論《醫經精義》於中醫學術發展的貢獻

Impact of the Book “Yi Jing Jing Yi” to Modern Academic Development in Traditional Chinese Medicine

唐宗海是近代的重要醫家，但後代醫史學家們對其著作與內涵思想評價不一。檢討唐氏其學術歷程背景與進行《醫經精義》著作體例的分析，方可由管窺而得全貌。是書以中國醫學經典裡的基礎理論為核心，應用重要的西方醫學知識，將其整理納入傳統中國醫學的理論體系結構中，使歷代醫家於藏象氣血經絡等基礎理論中，所記述的生理或病理理論機轉具象化的呈現出來。從中西醫學結合的觀點來看，礙於當時所吸收之西方醫學知識的偏陋與崇古尊經的思想，成就有限；但從中國醫學自身發展的軌跡來看，唐氏卻為傳統以陰陽五行為論述基礎的中醫基礎理論帶來具創意的新思維，嘗試將西方醫學解剖生理學上的結構與中國醫學基礎理論的藏象經絡相對照，並從視覺的觀點重新描繪中醫基礎理論的藏象經絡系統。而從中國醫學的內涵中進行基礎理論名詞的現代化，正是解決進行中西醫結合工作所遇到之瓶頸的關鍵。

Tang Rongchuan had published many literatures and articles which apply to both clinical and basic medicine. He was considered as one of the leading member of the converged traditional and western medicine. The purpose of this study is to examine the academic background and principle thoughts in the book “Yi Jing Jing Yi” written by Tang and summarize the content using the structure of modern medicine. In the book “Yi Jing Jing Yi”, Tang described connective tissue in the chest or abdomen cavity, circulation system and central nervous system as topics. However, due to uncompleted references and citations of the western medicine knowledge, the outcome of the converged medicine was inconclusive. The book introduced basic theory of traditional Chinese medicine as the core of the study, applied the well-known western medicine knowledge, and reorganized the basic theories back to traditional Chinese medicine. This study affected many doctors afterwards for its materialization of the pathogenesis from visceral manifestations such as channel, meridian, and qi in traditional Chinese medicine. The result suggested that “Yi Jing Jing Yi” had become an important preliminary reference to modernize the basic research of traditional Chinese medicine. Our future study will focus on the theories of other converged medicine publications to accommodate the strength of western medicine into traditional Chinese medical system and thus hoping to bring a new direction to basic researches of traditional Chinese medicine.