《黄帝内经》论心与七窍

Discussion on the heart and seven orifices in Huangdi Neijing

《黄帝内经》多篇提及心与七窍相关:心气通于舌、心开窍于耳、目者心之使、心与鼻相关等。诸多不同说法并非众医家观点的简单罗列,而是《黄帝内经》基于整体观念构建的以经络为生理基础、临证为病理依据的多脏连多窍的理论体系。突出体现了心为五脏六腑之大主的主导地位和心藏神的重要作用。人体七窍各司其职,均是在心神的调节之下,诸窍功能是心神功能的外在体现。梳理心与官窍的关系对于融会贯通《黄帝内经》理论掌握经旨,扩展临床辨证思路提高疗效具有重要意义。

There are many theories about the heart and seven orifices in Huangdi Neijing:the heart energy is connected to the tongue,the heart energy opens to the ears,the eyes are the massagers of the heart,the heart is related to the nose,etc..These different views are not simply listed by doctors,but the theoretical system of the connection between multiple organs and multiple orifices which is concluded on the holistic concept,meridians and collaterals as physiological basis and clinical syndrome as pathological basis.It highlights the dominant position of the heart as the master of the five zang viscera and six fu viscera and the important role of the heart housing the mind,the governing sprit.The seven orifices of the human body perform their duties under the guidance of heart-mind.It is the external manifestation of heart-mind functions.Organize the relationship between the heart and the orifices is of great significance for integrating and mastering the theory of Huangdi Neijing,obtaining more ideas of clinical syndrome differentiation to improve the clinical efficacy.