摘要
[目的]探讨中西方传统医学在疾病病因病机认识、论治思想和养生防治等方面的异同。[方法]以《黄帝内经》和《希波克拉底文集》为研究素材,对其中的“时空-体质-病治”关联思想展开对比研究,并形成逻辑链条和证据网络。[结果]在中西方传统医学理论体系中,时空环境是影响体质类型的关键因素,而体质又作为桥梁,进一步影响了不同人群的疾病谱、发病时间和病程。中西方传统医学基于这种差异,都采取了因时、因地的养生和治疗方法。但在具体的时空条件构建方面,中西方医学存在着认识逻辑的差异,并最终影响到各自的发展路径,东西方各自形成了“贯通-传承”和“扬弃-更替”的医学发展模式。[结论]在疾病病因病机方面,中医学侧重将人体置于宏观的时空模型中,解读时空环境变动对人体造成的变化,而西方传统医学则将时空环境拆分成诸多构成要素,探讨各要素对人体生理、病理的影响。基于“建构”和“解构”的不同,中西方医学都形成了各自的“时空-体质”类分思想,进而产生了独具特色的论治和养生思想。
[Objective]To explore the similarities and differences of traditional Chinese and western medicine in the understanding of disease etiology and pathogenesis,treatment ideas,health preservation and prevention.[Methods]Taking The Inner Canon of Yellow Emperor and Hippocrates Corpus as research materials,conduct comparative study on the“spatio-temporal,constitution and disease treatment”correlation thoughts,and form logical chain and evidence network.[Results]In the traditional Chinese and western medical theory system,the temporal and spatial environment was the key factor affecting the type of constitution,and constitution as a bridge further influenced the difference of disease spectrum,onset time and course of disease in different populations.Based on this difference,both kinds of medicine adopted time-dependent and location-dependent health maintenance and treatment methods.However,in terms of the construction of specific time and space conditions,there were differences in the cognitive logic of Chinese and western medicines,which ultimately affected their respective development paths,and the Chinese and western medical development modes of“through-inheritance”and“sublation-replacement”had been formed respectively.[Conclusion]In terms of disease etiology and pathogenesis,traditional Chinese medicine puts the human body in a macroscopic spatio-temporal model and interprets the changes caused by the changes of the spatio-temporal environment,while traditional western medicine divides the spatio-temporal environment into many components and explores the influence of each element on human physiology and pathology.Based on the difference of“construction”and“deconstruction”,both traditional Chinese and western medicines have formed their own classification thoughts of“spatio-temporal and constitution”,and then have their unique thoughts of treatment and health preservation.
作者
尹志弘
吴元洁
李董男
武玉珠
YIN Zhihong;WU Yuanjie;LI Dongnan(The First Clinical Medical School,Anhui University of Chinese Medicine,Hefei(230038),China;School of Chinese Medicine,Anhui University of Chinese Medicine)
出处
《浙江中医药大学学报》
2025年第4期512-517,共6页
Journal of Zhejiang Chinese Medical University
基金
国家中医药管理局高水平中医药重点学科建设项目(2023096)
中医基础理论国家线下一流课程建设项目(2020130809)
全国中医药研究生教育研究重点课题(YJS-ZD-2023-06)
安徽中医药大学省级大学生创新创业训练项目(S202310369150)。
关键词
时空关联
体质
病因
治疗
养生
《黄帝内经》
《希波克拉底文集》
医学哲学
spatio-temporal correlation
constitution
pathogen
treatment
health preservation
The Inner Canon of Yellow Emperor
Hippocrates Corpus
medical philosophy
作者简介
通信作者:吴元洁,E-mail:anhuiwuyuanjie@126.com。
