
李兴广 张慧敏
本书是以全国高等中医药院校规划教材《中医基础理论》为蓝本,采用歌诀形式,概括了该门课程的内容精要,并以注释形式囊括了教学大纲要求掌握的全部内容,言简意赅,便于理解记忆。本书执简驭繁,荟精萃要,朗朗上口,使人乐于习诵,便于记忆。本书可作为中医院校本专科学生的应试助学参考书,对于刚步入临床的初级医师也有很好的借鉴价值。
The fundamental theories of Traditional Chinese Medicine (TCM) form the theoretical framework of this medical system, primarily encompassing the theories of Yin-Yang and Five Elements, the Zang-Fu (Viscera and Bowels) and Meridian systems, the theories of Qi (Vital Energy), Blood, and Body Fluids, and the etiology and pathogenesis. These theories are the cornerstone of TCM, providing the theoretical basis for diagnosis, treatment, and disease prevention. Below is a detailed introduction to the fundamental theories of TCM: I. Theory of Yin-Yang and Five Elements 1. Theory of Yin-Yang • Definition: Yin and Yang are two opposing yet interdependent aspects in the universe, representing the laws and origins of the movement and change of all things in nature. • Characteristics: • Opposition: Yin and Yang are mutually opposed, such as cold and heat, movement and stillness, up and down. • Interdependence: Yin and Yang are interdependent; the existence of one is predicated on the existence of the other. For example, without Yin, Yang cannot transform, and without Yang, Yin cannot be generated. • Interacting: Yin and Yang interact with each other; the movement and change of one will affect the other. For example, when Yin is balanced and Yang is secreted, the spirit is governed. • Waxing and Waning: Yin and Yang are dynamically changing, with mutual restraint and waxing and waning. For example, when Yin waxes, Yang wanes, and when Yang waxes, Yin wanes. • Transformation: Under certain conditions, Yin and Yang can transform into each other. For example, extreme cold generates heat, and extreme heat generates cold. 2. Theory of Five Elements • Definition: The Five Elements refer to the five basic substances—wood, fire, earth, metal, and water—and their laws of movement and change. • Characteristics: • Generation: Wood generates fire, fire generates earth, earth generates metal, metal generates water, and water generates wood. • Control: Wood controls earth, earth controls water, water controls fire, fire controls metal, and metal controls wood. • Over-acting: Over-acting refers to excessive control between the Five Elements, such as wood over-acting on earth. • Insulting: Insulting refers to reverse control between the Five Elements, such as earth insulting water. • Applications: • Explaining Physiological Phenomena: The five viscera (liver, heart, spleen, lung, and kidney) correspond to the Five Elements. The theory of generation and control is used to explain the physiological connections between the viscera. • Explaining Pathological Phenomena: The theory of over-acting and insulting is used to explain the pathological transmission between the viscera. • Guiding Treatment: Based on the theory of generation and control, treatment principles are formulated, such as tonifying the mother in deficiency and purging the child in excess. II. Theory of Zang-Fu and Meridians 1. Theory of Zang-Fu • Five Viscera: • Heart: Governs blood circulation, stores the spirit, opens to the tongue, and manifests in the complexion. • Lung: Governs Qi and respiration, regulates the dispersion and descent of Qi, regulates water channels, governs the hundred pulses, and opens to the nose, manifesting in the body hair. • Spleen: Governs transformation and transportation, controls blood, opens to the mouth, and manifests in the lips. • Liver: Governs free flow of Qi, stores blood, opens to the eyes, and manifests in the nails. • Kidney: Stores essence, governs growth, development, and reproduction, regulates water and fluid metabolism, and opens to the ears, manifesting in the hair. • Six Bowels: • Gallbladder: Stores and excretes bile, governs decision-making. • Stomach: Receives and ripens food and drink, governs descent. • Small Intestine: Receives and transforms food, separates the clear from the turbid. • Large Intestine: Transforms and transports waste. • Bladder: Stores and excretes urine. • Triple Burner: Regulates the passage of fluids. • Extraordinary Viscera: • Brain: Sea of marrow, governs mental activities. • Bone Marrow: Nourishes bones. • Bone: Supports the body and protects internal organs. • Vessels: Channels for blood circulation. • Gallbladder: Stores and excretes bile. • Uterus: Governs menstruation and fetal development. 