阴升阳降实为阳升阴降
中华中医药杂志(原中国医药学报)2012年7月第27卷第7期CJTCMP, July 2012,Vol . 27,No.7 · 1891 ·
·研究报告·
试论阴升阳降实为阳升阴降
谢林林1 陈利国1 吴正治2王盛飞1 陈俊蓉1
1暨南大学医学院广州510632 2暨南大学附属深圳市人民医院深圳518020
摘要人们普遍认为阴阳升降的运动形式有阳升阴降阴升阳降两种可是阴为什么能升 阳为什么能降
呢?通过应用阴阳相对性和阴阳互根互用及阴阳概念的确定性等理论对天降地升、心肾相交、肝升肺降等阴升阳
降理论的阐释认为阴升实为阳升 阳降从本质上讲是阴降 由此认为阴阳升降运动只有阳升阴降一种运动形
式。并提倡应严格遵从阴阳属性划分标准规范中医的基本概念希望通过对阴升阳降理论的辨识促进中医理
论的发展进一步指导临床。
关键词阴阳阴升阳降阳升阴降
An attempt to describe on the ascending of yin and descending of yang is essentially theascending of yang and descending of yin
XIE Lin-lin1,CHEN Li-guo1,WU Zheng-zhi2,WANG Sheng-fei1,CHEN Jun-rong1
(1Medical Collage of Jinan University,Guangzhou 510632,China; 2Afliated Shenzhen People’s Hospital of
Jinan University,Shenzhen 518020,China)
Abstract: It is generally considered that there are two kinds of movement forms of ascending and descending of yin andyang-ascending of yang and descending of yin and ascending of yin and descending of yang,but why do yin can ascend and yangcan descend?Through the interpretation of the theories of the ascending of yin and descending of yang, such as the descending ofheaven and ascending of earth, the harmony between the heart and the kidney and the ascending of liver and descending of lung,by applying,the theories of the relativity of yin-yang, interdependence between yin and yang and the certainty of the concept ofyin-yang, it s believed that the ascending of yin is actually the ascending of yang and the descending of yang is essentially thedescending of yin, so the ascending of yang and descending of yin is the only movement form of the ascending and descendingof yin and yang This essay advocated that people should strictly follow the classication standard of yin and yang properties andregulate the basic concepts of TCM It,s hoped that this essay can promote the development of the theory of TCM and further toguide the clinical practice through the identication of the theory of the ascending of yin and descending of yang
Key words:Yin and yang;Ascending of yin and descending of yang;Ascending of yang and descending of yin
阴阳升降是阴阳运动的具体体现有人认为阴阳升降只有 的误用阴升阳降应本质上为阳升阴降在阴阳相对性和阴阳阳升阴降一种运动形式也有人认为阴阳升降应包括阳升阴降 互根互用理论及阴阳概念的约束作用下以上阴升阳降依据都和阴升阳降两个方面并常以《素问·阴阳应象大论》中的“清 离不开阳升阴降有的不属于阴阳升降范畴内。
阳为天浊阴为地。地气上为云天气下为雨雨出地气云出 阴阳属性是根据事物或现象不同的运动趋势不同的功能天气” 《素问·六微旨大论》中的“升已而降降者谓天降已 属性时间空间相互比较归纳得来的一般说来凡是上升的、而升升者谓地。天气下降气流于地地气上升气腾于天” 运动的、在外的事物或现象均属于阳;凡是下降的、静止的、内为阴升阳降的理论依据认为天为阳地为阴天降地升则为 守的均属于阴。因此上升则为阳下降则为阴阴又何以升阳阳降阴升是单纯的字面上的组合。还有人把心肾相交肝升肺 又何以降我们应有科学的概念观不能自相矛盾。事物或现降脾升胃降等脏腑升降关系也看作是阴升阳降甚至有人把 象的阴阳属性有相对性和绝对性两方面相对性是指若事物的朱丹溪的滋阴降火治疗方法也归为阴升阳降。有人质疑如果只 总体属性发生了改变或比较的层次或对象变了则它的阴阳属有阳升阴降则阴阳不能交感而出现阴阳离决。然笔者经过学 性也随之改变绝对性指若事物的总体属性未变或比较的对习和思考认为以上阴升阳降理论是阴阳属性和阳升阴降概念 象或层次未变它的阴阳属性是固定不变的[1]。阳升阴降中的阴
通讯作者谢林林广州市天河区黄埔大道西暨南大学周转B楼1704室邮编 510632电话 0738-3322985
E-mail xielinlinlinlinxie@126 com