基于《内经》脾藏象时空观探析中医对生命、疾病及防治的认知思维特色

摘要

目的：探讨《内经》脾藏象理论的构建思维及方法，以进一步提高中医对世界、生命、疾病及其防治的认知能力。方法运用时空一体整体观念，分别探讨不同时间层面和同一时间层面下，脾藏象在空间上各自相应的变化及特点。结果不同时间层面下，脾主长夏和脾不独主于时而主四时之末十八日；同一时间层面下，脾-肉-唇-口-涎-思-长夏（或四时）是一个有机整体。结论时空一体整体观是构建《内经》脾藏象理论的重要思维特色之一；掌握和揭示《内经》所论生命之道，对于进一步整体、动态、辨证地把握好中医对世界、生命、疾病及其防治的认知，具有高屋建瓴的提升和一叶知秋的重要指导意义。%Objective To explore the thinking construction and its methods of theory of viscera-state of spleen in Neijing, and to enhance the cognitive thinking ability of TCM on the world, life, disease and its prevention and treatment. Methods By use of the concept of time and space integration, the change and character of viscera-state of spleen in the space were discussed. Results At the different time level, the spleen administer the long summer season and the last eighteen days of four seasons. At the same time level, spleen-muscle-lips-mouth-spittle-thinking-long summer (four seasons) is an or-ganicintegrity. Conclusion Concept of time and space integration is one of the important thinking methods during constructing the viscera-state theory of spleen in Neijing. Mater and reveal the world of life in Neijing can enhance the cognitive thinking ability of TCM on the world, life, disease and its prevention and treatment.