2. Theory of Meridians • Definition: Meridians are pathways that transport Qi and blood, connect the viscera and limbs, and communicate between the upper and lower, interior and exterior parts of the body. They include meridians and collaterals. • Meridians: • Twelve Meridians: Comprising three Yin and three Yang meridians of the hand and foot, totaling twelve meridians. • Eight Extraordinary Meridians: Including the Conception Vessel, Governing Vessel, Thrusting Vessel, Girdle Vessel, Yin and Yang Linking Vessels, and Yin and Yang Heel Vessels. • Collaterals: • Divergent Collaterals: Collaterals branching from the main meridians. • Floating Collaterals: Collaterals that float on the surface of the body. • Minute Collaterals: The smallest collaterals. • Functions: • Connecting: Connects the viscera and limbs, communicates between the upper and lower, interior and exterior parts of the body. • Transporting: Transports Qi and blood, nourishing the entire body. • Sensing: Senses and conducts information. • Regulating: Regulates the balance of Qi and blood, maintaining physiological equilibrium. III. Theory of Qi, Blood, and Body Fluids 1. Qi • Definition: Qi is the fundamental substance of life activities in the human body, with functions such as propulsion, warming, defense, and containment. • Classification: • Primordial Qi: Rooted in the kidneys, it is the original driving force of life activities. • Pectoral Qi: Accumulated in the chest, it permeates the heart and lungs, driving respiration and blood circulation. • Nutritive Qi: Circulates in the blood vessels, nourishing the entire body. • Defensive Qi: Circulates outside the blood vessels, defending against external pathogens and warming the skin. • Functions: • Propulsion: Promotes growth, development, and physiological activities of the viscera. • Warming: Warms the viscera, meridians, and skin. • Defense: Defends against external pathogens, maintaining health. • Containment: Contains blood and body fluids, preventing their loss. 2. Blood • Definition: Blood is an essential substance for life activities in the human body, with functions such as nourishment and moistening. • Functions: • Nourishment: Nourishes the viscera, meridians, and skin. • Moistening: Moistens the viscera, meridians, and skin. • Spiritual Transformation: Blood is the material basis for the spirit; sufficient blood ensures a vibrant spirit. 3. Body Fluids • Definition: Body Fluids are essential substances for life activities in the human body, with functions such as moistening and nourishing. • Functions: • Moistening: Moistens the viscera, meridians, and skin. • Nourishing: Nourishes joints and brain marrow. • Transportation: Transports nutrients and metabolic products. IV. Etiology and Pathogenesis 1. Etiology • Exogenous Causes: • Six Exogenous Pathogenic Factors: Wind, cold, summer heat, dampness, dryness, and fire. • Pestilential Qi: Highly contagious pathogenic factors, such as plague and cholera. • Endogenous Causes: • Seven Emotions: Joy, anger, worry, pensiveness, sorrow, fear, and shock. • Dietary Imbalance: Overeating, insufficient eating, or dietary preferences. • Imbalance of Work and Rest: Excessive work or excessive rest. • Other Causes: • Trauma: Falls, blows, and cuts. • Parasites: Parasitic infections. • Drug Misuse: Improper use of medications. • Medical Errors: Medical accidents or misdiagnosis. 2. Pathogenesis • Definition: Pathogenesis refers to the mechanisms of the occurrence, development, and changes of diseases. • Content: • Struggle Between Pathogenic and Defensive Forces: The struggle between pathogenic and defensive forces determines the progression of the
酣畅淋漓,从起床到现在断断续续读完了,算是通读一遍 中医理论博大精深需要学的很多 速记歌诀很好 比如肺大胃脾心小肠,膀肾包焦胆肝藏… 经脉者,所以决生死,处百病,调虚实,不可不通者也! 这是一本很好的工具书 常翻常看
中医本严谨。 造成一些人对中医误解的 是从事中医的有些个医生。
没一点实际的,光讲人体,阴阳调合
绝了,评论里居然有人说中医可以科学的表达出来,我国的科学教育真的道阻且长。
中医基础,对初学者来说还是有点难度的,因为中医不是单纯的医学,还牵扯中国哲学思想,对中国传统文化不了解的很难学,看名老中医之路,著名老中医大部分都是有深厚的古文基础的,都能背诵传统典籍,自己还能写诗作文,所以要发扬中医,还必须得从文言文普及教育入手,白话文学中医难度太大
中医基础速记歌诀适合从事中医者研究学习。
看似简单的一本书,却概括几乎所有的中医理论,每有心得和疑惑总会忍不住重新翻一遍。大道至简,大象无形。
这本书类似于读书做的笔记,直接划重点。适合用来温故记忆,加深理解。全是干货。或者适合走马观花想简单了解一下中医的好奇宝宝。深入学习的话,建议先看更详细的讲解,回过头来再来复习。只适合初学者,掌握本书的内容估计算是脚趾头入门了吧。离一只脚还差得远。
简单通俗阐述中医的基础知识,可以对中医有一个简单的认识,是一本不错的中医书籍。