心与脑表里配合关系之探讨

Research on the interior-exterior relationship between the heart and the brain

美国著名心身医学家恩格尔(G.L.Engel)于《科学》杂志提出的"生物-心理-社会医学模式(bio-psycho-social medicalmodel)"得到了WHO(世界卫生组织)的高度认可,并据此提出了身心一元的"大医学观",强调了"身"、"心"兼顾的大健康理念,这与几千年来中医对于人体和疾病的认识不谋而合。但是传统的脏腑表里体系构建了关于"身"的相对完整的理论模型,对于解决"心"的问题略显欠缺。拭去历史封尘,笔者结合相关古代学术思想及现代医学理论和实践,探讨中西医关于心、脑、小肠的相互关系,提出"心与脑表里配合"模型,补充其对于解决"心病"(情志疾患)之不足。

The bio-psyeho-social medical model proposed in Science magazine by George L. Engel, who is a famous American professor of psychiatry and medicine, has been highly recognized by WHO （ World Health Organization）. And WHO advocated that a advisable medical model should take fully into account both body and mind. The view above exactly coincides with traditional Chinese medical understanding of the human body and disease, what has been applied in clinical practice for thousands of years. The theory model of the interior-exterior relationship between the zang-organs and the fu- organs in TCM, is relatively complete for the comprehension of physiological function, however, it is not enough for guiding clinical practice of psychological or emotional diseases. In order to solve this problem, the author proposed that ＂heart and brain should have the interior-exterior relationship in TCM ＂ and put forward a referable theory model of the relationship among the heart, brain, and small intestine in TCM , referring to related ancient academic thoughts and modem medical theory .