“心与小肠相表里”理论的历史源流及发展脉络  

Historical Origin and the Development of the Theory of“the Interior-exterior Relationship between the Heart and Small Intestine”

作　　者：程艳[1] 张苗苗 国嵩 刘佳卉[2] 魏秀楠 孙大娟[1] 迟莉丽[1] CHENG Yan;ZHANG Miaomiao;GUO Song;LIU Jiahui;WEI Xiunan;SUN Dajuan;CHI Lili(The Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan,250014;Shandong University of Traditional Chinese medicine)

机构地区：[1]山东中医药大学附属医院,山东省济南市250014 [2]山东中医药大学

出　　处：《中医杂志》2023年第13期1302-1307,共6页Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(81673969);济南市科技计划(202134024);山东省中医药科技发展计划(2019-1058)。

摘　　要：“心与小肠相表里”理论是藏象学说的理论核心之一。以博览医书—中医古籍文献数据库中所涉及的中医古籍为主要检索书目,对记载有心与小肠相表里理论的相关古籍进行系统整理与分析,梳理心与小肠相表里理论的历史源流及发展脉络,认为该理论萌芽于秦汉时期、形成于晋隋唐时期、发展于宋金元时期、成熟于明清时期、变革于清末民初时期,并对该理论的经脉络属、生理与病理联系、病机与临床辨治等进行探析,以进一步建立心与小肠相表里理论的系统逻辑性,更深层次发掘该理论旨要,启发中医思维,指导中医临床诊疗。In terms of the theory of visceral manifestation,"the interior-exterior relationship between the heart and small intestine"is one of its theoretical cores.This article mainly searched the ancient Chinese medicine books in"Expo Medical Books-Database of Ancient Chinese Medicine Books"(www.imedbooks.com),systematically orga-nized and analyzed relevant ancient books,and sorted out the historical origin and development of the theory of"the interior-exterior relationship between the heart and small intestine".It is believed that this theory,originated in the Qin and Han dynasties,was formed in the Jin,Sui,and Tang dynasties,developed in the Song,Jin,Yuan,matured in the Ming and Qing dynasties,and changed in the late Qing and early Republic of China.This paper also explored the ascribing of channels and collaterals,the physiology and pathology relationship,pathogenesis and clinical differ-entiation and treatment of"the interior-exterior relationship between the heart and small intestine"theory,which helps to establish the systematic logic of this theory,dig deeper into the theory's essence,inspire traditional Chinese medicine(TCM)thinking,and guide TCM clinical practice.

关 键 词：心与小肠相表里 藏象学说 历史源流 

分 类 号：R228[医药卫生—中医基础理论]