基于《黄帝内经》核心观念探析“病机十九条”学术内涵  

Exploring Academic Connotation of"Nineteen Pathogenesis Patterns"Based on the Core Concepts of Yellow Emperor's Inner Classic

作　　者：张潇逸 陈思宇[1] 马梓翔 朱格巩铭 王维广[1] 翟双庆[1] ZHANG Xiao-yi;CHEN Si-yu;MA Zi-xiang;ZHU Ge-gong-ming;WANG Wei-guang;ZHAI Shuang-qing(Beijing University of Chinese Medicine,Beijing,100029,China)

机构地区：[1]北京中医药大学,北京100029

出　　处：《河北中医药学报》2024年第5期10-13,19,共5页Journal of Hebei Traditional Chinese Medicine and Pharmacology

基　　金：国家科技部-科技基础资源调查专项:No.2022FY102002;中央高校基本科研业务费专项:No.2022-JYB-JBZR-011。

摘　　要：文章从《黄帝内经》核心观念出发,深入探析病机十九条的学术内涵与临证思维。即通过象思维把握人体复杂多样的症状表现;借助阴阳、五行、精气理论对所得之“象”比类和分析;以整体、功能、运动变化、和谐平衡的认识角度,形成对疾病发生、发展的完整认识。这种解读方式重在突破传统“病-证-方”讨论框架的局限,使病机十九条的研究更加符合《内经》的本原要义,为解读更多中医理论与临床病案提供参考。The article delves into the academic connotation and clinical thinking of the"Nineteen Pathogenesis Patterns"from the core concepts of Yellow Emperor's Inner Classic(Huang Di Nei Jing).It aims to grasp the complex and diverse manifestations of human symptoms through the image-based thinking;to compare and analyze the obtained"images"with the help of the theories of Yin-yang,Five Elements,and Qi-essence;and to form a complete understanding of the occurrence and development of diseases from a holistic,functional,dynamic and harmonious perspective.This approach focuses on breaking through the limitations of the traditional"disease-syndrome-prescription"framework,making the study of the"Nineteen Pathogenesis Patterns"more in line with the original essence of the Yellow Emperor's Inner Classic and providing a reference for interpreting more traditional Chinese medicine theories and clinical cases.

关 键 词：病机十九条 《黄帝内经》 核心观念 象思维 阴阳 五行 精气 

分 类 号：R221[医药卫生—中医基础理论]