郑敏麟 阮杏林

    〔摘要〕 从宏观(解剖学)与微观(细胞学)层次探讨心的藏象实质。首先，基于中医文献学，讨论心“主神志”和“主血脉”的功能，认为“主神志”是中医心的核心功能，心通过“主神志”从而“主血脉”。心“主神志”和 “主血脉”的功能分别对应于后世的“神明之心”和“血脉之心”，“神明之心”即是解剖学的脑，“血脉之心”即是解剖学的心脏。因此，中医心的宏观形态学实质是解剖学的脑和心脏，其中脑(神明之心)为主体，心脏(血脉之心)为脑(神明之心)的附属。其次，在细胞学层次，脑的神经元和心肌细胞，都能自发地产生并且传导电的冲动，它们的细胞膜上都有数目众多的离子通道。因此，中医心的微观形态学实质应是离子通道。

    〔关键词〕 心;脑;离子通道;藏象实质;解剖学

    〔中图分类号〕R2-0? ? ? ?〔文献标志码〕A? ? ? ? 〔文章编号〕doi：10.3969/j.issn.1674-070X.2022.03.026

    〔Abstract〕 This paper discusses the essence of the heart viscera-state from the macroscopic (anatomy) and microscopic (cytology) levels. Firstly， based on the literature of traditional Chinese medicine (TCM)， the functions of the heart's "governing consciousness" and "governing blood vessels" are discussed， and it is believed that "governing consciousness" is the core function of the TCM heart， and the heart "governing blood vessels" through "governing consciousness". The functions of the heart "governing consciousness" and "governing blood vessels" correspond to the "heart of the gods" and "heart of the blood vessels" in later generations， respectively. The "heart of the gods" is the brain of anatomy ......