基于《黄帝内经》标本相得理论探析中医医患关系的感应内涵

Exploring the Connotation of Induction of Doctor-Patient Relationship in Traditional Chinese Medicine Based on the Theory of Congruence Between Manifestation and Root Cause from The Inner Canon of Yellow Emperor(《黄帝内经》)

在气一元论、形神一体的思维认识下,中医医患关系从属于自然整体一气的感应关系,具备深厚的中医哲学意蕴。以《黄帝内经》标本相得理论为基础,从三个层面探析中医医患关系的感应内涵:在自然本根层面,医生、患者作为气化世界的生命个体,具有通达宇宙生化本根的深广格局;在生命个体层面,医生自身相对内外和谐、清静敏锐,具有辅助偏离平和态患者回归自身阴阳平衡的潜在能力;在具体治疗层面,医生、患者彼此感应相得,共同形成一个神气相通的时空场域,使患者在心神平定中气血易被调和归正,同时在正向的气场变化中,双方共同化归于中和之境。这种感应关系以神统气,以“无为”为本,是中医治疗过程中作为“有无相生”之“无”的生机之源。

Under the understanding of qi monism and the unity of body and spirit,the doctor-patient relationship in traditional Chinese medicine is subordinate to the induction relationship of the natural holism,which has profound philosophical connotations in traditional Chinese medicine.Based on the theory of congruence between manifestation and root cause from The Inner Canon of Yellow Emperor(《黄帝内经》),we analysed the inductive connotation of the doctor-patient relationship from three levels:at the level of natural root,doctors and patients,as individuals in the qi world,have a deep and broad pattern to reach the root of cosmic generation and transformation;at the level of individual life,doctors are relatively harmonious internally and externally and are quiet and sensitive,and they have the poten⁃tial ability to assist the patients who deviate from the healthy state to return to their own yin and yang balance;at the level of specific treatment,doctors and patients sense each other,forming a space-time field where spirit and qi are connected,so that the patient's qi and blood can be easily regulated and returned to the healthy state by calming mind and spirit,and at the same time,in the positive change of the qi,both sides will be converted to neutral and harmonious state together.This kind of induction relationship is based on the principle of spirit governing qi,with"inaction"as the root,which is the source of vitality of"nothingness"in the process of Chinese medicine treatment as"the genera⁃tion cycle of the Being and the Nothingness".