发生学视阀下心主神明理论的成因探析  

Analysis of the origin of the belief that“the heart governs the mind”from the perspective of phylogeny

作　　者：齐元玲 张庆祥 Qi Yuanling;Zhang Qingxiang(School of Traditional Chinese Medicine,Shangdong University of TCM,Shandong 250355,China)

机构地区：[1]山东中医药大学中医学院,山东250355

出　　处：《北京中医药大学学报》2020年第6期475-481,共7页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家自然科学基金面上资助项目(No.81470189)。

摘　　要：“心主神明”出自《素问·六节藏象论篇》:“心者,君主之官,神明出焉。”心主神明是心藏神生理功能的总结,探究其发生学,心主神明经历了自然之神向人体之神的演变过程。古代医家吸收了自然之神之要义,在“授命于天”基础上借鉴封建官制制度,与中国古代哲学相结合,形成医学的藏神概念:心之神乃是生命主宰、生命显现,也是精神、意识、情感之所舍。心主神明理论的形成以解剖物质结构为基础,与天地人文结合,是中医学整体观念在藏象理论形成过程中的应用。探讨心主神明的发生学成因,对中医理论的继承与传承、临床诊疗及后世相关混淆理论的解释,均有重要意义。“The heart governs the mind”originates from the chapter of Discussion on Six-Plus-Six System and the Manifestations of the Viscera in the Plain Conversation:“The Heart is an organ,the function of which is like that of a monarch,which is responsible for the mind(shén míng,神明,referring to the higher nervous activities that are governed by the heart including spirit,consciousness,and thinking.”Hence,that the heart governs the mind is a summary of the physiological function of the heart.When exploring the phylogenetic explanation of the origin of the statement,we discovered that the connotation of the mind evolved from the mind(law)of the nature to the mind of the human.Drawing upon the essence of the mind(law)of the nature and the feudal bureaucracy on the basis of“being authorized by the heaven(nature)”,and incorporating ancient Chinese philosophy,Chinese physicians in the ancient times formed the concept that the heart houses the mind,meaning the mind of the heart governs and manifests life,and is also home to spirit,consciousness and emotion.Based on relevant anatomic findings,the formation of the belief that the heart governs the mind also integrated knowledge of the nature and humanity.It resulted from the application of the holistic concept of traditional Chinese medicine in the formation of the zang-fu theory.To explore the phylogenesis of the idea that“the heart governs the mind”is of great significance for the inheritance of traditional Chinese medicine theory,clinical diagnosis and treatment,and clarification of conceptual confusion in the later generations.

关 键 词：心 神明 发生学 中医基础理论 

分 类 号：R221[医药卫生—中医基础理论]