基于象思维以传统小学方法探索“以辛治燥”的深层原理  

Exploring the Principle of“Treating Dryness with Acrid”by Traditional Chinese Philology Methods based on Image Thinking

作　　者：李强[1] 白卫国[1] 范逸品[1] LI Qiang;BAI Weiguo;FAN Yipin(Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences,Beijing,1100700)

机构地区：[1]中国中医科学院中医临床基础医学研究所,北京市100700

出　　处：《中医杂志》2023年第11期1185-1188,共4页Journal of Traditional Chinese Medicine

基　　金：中国中医科学院基本科研业务费第十五批(Z0815);中国中医科学院自由探索项目。

摘　　要：通过缕析“冰”“黄”“坼”字形意象,旁及坎卦、坤卦等卦象的分析,探析古人对“燥”现象发生之内在机理的认识,即一方面水本身因内在阳气被抽离而出现阴质塌缩、敛并,一方面维系水之流通常态的必要外在通道遭到破坏,失去顺布的条件;通过对“辛”字形与声韵之意象分析,梳理《左传》所载藏冰用冰的原理,为中医以辛治燥找到意象层面的理论依据。基于以上认识,对《黄帝内经》中关于阳气属性、功能与人体水液代谢等中医理论以及《伤寒杂病论》以辛治燥诸方方义进行探索。This paper explored the ancients'understanding of internal mechanism of the“dryness”phenomenon by analyzing the image of the font of the characters“bing(冰)”,“huang(黄)”and“che(坼)”,and hexagrams such as kan(坎)and kun(坤).On one hand,water yin collapses and merges due to the extraction of the internal yang qi;on the other hand,the necessary external channels to maintain the normal water flow are destroyed,and the condition for smooth distribution is lost.By analyzing the image of the font and rhyme of the character“xin(辛)”and the principle of storing and using ice in The Commentary of Zuo(《左传》),this paper tried to provide the theoretical basis at the image level for traditional Chinese medicine(TCM)in treating dryness with acrid.Based on the above understanding,the TCM theories related to the attributes and functions of yang qi and water metabolism of the human body in the Inner Canon of Yellow Emperor(《黄帝内经》),as well as the prescriptions and explanations to treat dryness with acrid in Treatise on Cold Damage and Miscellaneous Diseases(《伤寒杂病论》)are explored.

关 键 词：象思维 意象 字形 水冰地坼 以辛治燥 

分 类 号：R242[医药卫生—中医临床基础]