1、诠释学在中医内科学研究中的应用 The Application of Hermeneutics Methodology in Studying Internal Medicine of Traditional Chinese Medicine,中国中医科学院 王永炎 Chinese Academy of Science of TCM Wang Yongyan 成都中医药大学 王 飞 Chengdu University of TCM Wang Fei,提 纲 Outline,诠释学的原理与方法Principle and Method of Hermeneutics 诠释学在中医内科学中的应用T
2、he Application of Hermeneutics Methodology in Studying Internal Medicine of TCM 中医内科学诠释的原则与方法 Principle and Method of Hermeneutics of Internal Medicine of TCM 结语The Last Word,诠释学的原理与方法 Principle and Method of Hermeneutics,诠释学的起源与发展Development of Hermeneutics德国当代哲学家伽达默尔于1960年建立起诠释学哲学 Philosophy Herme
3、neutics establish by German contemporary philosopher Gadamer came on the scene in 1960,诠释学的原理与方法 Principle and Method of Hermeneutics,诠释学的内涵 Connotation of Hermeneutics 词源 三要素etymology three factors,诠释学在中医内科学中的应用 The Application of Hermeneutics Methodology in Studying Internal Medicine of TCM,1、病证的诠
4、释 Hermeneutics of internal medicine diseases of TCM,（1）病证的内涵与外延 Intension and Extension of disease“病” “证” “症”disease syndrome symptom,诠释学在中医内科学中的应用 The Application of Hermeneutics Methodology in Studying Internal Medicine of TCM,病：一种完整的过程Disease: an integrated process 包括 comprise,诠释学在中医内科学中的应用 The A
5、pplication of Hermeneutics Methodology in Studying Internal Medicine of TCM,症：具体临床表现Symptom : specific clinical manifestations 包括comprise,诠释学在中医内科学中的应用 The Application of Hermeneutics Methodology in Studying Internal Medicine of TCM,证 Syndrome疾病发展全过程 The whole process of disease development,诠释学在中医内科
6、学中的应用 The Application of Hermeneutics Methodology in Studying Internal Medicine of TCM,（2）证候的特征 Characteristic of ZhengHou (Syndrome)内实外虚证候的重要特征Internal Fullness and External Vacuousness - vital characteristic of ZhengHou 动态时空证候的演变发展Dynamic and spatial-temporal - evolution and development of ZhengHo
7、u多维界面证候的构成关系Multi-dimensional interfaces - constitution-relation of ZhengHou,诠释学在中医内科学中的应用 The Application of Hermeneutics Methodology in Studying Internal Medicine of TCM,内实外虚 Internal Fullness and External Vacuousness 机体证候信息群 Syndrome of Zhenghou in body,虚实 虚,核心病机与真实 征象 Core of pathogenesis and re
8、al syndrome,干预的重要依据 Vital evidence of intervention,所有个性化 症状信息 The whole personalized information,实,诠释学在中医内科学中的应用 The Application of Hermeneutics Methodology in Studying Internal Medicine of TCM,动态时空 Dynamic and spatial-temporal演变、迁移、发展Evolution, Movement, Development,诠释学在中医内科学中的应用 The Application of
9、 Hermeneutics Methodology in Studying Internal Medicine of TCM,多维界面 Multi-dimensional interfaces证候表现形式manifestation of ZhengHou时空 干预状态spatial-temporal condition of intervention,时空不同，可得到同 一证候多方面、互不 相同的证候信息 In different spatial-temporal, we can get different, many-sided ZhengHou information from the o
10、ne ZhengHou,2. 病名的诠释 Hermeneutics of internal medicine diseases names of TCM,2. 病名的诠释 Hermeneutics of internal medicine diseases names of TCM,举例：诠释 “肺胀”Example ： Hermeneutics of FeiZhang,第一层次：溯本求源 The first gradation：Origin,明确病名病位在肺主症有喘、咳及胸部膨满It had definited the name of FeiZhang, lung disease, pant
11、ing, coughing, distention andfullness of the chest as its cardinal symptoms,灵枢经脉篇： 肺胀者，虚满而喘咳。,第二层次：整合演变 The second gradation：Generalization and Evolution,肺 胀,晋隋唐：本虚标实 Jing,Sui and Tang Dynasties: deficiency of Ben and repletion of Biao,明清：由多种原因引起的一组症候群 Ming and Qing Dynasties: it contained a group o
12、f Syndrome cased by many reasons,元代：痰挟瘀血，开创活血化瘀法 Yuan Dynasty: phlegm and blood stasis, cerated the treatment of activating blood and resolving stasis,第三层次：现代阐释 The third gradation：Modern explanation,肺胀（Lung distension）: 多种慢性肺系疾患反复发作，迁延不愈，导致肺气胀满，不能敛降的 一种病证。临床表现为胸部膨满，憋闷如塞，喘气上逆，咳嗽痰多，烦 躁，心悸，面色晦暗，或唇甲紫绀，
13、脘腹胀满，肢体浮肿等。客观上存在气道高反应性、肺动脉高压、肺纤维化、肺瘀血等Lung distension, a disease caused by many chronic diseases of pulmonary system recurrently, protracted course, to result in turgor of lung qi, losing constringency and descending. Characterized by distensible of the chest, choking, panting, coughing, multi-phleg
14、m, dysphoria, heart-throb, tarnish of complexion, or cyanosis of lip and nail, abdominal fullness and distention, edema of limb, etc. An similarity between lung distension and somediseases of western medicine, such as chronic bronchitis concurrent emphysema, cor pulmonale, pulmonary encephalopathy c
