“象思维”与“逻辑思维”相结合探讨“痰浊-痰结-痰瘀”现代生物学本质

Exploration of the Modern Biological Essence of“Phlegm Turbidity-Phlegm Accumulation-Phlegm Stasis”by Combining“Image Thinking”and“Logical Thinking”

痰瘀互结证是中医临床的高发证候,其重要病机形式为痰挟瘀血,表现为先生郁痰,痰血相杂,而致瘀结。“痰浊-痰结-痰瘀”是痰挟瘀血中医病机演变特点的具体体现。象思维注重创新性、整体性,是中医思维方式的核心。逻辑思维更具科学性、逻辑性,是现代临床思维的主要方式。该文以象思维为主导,结合逻辑思维加以整合,假借大自然现象中的泥石流形成过程为工具之象,类推“痰浊-痰结-痰瘀”各个时期“痰”与“瘀”的交互状态,并借助逻辑概念思维进行思考及推理,归纳其病机演变过程中的相关病理机制,阐释现代生物学视角下“痰浊-痰结-痰瘀”的理论内涵。既跳出了痰、瘀固有的概念和范畴,又体现了中医学整体思维和辨证思维的特色与优势,丰富了中医理论的科学内涵,为中医药防治“痰瘀”相关疾病的研究提供理论依据与思路。

Phlegm-stasis interjunction syndrome is a high clinical syndrome of traditional Chinese medicine,its important pathogenesis is blood stasis due to phlegm,manifested as stagnation of phlegm,mixed phlegm and blood,and causing blood stasis stasis.“Phlegm turbidity-phlegm accumulation-phlegm stasis”is a concrete manifestation of the evolution of traditional Chinese medicine pathogenesis of blood stasis due to phlegm.Image thinking focuses on innovation and integrity,which is the core of traditional Chinese medicine thinking mode.Logical thinking is more scientific and logical,which is the main thinking mode of modern clinical thinking.In this paper,the image thinking is taken as the lead,and the logical thinking is integrated.Under the pretext of the formation process of debris flow in the natural phenomenon as the tool,the interaction state of“phlegm”and“blood stasis”in each period is analogized to the thinking and reasoning of“phlegm turbidity-phlegm accumulation-phlegm stasis”,and the relevant pathological mechanism in the pathogenesis evolution process is summarized with the help of logical concept thinking.To explain the theoretical connotation of“phlegm turbidity-phlegm accumulation-phlegm stasis”from the perspective of modern biology.It not only jumps out of the inherent concept and category of phlegm and blood stasis,but also reflects the characteristics and advantages of the overall thinking and dialectical thinking of traditional Chinese medicine,enriching the scientific connotation of traditional Chinese medicine theory,and providing theoretical basis and ideas for the research on the prevention and treatment of diseases related to“phlegm stasis”by traditional Chinese medicine.