中医辨证思维的认知神经机制研究思路  

Research thought on the cognitive neural mechanism of traditional Chinese medicine syndrome differentiation thinking

作　　者：黄慧雯 贾春华 曹灵勇[1] HUANG Huiwen;JIA Chunhua;CAO Lingyong(School of Basic Medicine,Zhejiang Chinese Medical University,Hangzhou 310053,China;School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]浙江中医药大学基础医学院,杭州310053 [2]北京中医药大学中医学院

出　　处：《北京中医药大学学报》2023年第12期1648-1652,共5页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(No.82305434,No.82074582);浙江中医药大学自主课题(人才专项)(No.2022RCZXZK14)。

摘　　要：揭示中医辨证思维规律是中医药原创性思维研究的重要内容,涉及大脑认知神经活动原理。然而,传统的辨证研究缺乏对医者辨证认知机制的探讨。本文在认知科学的背景下,提出中医辨证思维认知神经机制研究的新范式。本文首先讨论了辨证思维研究的认知转向,继而指明大脑工作记忆可能是反映中医辨证思维的重要窗口。在此基础上,提出中医阴阳辨证认知神经机制工作假说,并设计相关认知神经科学实验方案,以事件相关电位和功能性磁共振成像等技术探索大脑如何进行阴阳辨证思维。此研究路径的实施将阐明辨证思维的内在认知神经机制,为中医辨证思维提供来自认知神经科学的评价指标,为中医人才辨证能力培养提供认知原理支撑。Revealing the rules of traditional Chinese medicine(TCM)syndrome differentiation thinking is an important part of researching the original thinking in TCM,which involves brain cognition and neural activity principles.However,traditional research on syndrome differentiation lacks exploration of the cognitive mechanisms of TCM practitioners during syndrome differentiation.In this context of cognitive science,this paper proposes a new paradigm for studying the cognitive neural mechanisms of TCM syndrome differentiation thinking.Firstly,the paper discusses the cognitive shift in syndrome differentiation research and then points out that working memory may be an important window reflecting TCM syndrome differentiation thinking.Based on this,we propose a working hypothesis for the cognitive neural mechanisms of TCM's yin-yang syndrome differentiation and design relevant cognitive neuroscience experimental protocols to explore how the brain engages in yin-yang syndrome differentiation thinking using techniques such as event-related potential and functional magnetic resonance imaging.The implementation of this research pathway can clarify the intrinsic cognitive neural mechanisms of syndrome differentiation thinking,provide evaluation indicators for TCM syndrome differentiation thinking from cognitive neuroscience,and provide cognitive principles to support the cultivation of syndrome differentiation ability of TCM talents.

关 键 词：辨证 神经机制 专家 事件相关电位 功能性磁共振成像 中医思维 

分 类 号：R229[医药卫生—中医基础理论]