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基于术数阴阳及气论阴阳探讨阴升阳降的科学性

Discussion on scientificity of yin ascending and yang descending based on divination and qi theory

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【作者】 王磊许小敏卢志伟刘永琦朱向东张利英李程豪张艳辉

【Author】 WANG Lei;XU Xiao-min;LU Zhi-wei;LIU Yong-qi;ZHU Xiang-dong;ZHANG Li-ying;LI Cheng-hao;ZHANG Yan-hui;Gansu University of Chinese Medicine, Major Disease Prevention and Control of Molecular Medicine and Traditional Chinese Medicine Research in Gansu Provincial Key Laboratory;School of Medicine, Hexi University;Key Laboratory of Dunhuang Medicine and Transformation at Provincial and Ministerial Level;

【机构】 甘肃中医药大学甘肃省高校重大疾病分子医学与中医药防治研究省级重点实验室河西学院医学院敦煌医学与转化省部共建教育部重点实验室

【摘要】 阴阳是中医学理论体系中最核心的概念,《素问·阴阳应象大论》言:"积阳为天,积阴为地","清阳为天,浊阴为地";因天人相应,所以人体内的清阳之气轻升而在上,浊阴之气重降而在下。《素问·阴阳应象大论》又说:"清阳出上窍,浊阴出下窍;清阳发腠理,浊阴走五藏;清阳实四肢,浊阴归六府"。这些理论告诉我们:阳主升发而在上,阴主沉降而在下,这是阴阳的本性。然而,在现实中却存在着和"阳主升,阴主降"相反的现象和生理活动,如,云雨的形成、气候的更迭、水火的既济、气血互化、肝升肺降、脾升胃降、心肾相交、中医药治则治法、中医药升降配伍等。笔者通过认真深入的研究后认为,阴升阳降也是阴阳运动中的一种重要形式。文章通过术数阴阳以及气论阴阳两方面阐释阴升阳降理论的科学性,以期为学术及临床上对阴阳理论的运用提供科学依据。

【Abstract】 Yin and yang is the core concept of traditional Chinese medicine theory system. The discussion of yin and yang in Suwen · Yin-yang Yingxiang Dalun as ‘the accumulation of yang is the heaven and the accumulation of yin is the ground’ and ‘the lucid ascends to form the heavens while the turbid yin descends to constitute the earth’ showed that in the human body, the qi of the clearing yang rises in the upper part, and the qi of the turbid yin descendsin the lower part because of the theory of relevant adaptation of the human body to natural environment. The discussion of lucid yang ascending to the upper orifices and turbid yin being discharged from the lower orifices, lucid yang spreading into the body surface andturbid yin goes five zang viscera, lucid yang replenishing four extremities and turbid yin returns to the six fu viscera in Suwen · Yin-yang Yingxiang Dalun told us that yang master ascending and in the upper, and yin master descending and in the lower, which was the nature of yin and yang. However, in reality there was a phenomenon contrary to this theory, such as cloud formation, climate change, coordinating water and fire, mutual transformation of qi and blood, liver ascending and lung descending, spleen ascending and stomach descending, coordination between the heart and kidney, traditional Chinese medicine therapy, ascending and descending compatibility of traditional Chinese medicine, and so on. The author through that yin ascending and yang descending was an important form of the movement of yin and yang. This paper elucidated the scientificity of yin ascending and yang descending based on divination and qi theory, in order to provide scientific basis for application of theory of yin and yang in clinic and academic research.

【关键词】 阴升阳降; 术数; 气论; 科学性;

【Key words】 Yin ascending and yang descending; Divination; Qi theory; Scientificity;

【分类号】R226.1;R242.296;R221.1;

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