目的从语言、逻辑的层面思考中医理论的本质性问题,揭示中医理论概念隐喻的语言学基础;明辨这些概念隐喻从哪里来,它又将引导我们到哪里去?方法应用隐喻理论对中医理论的形成、中医学的逻辑、中医学中的体系、脏腑功能、病因病机、证候、药性方剂、经验等相关问题进行系列思考。结果中医学是一种以身体经验感知为基础而形成的理论;中医治病所涉及的逻辑是一种集知识、信念、道义为一体的动态逻辑;中医学中存在"辨证论治"与"方证论治"两大体系;中医学中的脏腑功能是生理和指派的混合体;中医病因病机是一种因"原型"而形成的概念隐喻;中医证候诊断在于主客观的同构;可能不存在所谓的"证候本质";"四气五味"与"君臣佐使"只是概念隐喻;"经验"是难以继承或不能继承的。结论中医语言是一种基于隐喻认知的语言,中医理论学家在今后相当长的一段时间内需要做的主要工作,可能就是对中医语言的分析。
Objective To investigate the essential properties of the theory of traditional Chinese Medicine(TCM) from the linguistic and logic aspects,reveal the linguistic basis of conceptual metaphor of TCM theory,and find out the original sources of these conceptual metaphors and their implication for us. Method The formation of TCM theory,and the logic,system,function of viscera and bowels,etiologypathogenesis,syndromes,medicinal features,formulas and experiences in TCM sciences were studied by applying metaphor theory.Result The formation of TCM sciences bases on body experience perceptions. The therapeutic logic in TCM sciences is a dynamic one united knowledge,faith and principles.There are two systems in TCM sciences-syndrome differentiation and treatment,and differentiation and treatment based on syndromes in formulas.The function of viscera and bowels is a mixture of physiology and designation,the etiology-pathogenesis is a conceptual metaphor due to"prototype",and diagnosis based on syndrome manifestations is an isomorphism of subjective and objective.The author considered that there was no so-called"essence of syndrome",four qi(medicinal properties) and five flavors(five tastes of medicinals) are some conceptual metaphors,and"experience"was hardly or must not be inherited. Conclusion The language of TCM sciences is one based on metaphor cognition.It will be the predominant work for most TCM theorists to analyse the language of TCM sciences for a long time.