中医学脏腑双重属性与逻辑悖论

Dual Attributes and Logical Paradox of Traditional Chinese Medicine Zang-Fu

由造字之初中医脏腑的象思维属性、中医经典中形态解剖和象思维属性的论述入手,确认中医脏腑中形态解剖知识,或服务、服从于藏象学说理论建构,而脏腑大小、长短、厚薄、数量、容量、重量和质地等未参与理论建构者则作为史料保留;在中医经典象思维语境下,凡纳入藏象学说的脏腑,其形态解剖属性随之消失,而赋予象属性。《中医基础理论》对脏腑属性双重认可,形成了逻辑悖论,导致脏腑与脏器偷换使用;中医整体观念正因脏腑与脏器偷换使用而催生;进而中医学象思维语境发生颠覆性改变。故而从源头上揭示中医学发展举步维艰的症结,正本清源,已是亟待解决的关键学术问题。

From the points of Chinese character formation,and the expound of Traditional Chinese Medicine(TCM)Classics about morphological and anatomical attributes and Xiang attribute,to identify the morphological and anatomical knowledge of TCM Zang-Fu serves or submit to Zang-Fu theory,moreover,length,thickness,amount,volume,weight and texture,etc.neither part in the theoretical construction but reserved as historical data;in the context of TCM classic Xiang thinking,Zang-Fu is given Xiang attribute as long as being included into Zang-Fu theory,instant of morphological and anatomical attributes.Basic Theories of Traditional Chinese Medicine accepts both attributes of ZangFu which establishes logical paradox,that leads substitute stealthily Zang-Fu for Zang-Qi(visceral organ);TCM holism is derived resulting from this stealthy substitute;and then,TCM context of Xiang thinking changes subversively.Therefore,it has become a key academic issue to be solved urgently that reveals the crucial reason of struggling development for TCM from the very beginning.