医理缘求

Investigations on principles of traditional Chinese medicine

天人合一(相应)是中医学也是中国哲学对人与自然关系的高度概括,即通过观天人之交变并从中探求天人相通而互感的共同规律。作为中医学最重要的世界观之一,天人合一观是指导我们体察天地(大宇宙)和人(小宇宙)关系的重要思维模式,即以阴阳之道和五行之器阐释宏观天地(人赖以生存的外环境)的变化并以此阐释微观人体(人的内环境)解剖结构、生理功能和病理变化等。具体说来,就是依据宏观宇宙天地(外环境)变化机理(天理)的阐释,来推论人体(内环境)变化的机理(医理),并依此进行疾病的预防、诊断、治疗和判断预后等,进而根据药物(或其他治疗手段,如针灸、推拿等)疗效(药理)的反馈性证伪反证医理的正确性。因此,医理作为中医认识人体解剖、生理和病理的主要认知模式,必须依据天理而推导,并通过药理而反证之。概而言之,依天理,推医理,验药理。

The unity of heaven and man(accordance)is a highly generalization of the relationship between man and nature in view of Chinese philosophy,which is embodied by common law deduced through observing the telepathy between heaven and man.As one of the most important world outlooks in traditional Chinese medicine(TCM),theory of the unity of heaven and man is an important thinking mode to guide us to understand the relationship between heaven and earth(the big universe)and man(the small universe).That is to say,under the guidance of theory of yin-yang and five elements,changes in anatomical structure,physiological function and underlying pathological mechanism in human body(internal environment)is deduced by meticulously observation of changes in the heaven(external environment).Concretely speaking,principle that is responsible for changes in the human body(principles of TCM)is deduced by the principle underlying the changes in the heaven(principles of heaven),and in turn,the principles of TCM is used to guide prevention,diagnosis,treatment and prognosis prediction of disease;and vice versa,principles of TCM is testified by feedback falsification(by efficacy of herbs and formulas,acupuncture and massage,etc.).Therefore,as the main cognitive mode that guide understanding human anatomy,physiology and pathology in TCM,principles of TCM should be deduced from principle of the heaven and further testified by the pharmacological efficacy.