肺主治节的现代诠释研究述评  

Review of modern interpretation research on lung governing management and regulation

作　　者：邢玉瑞[1] 李翠娟[2] 胡勇 XING Yu-rui;LI Cui-juan;HU Yong(Shaanxi University of Chinese Medicine,Xixian New District 712046,China)

机构地区：[1]陕西中医药大学文化文献研究院,西咸新区712046 [2]陕西中医药大学,西咸新区712046

出　　处：《中华中医药杂志》2020年第6期2724-2727,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点基础研究发展计划(973计划)(No.2013CB532002);陕西中医药大学学科创新团队(No.2019-YL01)。

摘　　要：自《黄帝内经》提出肺主治节的观点后,古今医家的认识并不一致,总结现代学者对肺主治节的诠释,可概括为治理调节说、生命节律说、功能节律综合说、生理秩序说、肺主治理关节说5种不同的观点,结合诠释学的原理与方法,提出"治节",可理解为正常节奏、节律。肺主治节是指肺通过宗气参与人体呼吸、心跳、脉搏以及气行节律的调节。现代规划教材将"治节"理解为治理调节,认为是对肺的功能的高度概括,只能说是站在现代语境下一种新的发挥。至于将肺主治节功能扩大到对全身功能的治理调节,或将生理节律扩展到寤寐、二便、月经等方面,或认为肺主治节使人体与自然和谐有序等解释,都有过度诠释之嫌,应加以摒弃。Since Huangdi Neijing presented the concept of lung governing management and regulation,the ancient and modern medical scientists have been holding different perspectives on the understanding.To sum up the interpretation of the lung governing management and regulation activities,it can be summarized into five different aspects,such as governing management and regulation theory,life rhythm theory,comprehensive functional rhythm theory,physiological order theory and lung-governing arthrosis theory.Combined with the principles and methods of hermeneutics,modern scholars hold that the concept of‘management and regulation’can be understood as normal rhythm.The lung governing management and regulation refers to the regulation of the lung participating in human respiration,heartbeat,pulse and the rhythm of qi fluid circulation in the form of pectoral qi.Modern textbooks interpret the term‘management and regulation’as management and regulation,which is thought to be a high generalization of lung function.That is only a new form in the modern context.As for the expansion of the lung function to the regulation of systemic function,extending it to the circadian rhythm such as being awake or asleep,urination,defecation,or menstruation,or the idea that lung governing management and regulation is supposed to be in order with the human body nature are all the overinterpretation which should be discarded.

关 键 词：肺主治节 诠释 研究进展 黄帝内经 

分 类 号：R256.1[医药卫生—中医内科学]