浅析"脑为精、气、神汇聚之官,神明出焉"OA北大核心CSTPCD
Brief analysis on "the brain is the official position of gathering essence,qi,spirit and in charge of mental activity"
中医学对脑的认识由来已久,然而,脑系病证的理论基础和治疗思路尚未被系统整理与研究.精、气、神为人之三宝,与脑联系密切.基于此,本文从精、气、神与脑的关系展开论述,提出"脑为精、气、神汇聚之官,神明出焉"观点,深入挖掘脑的相关理论的内涵,指出"精"为脑结构的物质基础,"气"为脑功能正常发挥的根本;"识神"为脑之态,藏于心,为脑的外在体现,主管人的思维、意识、情志等;"元神"为脑之轴,根于脑,为脑的内在核心,主宰、调控人生命活动的中轴.精、气、识神、元神相互资生、相互依赖,共同维系"脑主神明"的功能.同时,脑所主的元神对精、气、识神的调控是人体生理和心理活动的具体表现.由此,在"脑为精、气、神汇聚之官,神明出焉"的思想指导下,从精、气、神3个层面出发,为临床治疗脑系病证提供填精充髓、补气升清、养营荣神的治疗思路,希冀对中医药理论的创新与发展有所助益.
Traditional Chinese medicine has a long-standing understanding of the brain;however,the theoretical foundation and treatment approach for diseases related to the brain have not been systematically organized and studied. The three treasures of essence,qi,and spirit are closely associated with the brain in humans. Based on this theory,this study explored the relationship between essence,qi,spirit,and the brain,with the intention that "the brain is the official position of gathering essence,qi,spirit,and in charge of mental activity". It investigated the theoretical implications of the brain,stating that "essence" forms the material basis of the brain's structure,"qi" is fundamental for brain function,and the "conscious spirit" corresponds to the state of the brain,residing in the heart,serving as the external manifestation of the brain,governing aspects like thoughts,consciousness,and emotions. The "primordial spirit" is the axis of the brain,which is rooted in the brain and serves as the internal core of the brain,thereby governing and regulating the central activities of human life. Essence,qi,mental activity,and primordial spirit mutually support and depend on each other,collectively maintaining the function of the brain governing the mental activity. The primordial spirit,which the brain governs,regulating and controlling the essence,qi,and couscious spirit is a specific manifestation of physiological and psychological activities in the human body. This study provides treatment strategies for clinical brainrelated disorders under the theoretical guidance that "the brain is the official position for gathering essence,qi,and spirit,and is in charge of mental activity". These strategies include " nourishing essence and marrow,supplementing qi to ascend clear,and nurturing nourishment and enriching the spirit". This study aims to contribute to the innovation and development of traditional Chinese medicine theories.
杨运劼;余永鑫;罗京;阮诗玮
福建中医药大学 福州 350108||福建中医药大学附属人民医院上海中医药大学附属曙光医院福建中医药大学附属人民医院
中医学
脑精气元神识神
brainessenceqiprimordial spiritconscious spirit
《北京中医药大学学报》 2024 (009)
1229-1235 / 7
福建省自然科学基金项目(No.2023J01833);阮诗玮全国名老中医药专家传承工作室建设项目Fujian Provincial Natural Science Foundation Project(No.2023J01833)
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