何去何从:当代中医学发展的路径之争及知识学反思

Where to Go: The Debate on the Development of Contemporary Traditional Chinese Medicine and Reflections on Knowledge

当代中医学的发展表现出"处江湖之远"的传统中医和"居庙堂之高"的现代中医两种典型的群体形态和发展路径。中医学知识是一种介于默会知识和编码知识之间的特殊类型的知识,在从私人知识转化和创新成为公共知识的过程中,其知识生产方式和生产关系必然会面临着冲突与抗争。从知识生产的视角对此予以理解和做出阐释,有利于更加理性、公允地审视和勘察这些矛盾的本质,从而在路径抉择上兼容并包、执两用中。同时,基于物质科学、信息科学与生命科学的发展趋势,中医学发展的传统与现代路径之间将会在哲学层面上克服绝对冲突,转而在知识生产方式上产生深度沟通、自然扬弃,推动中医学在不同路径之中获得发展和进步,乃至产生一条崭新的共同路径。

Contemporary Chinese medicine manifests traditional as well as modern development paths in the process of exchanges with western medicine.The knowledge of Chinese medicine is a special type between tacit knowledge and coding knowledge,and its production and productive relations are inevitably facing the conflict in the transformation from personal knowledge into innovative public knowledge.The interpretation and comprehension from the perspective of knowledge production will facilitate a more rational review plus analysis of the nature of these contradictions so as to embrace both while apply their moderation.With the development of material,information and life sciences,the mix path of tradition and modernity half in half will bring about profound exchange to Chinese medicine in terms of knowledge production methods,after they overcome the absolute conflicts in philosophy by developing the useful and discarding the useless,Chinese medicine will make much progress in order to reach a brand-new common destination from the two different paths.