so that the ancient Xiang（ 象） concept is marginalized.

关 键 词：病机 中医概念 中医基础理论 中医诊断学 

分 类 号：R228[医药卫生—中医基础理论]