破解阴阳——中医生理病理状态下阴阳表现物质基础的探讨

A new understanding of the Yin and Yang theory——Discussion on the material basis of the Yin and Yang expression under physiological and pathological state of TCM

阴阳学说作为中医学理法方药体系最基础的指导理论,应用于阐明生命的起源和本质,人体的生理功能、病理变化,疾病的诊断防治的根本规律,贯穿于中医的理法方药体系,长期以来,一直有效地指导着实践。但是将人体客观存在的生理病理表现与形而上学的阴阳概念结合起来,往往过于抽象。何复东老中医经过多年钻研与临床实践认为人体生理病理状态下阴阳表现的物质基础正是自主神经系统调控的遍布全身的神经内分泌免疫网络,能量消耗型的活动性神经——交感神经调控阳性表现;保存恢复能量型的休息神经——副交感神经调控阴性表现。人体生理病理状态下阴阳抽象概念的形象化、具体化,会使我们更容易通过形象思维去理解、掌握中医理论中抽象概念所具有的深刻内涵,对许多玄而又玄的理论产生拨云见日、如醉之醒、豁然开朗的感觉,对于贯穿中医理法方药体系的阴阳理论有全新角度的理解,并能以此为切入点将其应用于中医理论及实践研究中。

The theory of Yin(阴)and Yang(阳),the most basic guiding theory of TCM and prescription system,is applied to clarify the origin and essence of life,the physiological function and pathological changes of the human body,the fundamental law of diagnosis and prevention of disease.It runs through the principle-method-recipe-medicines of TCM,and has been guiding practice for a long time.But the physiological and pathological manifestations of human body combine with the concept of Yin and Yang in metaphysics,often too abstract.After years of study and clinical practice,He Fudong thinks that the material basis of the expression of Yin and Yang in the physiological and pathological state of the human body is the neuroendocrine immune network all over the body controlled by the autonomic nervous system.The energy expenditure type of active nerve-the sympathetic nerve regulates the Yang expression,and stores the restoring energy type resting nerve-the Yin expression of the parasympathetic nerve.The visualization and concretion of the abstract concept of Yin and Yang in human physiological and pathological state will make it easier for us to understand and master the profound connotation of abstract concepts in TCM theory through image thinking.It has a new perspective on the theory of Yin and Yang that runs through the TCM and prescription system,and can apply it to the theoretical and practical research of TCM.