中医“脉”概念框架研究

Research on the conceptual framework of vessel in Chinese medicine

中医“脉”概念经历了从实体血管到理论模型的演变过程,在其后续的发展过程中,实体血管与理论模型两者并存且相互影响,造成了现代对于“脉”概念相关认识的混乱。本文基于“脉”概念的发生学研究,根据概念框架理论,结合逻辑学概念划分的规则,尝试建构基于《黄帝内经》的中医基础理论范围内脉的概念框架;分析现代有关“脉”概念的逻辑问题,主要有发生学渊源理解错误、概念不当划分、概念不当替代等情况;指出建构逻辑自洽的“脉”概念框架结构,有助于揭示相关概念的本质,理清逻辑关系,消除逻辑混乱,指导临床实践和科学研究,促进中医学术的健康发展。

The concept of vessel in Chinese medicine has undergone the evolution from blood vessels to theoretical models,and in its development,the concepts of blood vessels and theoretical models of vessel coexisted and influenced each other,resultting in confusion about the concept of pulse in modern society.This article is about the phylogenetic study of the concept of pulse.Based on the conceptual framework theory and the rules of logical concept division,this article attempts to construct the conceptual framework of vessel within the basic theoretical system of Chinese medicine based on Huangdi Neijing.By analyzing the reasons for the confusion about the modern concept of vessel,including wrong understanding of its phylogenetic origin,improper division of concepts,and the improper substitution of concepts,this article points out that the construction of a logically self⁃consistent conceptual framework of vessel is helpful to reveal the nature of relevant concepts,to clarify their relationships,to eliminate confusion,and to guide clinical practice and scientific research,so as to promote the healthy development of academic research in Chinese medicine.