论著

    ·学术探讨·

    基于知识考古学的《临证指南医案》“肝阳”概念形成分析

    王维广，李成卫*，王庆国

    (北京中医药大学基础医学院中医临床基础系，北京 100029)

    摘要：《临证指南医案》“肝阳”概念的对象是肝及肝病本身的特征。肝阳与肝的关系是肝生肝阳，肝阳与肝阴之间是体用关系。肝阳概念的对象及肝阳与其他概念间的关系源于理学中的“理一分殊”“理学世界图示”和“体用一源”。理一分殊决定了肝阳的对象是肝及肝病本身的特征；理学世界图式决定了肝阳与肝的关系是肝生肝阳；体用一源确定了肝阳与肝阴之间是体用关系。《临证指南医案》的肝阳概念主要来源于理学。厘清《临证指南医案》肝阳的发生学基础，解决其理论来源问题，无论是对古代文献的研究、肝脏象理论、中医脏象理论的研究，还是对现代肝脏象理论、中医脏象理论和中医理论的构建都有积极的意义。

    关键词：《临证指南医案》；知识考古学；“肝阳”

    DOI:10.13463/j.cnki.cczyy.2015.06.001

    中图分类号：R249文献标志码：A

    文章编号：2095-6258(2015)06-1101-03

    基金项目:国家重点基础研究发展计划(973计划)(2011CB505100)。

    作者简介:王维广(1987-)，男，硕士，中医师，主要从事仲景杂病诊治体系及基于知识考古学“肝藏血主疏泄”理论研究。

    收稿日期:(本栏责任编辑：张海洋2015-03-03))

    *通信作者:李成卫，男，医学博士，副教授，硕士研究生导师，电子信箱-ichengw@126.com

    Concept of liver yang in “A guide to clinical practice with medical record” based on archaeology of knowledge

    WANG Weiguang, LI Chengwei*, WANG Qingguo

    (TCM of College of Basie Medicine Beijing University of Chinese Medicine, Beijing 100029, China)

    Abstract：The concept of Liver Yang inLinZhengZhiNanYiAn(A Guide to Clinical Practice with Medical Record) relates to the Liver and the characteristics of liver diseases. The relationship between Liver Yang and the Liver is one which the Liver gives rise to Liver Yang; while that between Liver Yang and Liver Yin is one between substance and function. The concept of Liver Yang and its connection to other concepts originated from Neo-Confucianism’s “Universality and Particularity”, “World diagram”, and “Oneness in Form and Function”. “Universality and Particularity”determined that Liver Yang relates to the Liver and the characteristics of liver diseases; the World picture of Neo-Confucianism determined that Liver gives rise to Liver Yang; “Oneness in Form and Function”determined the relationship between Liver Yang and Liver Yin as one between substance and function. As such, the concept of liver yang inLinZhengZhiNanYiAnis originated from Neo-Confucianism. The clarifying of the formation of Liver Yang inLinZhengZhiNanYiAnand resolving of issues surrounding the origin of said theory is of positive significance to the modern Liver Zang-Viscera Theory, the Visceral Picture Theory, and the structuring and construction of Chinese Medicine Theory. ......