历史上两次文化选择对中医发展的影响  

Influence of Two Cultural Choices in History on Development of Traditional Chinese Medicine

作　　者：赵荣波 李颖[1] ZHAO Rongbo;LI Ying(Shandong University of Traditional Chinese Medicine,Jinan 250355,China)

机构地区：[1]山东中医药大学,山东济南250355

出　　处：《山东中医药大学学报》2022年第4期539-543,共5页Journal of Shandong University of Traditional Chinese Medicine

基　　金：山东省研究生教育质量提升计划项目(编号:SDYKC18037);山东中医药大学中医现象学研究青年科研探索团队项目(批文号:校字〔2020〕54号)。

摘　　要：《易经》是中国传统文化的“源头活水”,开创了以天人合一、动态阴阳平衡和治未病为特征的文脉系统,对中医理论的建构有着根本性的影响。从历史上看,这种文脉系统在春秋战国和“五四”时期前后的两个历史大变革时期,历经两次文化筛选和文化下移,又重新构建起新的阴阳平衡格局,实现了包括中医药在内传统文化角色的创造性转换。第一次文化选择使传统中医学从巫术中脱胎出来,实现了道和术、天和人、医者和患者、人和工具并重的平衡态。第二次文化选择实现了中医和西医、传统医术和现代科技并重的平衡态,形成了新时代我国医学体系的基本模式。这是中医学“何以如此”和“向何处去”的问题。I Ching is the origin of traditional Chinese culture.It has created a cultural system characterized by the unity of nature and humans,dynamic balance of yin and yang and treating disease before its onset,which has a fundamental impact on the theoretical establishment of traditional Chinese medicine(TCM).Historically,in the two major historical change periods of Spring and Autumn Period and the Warring States Period and the“May Fourth”Period,this cultural system has undergone two cultural screenings and cultural downward shifts,and has rebuilt a new balance of yin and yang,realizing creative transformation of traditional cultural roles including TCM.The first cultural choice made TCM come out of witchcraft,and realized the balance between Taoism and magic,nature and humans,therapists and patients,and humans and tools.The second cultural choice has achieved a balance between TCM and western medicine,traditional medicine and modern technology,and formed the basic model of medical system in the new era in China.This is the question of“why has be so”and“where to go”in TCM.

关 键 词：医易同源 医易同流 阴阳平衡 文化选择 文化下移 形式逻辑 辩证逻辑 中西医并重 中医发展 

分 类 号：R2-05[医药卫生—中医学]