藏中西三种医学对母乳生成与转化机制的比较研究

A Comparative Study on the Mechanism of Breast Milk Production and Transformation in Three Traditional Chinese and Western Medicines of Tibet

阐明母乳的生成与转化机制。方法:藏中西三种医学文献比较研究。结果:三种医学体系对母乳生成与转化过程各抒己见,也有相同之处。共同点为:1.母乳跟血液有紧密关系;2.母乳营养丰富,是婴幼儿最好的饮食。特色观点为:1.藏医认为母乳产生于人体七大精华之津液,津液之精华为气色,而精血和乳汁由津液之糟粕所生。藏医在乳汁的转化、生成部位和功能方面的论述具有一定深度。2.中医学认为在脏腑气血津液中,以肾的先天精气、脾胃的后天水谷之气、肝的藏血与疏调气机,冲任二脉是否通调对乳汁的分泌及其调节有直接影响,其中先天肾气是否旺盛起着决定性的作用,此观点论述虽不及藏医理论深邃,但也间接地表明了乳汁与津液有关。3.现代医学认为乳汁的分泌是通过催乳素和催产素的泌乳反射和喷乳反射完成。在神经递质与传导方面也有深入研究。结论:藏中西三种医学体系对乳汁分泌和转化机制的研究和阐述各有特点,具有相互学习和借鉴价值。

Clarifying the mechanism of breast milk generation and transformation.Method:A comparative study of three types of medical literature between Tibetan and Western medicine.Result:The three medical systems express their own opinions and similarities on the process of breast milk production and transformation.The commonalities are:1.Breast milk has a close relationship with blood;2.Breast milk is rich in nutrients and is the best diet for infants and young children.The characteristic viewpoints are:1.Tibetan medicine believes that breast milk is produced from the body fluid of the seven essence of the human body,the essence of the body fluid is color,and the blood essence and milk are produced from the dross of the body fluid.The discussion of Tibetan medicine on the transformation,production site,and function of milk has a certain depth.2.Traditional Chinese medicine believes that in the visceral Qi,blood,and body fluids,the innate essence of the kidney,the acquired water and valley Qi of the spleen and stomach,and the blood storage and regulating qi mechanism of the liver have a direct impact on the secretion and regulation of milk.Among them,the exuberance of the innate kidney Qi plays a decisive role.Although this viewpoint is not as profound as the theory of Tibetan medicine,it indirectly indicates that milk is related to body fluids.3.Modern medicine believes that the secretion of milk is achieved through the lactation reflex and spray reflex of prolactin and oxytocin.There is also in-depth research on neurotransmitters and transmission.Conclusion:The three medical systems of Tibet,China,and the West have their own characteristics in the mechanisms of milk secretion and transformation,and have mutual learning and reference value.