从“质能转换”论中医之阴阳

Discussion on yin and yang in traditional Chinese medicine from“mass energy conversion”

阴阳是古人对自然界“质能转换”的高度概括和运用,是中医学理论最基本的概念,中医各家学说,立论各异。本文以人生命运动规律为研究对象,从物质论的质量表现态、能量表现态和“质能转换”相对平衡态阐述阴阳的起源,阴阳在人体生命“质能转换”过程中存在的状态和代谢运动规律,以及人体生理学、病理学、解剖学、诊断学、药物学之阴阳的具体内涵。明确《伤寒论》辨津液输布离合是“质能转换”论在临床实践中的具体应用,津液一元,根源一致而互根互用,津液的质量表现态是“质能转换”的基础,津液的能量表现态是“质能转换”的功用。《伤寒论》“六病辨证体系”以津液的质量表现态、能量表现态及“质能转换”论探究人的生命体生老病死的生理病理规律,明晰六病病机、病传规律、治则治法和理法方药。因此,“质能转换”论是中医理论阴阳分类的基础。

Yin and yang are the ancient people’s high generalization and application of the“mass energy conversion”in nature.It is the most basic concept of traditional Chinese medicine theory.Different schools of traditional Chinese medicine have different theories.Taking the law of human life movement as the research object,this paper expounds the origin of yin and yang from the mass expression,energy expression and relative equilibrium state of“mass energy conversion”in the matter theory,the existing state and metabolic movement law of yin and yang in the process of human life“mass energy conversion”,as well as the specific connotation of yin and yang in human physiology,pathology,anatomy,diagnostics,and pharmacology.It is clarified in Shanghan Lun that discriminating fluid infusion,distribution,separation,and reunion are the specific application of the theory of“mass energy conversion”in clinical practice.Fluid is unitary,the root is consistent and interdependent and mutually promoting.The mass expression state of fluid is the basis of“mass energy conversion”,and the energy expression state of fluid is the function of“mass energy conversion”.“Six diseases syndrome differentiation system”in Shanghan Lun explores the physiological and pathological laws of birth,old age,illness,and death of human beings with the quality expression state of fluid expression state,energy expression state and“mass energy conversion”theory,and makes clear the pathogenesis,law of disease transmission,principle and method of treatment,and principle-method-recipe-medicines of the six diseases.Therefore,the theory of“mass energy conversion”is the basis of the classification of yin and yang in traditional Chinese medicine theory.