刍议《黄帝内经》之“一”

Discussion on “One” in Huangdi Neijing

“一”从古代哲学的角度包含有“道”及“本源”之意,是“道”这个规律的展现,既是触发的动力,又是寂静无我的,还同时是灵动保持觉察的。而《黄帝内经》所论之“一”则包含“神”与“道”在内,同时与“阴阳之要”有关,并且被用来形容平人的状态。在治疗方面,《黄帝内经》认为医者应该要朝“一”的境界努力,提出了“守一”的思想。浅层次的“一”可理解为医者对医理及实践等各方面完整的连接,掌握核心理论,使临床对所有疾病及治法皆离不开这个核心。深层次的“一”则要求医者要达到内心非常寂静,且对于周遭的各种变化了然于心,而又同时不受其影响干扰的“道”的状态。故,若没有对“一”及“道”有所体悟,学医时越多的知识反而可能造成更多的疑惑,所以吾人当以《黄帝内经》所要求之“一”为目标,切勿以拥有医学知识而自喜,要知若无“一”以贯之,则只会徒增困惑,反而迷惑于医学茫茫大海之中,进而也会影响疗效。

“One”contains the meaning of“Dao”and“origin”from the perspective of ancient philosophy,which is the manifestation of the law of“Dao”.Also,it is both the trigger power and silent selfless one,and at the same time,it is the agility and keeping awareness.“One”in Huangdi Neijing(Yellow Emperor’s Internal Classic)contains“Shen”and“Dao”,and is related to“essence of yin and yang”,also,it is used to describe the state of ordinary people.In the aspect of treatment,Huangdi Neijing thinks that doctors should strive towards the state of“One”,and puts forward the thought of“keeping One”.The shallow level of“One”can be understood as integrating medical theory and practice,grasping of core theory,and maintaining of all diseases and Methods being inseparable from this core by doctors in clinical practice.The deep level of“One”requires the doctor to be very quiet and aware of the changes around him without being disturbed by the influence,which means in the state of“Dao”.Therefore,if we do not understand“One”and“Dao”,the more knowledge we have while studying medicine,the more doubts we may have.That is,we should aim at“One”as required by Huangdi Neijing.We should not be complacent about having medical knowledge.Since if there is no“One”in the base of these knowledge,it will only increase confusions.And let people confused in the vast sea of medicine,then,it will affect the clinical efficacy。