| 本文已被：浏览 436次 下载 112次 |
码上扫一扫！ |
|
|
| 概念隐喻视域下的“诸风掉眩，皆属于肝”新释 |
|
张琳1, 吴林纳2, 郝征3,4,5
|
|
1.天津中医药大学第一附属医院, 国家中医针灸临床医学研究中心, 天津 300193;2.云南中医药大学第一临床医学院, 昆明 650500;3.天津中医药大学中医学院, 天津 301617;4.天津中医药大学医史文献中心, 天津 301617;5.天津市现代中医理论创新转化重点实验室, 天津 300499
|
|
| 摘要: |
| 《黄帝内经》中的病机十九条是中医病机理论的总纲。为研究其中五脏病机的真正内涵，文章以肝病机为例，在概念隐喻视域下，以自然界的风、木为始源域，以人体为目标域，重现了“诸风掉眩，皆属于肝”的理论构建过程。即古人是从自然界强风吹拂树木会使其摇摆晃动，认识到人体气机逆乱影响到肝脏会使人动摇眩晕。认为该句核心在于“诸风皆属于肝”，临床上引申为风疾可从肝论治、风药可用于调肝，并列举古今医家的用药经验加以佐证。从概念隐喻角度探讨肝病机，不仅有利于理解“诸风掉眩，皆属于肝”理论的深刻内涵及临床价值，更能为探讨其余的五脏病机提供可借鉴的研究思路和方法，并揭示了隐喻对于中医病机理论构建和发展的重要意义。 |
| 关键词: 概念隐喻 病机十九条 五脏病机 |
| DOI：10.11656/j.issn.1672-1519.2025.11.08 |
| 分类号:R221 |
| 基金项目:国家中医药管理局2020年度中医药古籍文献和特色技术传承专项项目（GZY-KJS-2020-037）。 |
|
| New explanation of “all wind with shaking and vertigo，all belongs to the liver” from the perspective of conceptual metaphor |
|
ZHANG Lin1, WU Linna2, HAO Zheng3,4,5
|
|
1.First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300193, China;2.The First Clinical Medical School, Yunnan University of Chinese Medicine, Kunming 650500, China;3.College of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjing 301617, China;4.Medical History Documentation Center of Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;5.Tianjin Key Laboratory of Modern Chinese Medicine Theory of Innovation and Application, Tianjin 300499, China
|
| Abstract: |
| The nineteen provisions for pathogenesis of Inner Canon of Huangdi is the general principle of traditional Chinese medicine（TCM） pathogenesis theory. In order to study the true meaning of the pathogenesis of five viscera，this paper takes the pathogenesis of liver disease as an example and takes the wind and wood of nature as the source domain and the human body as the target domain from the perspective of conceptual metaphor to reproduce the theoretical construction process of “all wind with shaking and vertigo，all belongs to the liver”. That is，the ancients were swayed by the strong wind blowing trees in nature，and realized that the disturbance of human qi affecting the liver would make people shake and dizzy. It is believed that the core of this sentence is “all the wind belongs to the liver”，and the clinical extension is that the wind disease can be treated from the liver，and the wind medicine can be used to regulate the liver. And enumerate the experience of ancient and modern doctors to prove. To explore the pathogenesis of liver disease from the perspective of conceptual metaphor is not only helpful to understand the profound connotation and clinical value of the theory of “all wind with shaking and vertigo，all belongs to the liver”，but also can provide reference research ideas and methods for exploring the pathogenesis of other five viscera. This paper reveals the significance of conceptual metaphor for the construction and development of TCM pathogenesis theory. |
| Key words: conceptual metaphor nineteen provisions for pathogenesis pathogenesis of five viscera |