15、ommonly see critical changed syndrome.It has some pathological conditions including Bronchial Hyperresponsiveness, Pulmonary arterial hypertension, Idiopathic pulmonary fibrosis, pulmonary blood stasis, ect.,3、内科专有术语诠释 Hermeneutics of special term of internal medicine of TCM,3、内科专有术语的诠释 Hermeneutics
16、 of special term of internal medicine of TCM,内科专有术语 special term of internal medicine,产生发展的本质内涵 essential connotation of appearance and development,科学准确地判定 judge Scientifically and exactly,诠释学方法 Hermeneutics Methodology,文献学、考古学等手段 Means of philology, Archeology, etc,现代科学语言转化 transform into modern sc
17、ientific language,4、临床理论的诠释 Hermeneutics of clinic theory of internal medicine of TCM,形象-具象-抽象思维方法 thought method of Form - Representation - Abstract,4、临床理论的诠释 Hermeneutics of clinic theory of internal medicine of TCM,系统整体与形象思维system entirety and visual thinking,症状学的观察 observation of semiology,证候病机的
18、归纳 induction of pathogenesis of ZhengHou,理法方药的一致性 consistency of treatment andmedicine,理解重构 reconstruction of understand,思辨创新 innovation of analyzing mentally,内科理论 theory of internalmedicine of TCM,潜在知识结构和科学内涵 underlying knowledge structure and scientific meaning,科学语言转化 transform into scientific lan
19、guage,现代表述,翻译 translation,逻辑、数学语言 language of logic and mathematics,诠释中医内科临床理论 Hermeneutics of clinic theory of internal medicine of TCM,举例：“通因通用”Example ： treating diarrhea with purgatives 第一层次，第二层次，第三层次。The first gradation,The second gradation,The third gradation.,第一层次：溯本求源 The first gradation：Ori
20、gin,素问至真要大论篇提出：“通因通用” Huang Di nei jing su wenpresented: treating diarrheawith purgatives 顺从疾病外在表象而治的治法A treatment of complying with diseases externalsymptoms,第二层次：整合演变 The second gradation：Generalization and Evolution,张子和：“君子贵流不贵滞。” Zhang Zihe ：unobstructed is the most important thing of all. 高士宗：“
21、调气以和血，调血以和气，通也；虚者助之使通，寒者温之使通，无非通之之法也” Gao Shizong: “regulation of qi induced harmony of blood, regulation blood induced harmony of qi, treating deficiency with tonification, treating cold with warming,”张仲景：“汗法治汗”的桂枝汤，“下法治利”的大、小承气汤，“吐法治吐”的瓜蒂散等。 Zhong Zhongjing: treating perspiration with diaphoresis,
22、 treating enterorrhea with laxative, treating vomit with disgorge.,第三层次：现代阐释 The third gradation：Modern explanation,举 例： 治疗treatmentExample 大黄（Chinese rhubarb） 溃疡性结肠炎（UC）大黄的现代药理：Pharmacological Ingredients 活血化瘀，改善微循环。提高肠黏膜内的pH值，改善血流灌注。Promoting microcirculation by removing blood stasis. To improve p
23、romoting blood circulation by increasing PH in intestinal mucosa. 清热解毒。清除组织和血浆内的炎性介质，降低血清中肿瘤坏死因子、白细胞介素和内毒索。Clearing heat and removing toxin. clearing inflammatory mediators in tissues and plasma, reducing TNF, IL, endotoxin in serum 活血止血。促进血小板聚集的功能，促进凝血。Removing and stopping bleeding. Promoting cong
24、regate function of platelets, and coagulants. 调节免疫功能。Regulating immunological function,中医内科学诠释的原则与方法 Principle and Method of Hermeneutics of Internal Medicine of TCM,1、崇尚国故，熟读经典Returning to history, memorizing classicly ancient medical books 2、研习原著，勤于临证 Studying origin, diligently working in clinic
25、practice 3、传承创新，系统规范 Succeeding and enterprising, systematizing and standardizing,结 语 The Last Word,应用诠释学作为一种对文本理解、解释、应用和实践的哲学方法论对中医内科疾病、概念、术语及内科临床理论进行现代诠释，阐明中医内科学所蕴含的科学理念、原理、规律的本质内涵。Hermeneutics, which is a philosophical methodology of comprehension, explanation, application, practice to the text,
26、is used to annotate some internal medicine diseases, conceptions, technical terms, and clinic theories of Traditional Chinese Medicine (TCM), to clarify essential connotation about scientific convictions, principles, laws of internal medicine of TCM.,结 语 The Last Word,从哲学高度理解中医内科学中的辨证观点、思维和方法，完善传统医学
27、概念的现代语言转换，在深层内涵上与现代科学语言实现逻辑连贯、互补相通。From a philosophical height, in internal medicine of TCM, to improve traditional medicine terms transformation in contemporary scientific words, and realizes logic coherent, mutually complemented from a deeper implication between tradition and contemporary science,
28、 finally, grasping the characteristic of theoretical system of internal medicine of TCM, and base on this, to come up to a new unity on Hermeneutic of TCM.,结 语 The Last Word,把握中医内科理论体系的特质，在此基础上达到一种新的中医诠释学统一。为中医内科学的发展奠定扎实的基础，为实现中医内科理论的突破与创新做参考。To lay a foundation for the development of internal medicine of TCM, and to provide a reference for making a breakthrough and bring forth new ideas in internal medicine theories of TCM.,谢 谢！Thank you,
