《五行大义》象数模型节律下中医学体性与体用研究  

Constitution and Function of Traditional Chinese Medicine under the Rhythm of the Xiangshu Model in The Major Principles of the Five Elements

作　　者：胡炜圣 周莹洁 江晓灵 黄宁 HU Weisheng;ZHOU Yingjie;JIANG Xiaoling;HUANG Ning(The Second Affiliated Hospital of Fujian University of Traditional Chinese Medicine,Fuzhou 350001,China;Fujian Provincial Key Laboratory of Universities of Integrated Traditional Chinese and Western Medicine for Dermatology,The Second Affiliated Hospital of Fujian University of Traditional Chinese Medicine,Fuzhou 350001,China)

机构地区：[1]福建中医药大学附属第二人民医院,福建福州350001 [2]福建中医药大学附属第二人民医院中西医结合皮肤病福建省高校重点实验室,福建福州350001

出　　处：《南京中医药大学学报》2024年第11期1161-1168,共8页Journal of Nanjing University of Traditional Chinese Medicine

基　　金：国家自然科学基金青年科学基金项目(82004438);国家中医药管理局第二届国医大师传承工作室建设项目(闽卫中医函〔2019〕129号);福建省自然科学基金项目(2021J01884);福建省科技计划项目-引导性项目(2020Y0044)。

摘　　要：《五行大义》是我国中古时期阴阳五行理论集大成者,阴阳五行象数模型是其阐明世界及其存在意义的基本范式。体性与体用是古代用以描述本体之秉性与功用间关系的一对哲学范畴。《五行大义》基于象数模型构筑的河洛天地五行观、九宫八风时空观两种时空节律,解释传统医学体性与体用的内涵与特点,以阐明体性与体用的病机演变过程、指导体性与体用的辨证思路,并灵活选择药物性味配伍以调和人体性用,从中管窥先秦至隋唐之际传统医学逐层变易思维方式,为中医学体性与体用的概念与内涵提供了独特的解释视角和方法。The Major Principles of the Five Elements is a collection of Yin-Yang and Five Elements theories in the middle ancient period of China.The Xiangshu model of Yin-Yang and Five Elements is the basic paradigm to clarify the world and its existence.“Constitution”and“Function”are a pair of important categories used in ancient philosophy to describe the relationship between the nature and function of ontology.Based on the two temporal and spatial rhythms of the Heluo Heaven and Earth Five Elements view and the Jiugong Bafeng spatiotemporal view constructed by the Xiangshu model,The Major Principles of the Five Elements explains the connotation and characteristics of traditional medical constitution and function,aiming to elucidate the evolution process of the pathogenesis of constitution and function,guide the dialectical thinking of constitution and function,and flexibly select and combine drug properties and flavors to harmonize the human constitution and function.This paper provides a unique perspective and method for explaining the concept and connotation of constitution and function in traditional Chinese medicine by glimpsing the gradual changing way of thinking in traditional medicine from the Pre-Qin period to the Tang Dynasty.

关 键 词：五行大义 象数模型 体性 体用 时空节律 

分 类 号：R228[医药卫生—中医基础理论]