知识与财富的链接
考察命门学说的历史,分析命门学说理论结构,探讨命门学说兴衰原因,进一步探讨中医临床实践对中医理论发展的影响。命门学说兴于明代,衰于清代,在现代统编教材《中医基础理论》中处于边缘地位。其兴起源于对阐述生命原动力及动力机制的需求,并以宋明理学为核心基础构建;其衰落的主要原因是命门学说自身的存在缺少实证基础。现代处于边缘位置,主要是有两个特点:第一,在介绍命门学说的章节中,缺少命门学说原本的理论框架;第二,出现了以命门学说理论框架部分结构构建的新概念,即以"动力—肝、心、脾、肺、肾"这一结构重新构建新的概念。这种现象主要体现在肝主疏泄的理论构建上,其原因主要有两个:第一,主流思想的改变,使命门学说的核心结构与核心理论的结构存在差异,相互排斥,使得命门学说原本的问题被放大;第二,对生命动力及原动力的解释是中医理论不可缺少的部分。厘清这一点,对中医脏象理论研究和中医临床实践都有积极的意义。
To study the influence of TCMclinical practice on the development of TCMtheories by the way of studying “Life Gate (mingmen)Doctrine”,including its history,its theoretical framework and the rea-son for its vicissitude .The rise was in Ming Dynasty and fall was in Qing Dynasty,and decentralization in Foundamental Theory ofTraditional Chinese Medicine,a unified compiled teaching book.In Ming Dy-nasty,Life Gate Doctrine originated from the requirement of interpreting the life-propelling force and the force mechanism,and was established with Neo-Confucianism as its central foundation.But for the reason of lacking practical ground,the doctrine declined in Qing Dynasty.In Foundamental Theory ofTradition-al Chinese Medicine,the theoretical framework of Life Gate Doctrine was not original,but a new one based on parts of the original framework of “life-propelling force-liver,heart,spleen,lung,kidney vis-cera-organ”.The changes reflected the theoretical construction of “liver controlling dipersion”due to two causes:the changes of mainstream thoughts induced the difference of central structure and central theo-ries,which were mutually exclusive in Life Gate Doctrine whose inherent problems were magnified;throughout,the interpretation of “life-propelling force”was indispensable for TCMtheory.In a word,it is undoubtedly significant to study TCMViscera-Organ Theory and improve clinical practice based on un-derstanding the changes of Life Gate Doctrine.
