整体观与恒动观视域下中医“因势制宜”辨治思维探析  

Exploration of the Thinking of Syndrome Differentiation and Treatment"Treatment According to Disease Tendency"in Traditional Chinese Medicine from the Perspective of Holism and Constant Motion

作　　者：温俊凯 汪舒云 高嘉敏 邓皖利[1] WEN Junkai;WANG Shuyun;GAO Jiamin;DENG Wanli(Putuo Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai,200062)

机构地区：[1]上海中医药大学附属普陀医院,上海市200062

出　　处：《中医杂志》2024年第18期1854-1859,共6页Journal of Traditional Chinese Medicine

基　　金：上海市进一步加快中医药传承创新发展三年行动计划项目(ZY[2021-2023]-0302);上海市普陀区卫生健康系统科技创新项目(ptkwws202002);上海市普陀区卫生健康系统临床特色专科建设项目(2021tszk01)。

摘　　要：“势”是中医学理论的重要概念,其植根于中国古代哲学中“因势利导”思想,意指人与自然的发展变化都有其必然的规律与动态趋向。立足于整体观与恒动观,对“势”的基本定义、思想源流、影响因素以及相关概念析毫剖厘,在时空的动态变化中把握整体联系,寻绎科学而全面的客观发展规律。认为“势”为复杂系统中的动态力量,阴阳相和,则为常势,常度不守,即为病势;在天有时序之势,在地有地理之势,人有人身之势,药有药势,脉有脉势。进而总结出以观势、度势、候势、蓄势、顺势、逆势、截势、借势为主要内容的“治势八法”,并凝练以此为具体方法论的“因势制宜”辨治思维,以期为构建中医辨治新范式提供形而上的思度与探索。"Tendency of disease"is an important concept in the theory of traditional Chinese medicine(TCM).It was born out of and rooted in the thinking of"conducting by tendency"of ancient Chinese philosophy,meaning that the development and change of humans and nature have their own inevitable laws and dynamic tendencies.Based on the concept of holism and constant motion,the basic definition of"tendency",the origin of the idea,the influence factors and related concepts were analysed,to grasp the overall connection in the dynamic changes in space and time,and to find a scientific and comprehensive objective law of development.The"tendency"was regarded as dynamic forces in the complex system,when yin and yang harmonized,called normal tendency;when fail to keep normal,called disease tendency;the season have sequential tendency,the earth has geographical tendency,people have body tendency,medications have medical tendency,and pulse has pulse tendency.Then the"eight methods of treating tendency"were summed up as observing tendency,evaluating tendency,waiting for tendency,accumulating tendency,favoring tendency,counteracting tendency,preventing tendency,and borrowing tendency,and condenses the methodological thinking of"treatment according to disease tendency",with a view to re-understanding the internal logic of TCM diagnosis and treatment,and providing metaphysical contemplation and exploration for the construction of a new paradigm of TCM syndrome differentiation and treatment.

关 键 词：整体观 恒动观 中医思维 因势制宜 辨证论治 

分 类 号：R22[医药卫生—中医基础理论]