近现代中医的科学主义困境与破解路径——从中医身体观谈起  

The Scientific Dilemma of Modern and Contemporary TCM and the Solution:A Perspective from TCM’s Body View

作　　者：李晓宇 张洪雷[1] LI Xiaoyu;ZHANG Honglei(School of Medical Humanities,Nanjing University of Chinese Medicine,Nanjing 210023,China)

机构地区：[1]南京中医药大学医学人文学院,南京210023

出　　处：《中医药文化》2025年第2期122-130,共9页Chinese Medical Culture

基　　金：江苏省社会科学基金项目(2024MLB002);江苏省中医药科技发展计划项目(MS2022010);南京中医药大学哲学社会科学人才培育项目(24XRC006);南京中医药大学马克思主义学院·医学人文学院教改项目(NZYMYJG2024006)。

摘　　要：近代时期,科学实证主义成为新的绝对权威,中医不可避免地受到科学的审视。中医科学性的长久争论不仅是理论问题,更是价值问题。由于中医与科学底层逻辑的不兼容性,中医科学化陷入困难,其中以中医身体观面临的责难与困境尤为鲜明和具有代表性。要想找到中医真正的发展之路,须在科学实证主义之外为中医确立理论支撑,对此,历史主义与现象身体观提供了良好的示范。In modern times,scientific positivism has become the new absolute authority,and Traditional Chinese Medicine(TCM)has inevitably come under scientific scrutiny.The long-standing debate over the scientific nature of TCM is not only a matter of theory but also a question of values.Due to the incompatibility between TCM and scientific underlying logics,the scientificization of TCM has encountered difficulties,with criticism and predicament faced by TCM’s body view being particularly prominent and representative.To find the true path for the development of TCM,it is necessary to establish a framework for TCM beyond scientific positivism.In this regard,historicism and the phenomenal body view provide a good reference.

关 键 词：科学实证主义 中医身体观 历史主义 现象身体 

分 类 号：R2-03[医药卫生—中医学] R-092