《黄帝内经》神识系统辨析与思考OA
Analysis and reflection on the Shen consciousness system in the Huangdi Neijing
精神神经系统疾病近年来呈现出高发趋势,中医学"神"理论再次受到关注.《黄帝内经》作为中医学理论的基石,其中对"神"的阐述融合了深邃的哲学思想.文章细致剖析了《黄帝内经》中有关"神"的描述,将"神"宏观分为自然之神、人体之神和心理之神三大类,并在此基础上总结以脾肾之精为物质根基,肝肺之魂魄为功能显现,心之神为主导的神识系统,阐述这一系统在评估生命状态、揭示生命韵律以及诊疗中发挥的指导作用,提炼出以"精-神-形-华"为核心的辨证体系,以期将深奥虚幻的"神"具象化,更好地指导临床辨证论治,推动"神"理论的研究探讨.
In recent years,the incidence of psychiatric and neurological disorders has been on the rise,and the theory of Shen in traditional Chinese medicine(TCM)has regained extensive academic attention.As the cornerstone of the TCM theoretical system,Huangdi Neijing integrates profound philosophical connotations into its elaboration of Shen.This paper conducts a systematic and in-depth analysis of the descriptions related to Shen in Huangdi Neijing,and broadly categorizes Shen into three broad categories:the Shen of nature,the Shen of the human body,and the Shen of psyche.On this basis,it summarizes the Shen consciousness system,which uses the essence of the spleen and kidney as its material foundation,the Hun of the liver and the Po of the lung as its functional manifestation,and the Shen residing in the heart as its governing core.This paper further expounds the guiding role of this system in evaluating life status,revealing the rhythm of life,and guiding clinical diagnosis and treatment,and proposes a syndrome differentiation system with the core framework of'substance-Shen-appearance-brilliance'.This study aims to make concrete the profound and abstract concept of Shen,so as to better guide clinical syndrome differentiation and treatment,and promote in-depth research and discussion on the theory of Shen.
张进彦;周荣易;刘澜;许振国
河南中医药大学第一附属医院儿科医院,郑州 450099||河南中医药大学儿科医学院,郑州 450046河南中医药大学第一附属医院儿科医院,郑州 450099||河南中医药大学儿科医学院,郑州 450046河南中医药大学中医学院,郑州 450046河南中医药大学管理学院,郑州 450046
《黄帝内经》神识系统精-神-形-华辨证体系
Huangdi NeijingShen consciousness systemSubstance-Shen-appearance-brillianceDiagnostic system
《中华中医药杂志》 2026 (4)
1056-1061,6
国家自然科学基金面上项目(No.82474577),国家自然科学基金青年科学基金项目(No.82104928),中国博士后科学基金第70批面上项目(No.2021M701123),河南省医学科技攻关省部共建课题(No.SBGJ202303046),中国中药学会青年医师创新基金(No.EKQNJJ-2023-02)
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