论肠道菌群的中医学属性OA
Discussion on the attributes of gut microbiota in traditional Chinese medicine
文章探讨了肠道菌群与中医学理论的融合.尽管古代中医未明确提出"肠道菌群"这一概念,但其对人体的影响隐含于诸多经典文献之中,是连接现代医学与传统中医的重要桥梁.文章基于西医学对肠道菌群生理病理的认识,尝试从传统医学的角度分析其阴阳特性及五行属性,认为肠道菌群是人体内复杂的微生物生态系统,与健康密切相关,其失衡涉及多种疾病的发生与发展.从中医阴阳理论来看,菌群内部各类微生物之间及菌群与宿主间的动态平衡,本质上是阴阳平衡的体现,其失调则表现为阴阳偏盛偏衰的病理状态.结合五行学说,文章提出人体各脏腑因所禀五行之气不同而功能各异,肠道菌群兼具五行特性,可将肠道菌群视为一个功能独立的新脏腑,将其纳入藏象理论,其位于中焦,与脾胃关系最为密切,其五行属性以土为主,通过构建肠道菌群-脏腑体系,通过五行生克关系与其他脏腑相互影响,对肠道菌群的属性及其与人体其他脏腑的关系进行了理论建构与分析,这不仅为从中医理论视角理解肠道菌群的作用提供了新思路,丰富和发展了藏象学说的内涵,也为临床应用中医药调节菌群防治各类疾病奠定了理论基础,体现了中医理论在吸纳西医学成果中不断发展的生命力.
This paper aims to investigate the integration of gut microbiota into traditional Chinese medicine(TCM)theory.It points out that although ancient TCM did not explicitly mention the term"gut microbiota",its impact on the human body is implicitly documented in numerous classical texts,making it an important bridge between modern medicine and TCM.Based on modern medical understanding of the physiological and pathological roles of gut microbiota,the study analyzes its nature from the perspective of TCM,particularly in terms of its Yin(阴)-Yang(阳)and five-elements attributes.The gut microbiota is recognized as a complex microbial ecosystem within the human body,closely related to health,and its imbalance has been implicated in various diseases.The dynamic balance among different microorganisms within the microbiota,as well as between the microbiota and the host,essentially embodies the TCM concept of Yin-Yang balance.Dysbiosis manifests as pathological states of Yin-Yang excess or deficiency.Furthermore combined with the Five Elements theory,the study posits that each organ has distinct characteristics based on the proportion of the five-elements energies.The gut microbiota exhibits attributes of all five-elements but is primarily associated with the earth element.Located in the middle energizer,it is most closely related to the spleen and stomach.The gut microbiota can thus be regarded as a new functionally independent organ system and integrated into the theory of visceral manifestation.By constructing a gut microbiota-organ system framework,this study analyzes its interactions with other organs through the generating-and-restraining relationships of the five-elements are analyzed.This theoretical construction and analysis not only may provide a new perspective for understanding the role of gut microbiota through the lens of TCM but also enrich and develop the connotations of the visceral manifestation theory.It lays a theoretical foundation for the clinical application of TCM in regulating gut microbiota to prevent and treat various diseases,demonstrating the dynamic vitality of TCM theory in the incorporation of modern scientific knowledge.
陈峰
福州市第一总医院,福建 福州,350009
医药卫生
中西医结合肠道菌群阴阳五行学说藏象
The integration of traditional Chinese medicine and Western medicineGut microbiotaYin Yang and five-elements theoryVisceral manifestation
《中医临床研究》 2026 (6)
35-38,4
中西医协同"旗舰"科室建设项目福建省自然科学基金项目(2021J011302).
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