河洛数理对中医学的影响

Influence of Heluo Shuli on TCM

中国历来就有"医易同源"的说法,易理对历代医家的理论和临床实践产生了深远的影响,河洛数理作为易学的重要内容,对中医学也产生了多方面的影响。河洛数理结合数学模式用来说明脏腑定位,并解释了诸如女子以七为期,男子以八为期等一系列生理病理现象,还有五运六气中的正化邪化灾宫学说,逐渐形成了中医学重视元精和顾护脾胃的思想。对中药学方面,他影响了处方用药的剂量、比例以及药物的选择、道地与否等中药学的基本理论问题。对针灸学方面,他直接应用于灵龟八法,指导针灸学临床实践。了解河洛数理,对中医学上存在的一些理论问题可以得到合理的解释。不论从文化现象还是从临床实践的角度,都有必要了解这些理论。

China has always considered that principles of medical science and philosophy of Yi are homologous. Yi Theory had a profound impact on ancient physicians＇ theories and clinical practices. As the important part of Yi Theory, HeluoShuli brought manifold impacts to TCM. HeluoShuli combined with the mathematical model showed the locations of internal organs and explained a series of physiological and pathological phenomena such as seven for women as a period and eight for men as a period. And Zhenghua Xiehua theory in the theory of five elements＇ motion and six kinds of natural factors are also includ- ed. They gradually formed the thoughts of attaching importance to intrinsical control and tonifying spleen and stomach. In the aspect of Chinese materia medica, it has affected TCM basic theories such as dosage, ratio and the choice of drugs. In the aspect of acupuncture, it is directly applied to Lingguibafa to guide acupuncture clinical practice. We can get reasonable explanations to some problems in TCM by comprehending Heluoshuli. It is necessary to understand these theories not only from the perspective of cultural phenomenon but also from the perspective of clinical practice.