从“三心二意”到“一心一意”——再论心主神志  

From"half⁃hearted"to"single⁃minded"—rediscuss on the heart's governing of mental and emotional activities

作　　者：鞠旭东 曾耀莹 都广礼[2] JU Xudong;ZENG Yaoying;DU Guangli(Traditional Chinese Medicine Department,Meilong Community Health Service Center in Minhang District,Shanghai201108,China;School of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海市闵行区梅陇社区卫生服务中心中医科,上海201108 [2]上海中医药大学中医学院,上海201203

出　　处：《上海中医药杂志》2024年第11期64-67,72,共5页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(81573862);上海市闵行区中医专家社区师带徒项目(2022MW1S004)。

摘　　要：从中医藏象心的生理功能看,心主神志是强调心的功能脏腑属性;而心主血脉则是强调其解剖脏腑的属性,即中医的心是功能脏腑和解剖脏腑整合起来的脏腑系统。从解剖脏腑来看,“心”其实涵盖了“三心”,即心、胃(包含消化道的其他脏腑)和脑,为神之器;从功能脏腑来看,“心”涵盖了“二意”,即脑和胃(胆等其他消化道脏腑)藏神,为神之用。而最终作为元神之府的脑则是五脏六腑和奇恒之府藏神功能的最终主导者,是真正意义上的“心主神志”,此为“一心一意”。From the perspective of Zangxiang,the concept of"the heart governing the mind"focuses on the functional attributes of the heart,while"the heart governing the blood vessels"focuses on its anatomical attributes.In essence,the heart in traditional Chinese medicine represents an integrated system that combines both functional and anatomical aspects.To elaborate,the anatomical heart"system includes the heart,stomach(including other digestive organs)and brain,which serve as the material base of the spirit.And the functional heart system includes the brain and stomach(as well as other digestive organs like the gallbladder),which manifest the function of the spirit.Anyway,considering all aspects,the brain serves as the ultimate conductor of internal organs that actually govern the mind,which is"single-minded".

关 键 词：心 心主神志 脑 功能脏腑 解剖脏腑 精神疾病 中医理论 

分 类 号：R22[医药卫生—中医基础理论]