现象学视角下的中医发物辨析  

Analysis of Fawu in Chinese medicine from the visual angle of phenomenology

作　　者：袁丹婷 邓烨[1] YUAN Danting;DENG Ye(Guangzhou University of Chinese Medicine,Guangzhou 510000,China)

机构地区：[1]广州中医药大学,广州510000

出　　处：《中华中医药杂志》2024年第12期6870-6873,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：广州中医药大学青年拔尖人才(团队)培育“揭榜挂帅”项目(No.A1-2601-24-414-108Z69)。

摘　　要：“发物”是中医学科中的一个特有概念,有着较为广泛的认知度。但其语义的界定却存在模糊性,在教材中也并未详述。文章运用现象学的理论和方法,对“发物”的概念进行回溯和语义辨析。研究认为,“发物”不是特指某一种或某一类食物,而是基于中医辨证论治思维下,使某种证候加重或诱发新疾病的食物或药物。即“发物”的语义结构应该是“使-发-之物”。可知,“发物”是一个动态性的概念而非名词性的概念,需要医家秉持中医辨证论治的原则,根据患者自身情况,因人、因时、因地进行辨析。该结论有助于现代中医在临床中更精准有效地运用“发物”概念指导疾病的诊疗和预后。The concept of‘Fawu’is unique to the discipline of traditional Chinese medicine(TCM)and is widely recognized.However,the definition of its semantics is ambiguous and not detailed in the textbooks.In our study,we apply the theory and methodology of phenomenology to retrace and semantically analyze the concept of‘Fawu’.The study concluded that‘Fawu’do not specifically refer to a certain type of food or a certain kind of food,but rather,they refer to foods or medicines that aggravate a certain disease or induce a new disease based on the concept of treatment based on pattern differentiation of TCM.In other words,the semantic structure of‘Fawu’should be understood as‘substances that cause or trigger symptoms’.It is evident that‘Fawu’is a dynamic concept rather than a nominal concept,physicians need to adhere to the principle of dialectical treatment of TCM and conduct differentiation based on the patient’s situation.This conclusion helps modern Chinese medicine practitioners to more accurately and effectively use the concept of‘Fawu’to guide the diagnosis and prognosis of diseases in clinical practice.

关 键 词：发物 现象学 辨证论忌 直观还原 意向性 概念 

分 类 号：R24[医药卫生—中医临床基础]