试论脑为元神之府及临床意义  

Discussion on the brain for the fu-viscera of mental activity and its’clinical significance

作　　者：周玉萍 王晓旭 田裕豪 张庆祥 ZHOU Yu-ping;WANG Xiao-xu;TIAN Yu-hao;ZHANG Qing-xiang(College of Chinese Medicine,Shandong University of Traditional Chinese Medicine,Jinan 250014,China;The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250001,China)

机构地区：[1]山东中医药大学中医学院,济南250014 [2]山东中医药大学第二附属医院,济南250001 [3]山东中医药大学中医学院中医基础理论教研室,济南250355

出　　处：《中华中医药杂志》2021年第1期155-157,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金面上项目(No.81774169)。

摘　　要：通过对中医文献资料分析总结,发现"脑神说"隶属中医整体观念,是基于中医经络藏象总结提出的理论,在一定程度上丰富了"形神一体观"的理念。脑为元神之府,其生理机能的发挥关键在于心肾二脏,在这一理论基础下"心主神明"实际上作为脏腑机能而成为其核心理论组成部分之一。心、脑之争其根本原因在于脑在中医学中定义解读的不同,而在临床诊疗中,脑神之说亦是通过整体辨证进行施方用药,符合现代心身医学"形神并调"的医学发展规律。Through the analysis and summary of traditional Chinese medicine literature,it is found that the theory that the brain is the container of the yuan-shen belongs to the whole concept of traditional Chinese medicine based on the theory of meridians and visceral manifestations,which enriches the concept of the unity of body and spirit.The key to that theory’s physiological function is the heart and kidney.Under the guidance of this theory,mind dominance is actually a physiological function of zang-fu organs,which is one of the core theoretical components of the brain.The fundamental reason for the difference between the theory of heart and brain lies in the different understandings of brain and mental activity in traditional Chinese medicine.However,in clinical diagnosis and treatment,the theory of mental activity applies drugs based on holistic syndrome differentiation,which conforms to the’co-regulation body and spirit’of modern Chinese medicine.

关 键 词：心 肾 脑 黄帝内经 元神 整体观念 形神并调 

分 类 号：R223[医药卫生—中医基础理论]