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"衷中"的易学根柢:张锡纯医易思想研究OA

Foundations of Yi Jing in the"Zhong Zhong"Doctrine:A Study of Zhang Xichun's Thought on Integrating Medicine and Yi Jing

中文摘要英文摘要

学界熟知张锡纯是主张中西医汇通的临床大家,实际上,张锡纯亦是主张医易会通的代表人物.通过考察张锡纯的医易思想,可知他继承了太极气化的宇宙观与身体观,认为天地人均由气化所生,并用《周易》太极生两仪四象的生成模型阐释心肾的生成机制;他将阴阳互根视作天地人身生生不息之原动力,并将该原理归本于《周易》;他主张医理与易理相通,以易理释医理;更将易学取象比类、同气相求的思维方式施用于临床,阐发药物新意.张锡纯"衷中"并非单纯以中医学为根本,而是在此基础上进行中医学与易学的会通,旨在为中医学学理提供根本依据.其"衷中"实质是衷"医易",而其"衷中参西"根本上是处理易学、中医学、西医学的关系问题,即医易为体、西医为用,该路径取法自唐容川.深入研究张锡纯的医易思想,可为通过中医打开中华文明宝库提供着力点.

The academic community is well aware that Zhang Xichun(张锡纯)is a clinical expert who advocates the integration of Traditional Chinese Medicine(TCM)and Western medicine.In fact,Zhang Xichun is also a representative figure who advocates the integration of TCM and Yi Jing(《易经》The Book of Changes).By exploring his thoughts on medicine and Yi Jing,it was evident that he inherited the cosmology and bodily view of Tai Chi's qi transformation,believing that everyone in heaven and earth was born from qi transformation,and explained the mechanism of heart and kidney development using the generation model of Tai Chi's Two Elements and Four Symbols in Yi Jing.He regarded the mutual roots of yin(阴)and yang(阳)as the driving force for the continuous growth of heaven,earth,and man,and attributes this principle to Yi Jing.He advocated the integration of medical theories and Yi Jing,using Yi Jing to explain medical theory.He further applied the thinking mode of analogy and seeking the same qi in the study of Yi Jing to clinical practice,and elucidated the novelty of medicines.The concept of"Zhong Zhong(衷中 taking TCM as the root)"proposed by Zhang Xichun was not solely rooted in TCM,but also integrates TCM with Yi Jing,aiming to provide fundamental basis for the theoretical study of TCM.The connotation of"Zhong Zhong"was to take TCM and Yi Jing as the root,and the concept of"Zhong Zhong Can Xi(衷中参西take TCM as the root,and refer to Western medicine for use)"fundamentally dealt with the relationship between Yi Jing,TCM,and Western medicine,that is,the combination of TCM and Yi Jing is fundamental,with Western medicine serving as a tool.This way was taken from Tang Rongchuan(唐容 川).An exploration into Zhang Xichun's thoughts of integrating TCM and Yi Jing provides a practical foothold to unlock the treasure house of Chinese civilization via TCM.

张瀚之;张其成

山东大学儒学高等研究院,济南 250100山东大学儒学高等研究院,济南 250100||北京中医药大学国学院,北京 102401

医药卫生

张锡纯医易气化取象比类衷中参西

Zhang Xichun(张锡纯)Integration of Medicine and Yi JingQi TransformationTaking Image and AnalogizingZhong Zhong Can Xi(衷中参西take TCM as the root,and refer to Western medicine for use)

《中医药文化》 2026 (3)

290-297,8

国家社会科学基金重大项目(16ZDA234)

10.16307/j.1673-6281.2026.03.008

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