道医学心脑关系体用论及其临床价值——“心主神明”与“脑为元神之府”新解  

Theory of the Relationship Between Heart and Brain in Taoist Medicine and Its Clinical Value-A New Interpretation of"Heart Dominates Shen"and"Brain is the Mansion of the Primordial Shen"

作　　者：颜文强 陈振宗 蔡义勇 YAN Wenqiang;CHEN Zhenzong;CAI Yiyong(Institute of National Cultural Research in Dali University,Dali 671003,China;Bangshan Hospital in Longhai County of Zhangzhou City,Zhangzhou 363100,China;The Second Hospital of Zhangzhou City,Zhangzhou 363100,China)

机构地区：[1]大理大学民族文化研究院,云南大理671003 [2]漳州市龙海区榜山卫生院,福建漳州363100 [3]漳州市第二中医院,福建漳州363100

出　　处：《中国中医基础医学杂志》2024年第3期472-475,共4页JOURNAL OF BASIC CHINESE MEDICINE

基　　金：国家社会科学基金项目(23XZJ011)。

摘　　要：作为传统医学重要组成部分的道医学认为,“脑为元神之府”本义是指脑为无意识先天元神的储藏之所,“心主神明”是指心储藏直接承担精神意识活动的后天识神,元神与识神本质都是球状精微物质能量流,但精微程度迥异。脑“元神”与心“识神”是体用关系、一隐一显,二者体用合一、互通无碍,人的精神意识活动才能正常进行。道医学“心脑关系体用论”的临床价值主要表现在畅通心脑之间互通的道路、恢复心脑的体用生理本性两个方面。通过对张锡纯治疗“疯狂病”医案、刘一明“二黄丸”、孙思邈“磁朱丸”等方剂的分析,可以看出以此观点指导精神类疾病的临床诊疗简明实用,值得借鉴。Taoist medicine,as an important part of the traditional Chinese medicine,believes that the proper interpretation of"brain is the mansion of the primordial Shen"is that the brain holds the unconscious innate primordial spirit,and that"heart dominates Shen"means that the heart holds the acquired consciousness that directly undertakes spiritual activities.Primordial consciousness and acquired consciousness are essentially both spherical subtle particles'energy flow,only their subtleties are of different degrees.One is substantial and the other derivational,one concealed and the other manifest,yet both convertible to each other.Only thus can the human spiritual consciousness activities function normally.The clinical value of the"heart-brain relationship theory"of Taoism medicine is mainly manifested in two aspects:smooth communication between heart and brain and restore the physical nature of heart and brain.Through the analysis of prescriptions in cases such as Zhang Xichun's"mental disease"medical case,Liu Yiming's"Erhuang Pill",Sun Simiao's"Cizhu Pill"and others,this paper presents that the"heart-brain relationship theory"of Taoism medicine can provide brief and practicable guidance to clinical diagnosis and treatment of mental diseases.

关 键 词：道医学 心脑关系 体用 先天元神 后天识神 

分 类 号：R229[医药卫生—中医基础理论]