“心主神明”的内涵及现代科学依据

Connotation and modern scientific evidence for “heart controlling mental activities”

"心主神明"理论是中医学的重要基础理论,贯穿于中医的理法方药并指导临床实践。本文首先回顾了"心主神明"的渊源和内涵;重点阐述了"心主神明"的现代科学依据,认为心脏的泵血功能是大脑功能正常的重要基础,心脏的内分泌功能与脑的功能密切相关,心血管疾病常导致患者认知功能障碍和情绪的焦虑抑郁,并有现代物理学和心脏移植的佐证;最后说明"心主神明"理论在临床实践中运用的有效性。"心主神明"的理论和科学依据提示,西医学的心脏功能与大脑的功能密切相关,我们应努力挖掘并进行深入的科学研究,以全面阐明"心主神明"的科学内涵。

The theory of ＂heart controlling mental activities＂,a foundational theory in TCM,has been running through the entire principles,methods,recipes and medicines of TCM and guiding traditional Chinese physician＇s clinical practice. At the beginning,this article reviewed the origin and connotation of the theory. Then the modern scientific evidence for the theory of ＂heart controlling mental activities＂was focused on. The heart pump function is the important basis of normal brain function,the endocrine function of the heart is closely associated with the brain function,and patients with cardiovascular disease often suffer from cognitive dysfunction and anxiety depression. In addition,some results of modern physics and cases of heart transplant were showed as the supplementary evidence. At last,the clinical effectiveness of the theory was explained. From the above,the cardiac function in modern medical science is closely related to the brain function in TCM is proved. We should be effort to research it deeper in order to fully understand and expound its theoretical connotation.