The paper gives a theoretical explanation on shen （神）， shenqi （神气） and spiritual aesthetic education from four aspects. They are the relationship of shen， shenqi and disease， the transformation of between bright and dark sides of knowledge of shen and shenqi， the theoretical study and inheritance of traditional Chinese medicine， and spiritual aesthetic education and health. It is proposed that TCM scholars' interpretation of “shen” should focus on the original source， return to the suspended original thinking creativity of xiang（象）， and fully compatible with the law of conservation of information. It is advocated that phenomenon understanding should emphasize modern hermeneutics to achieve cognitive understanding and foster the development of traditional Chinese medicine， based on the principles of practical philosophy. In the process of experience reconstruction， we must pay attention to the hermeneutics methodology from the perspective of practical philosophy. Its distinctive characteristics include keeping pace with the times， being practical and being creative character in the understanding and interpretation. It can be used to guide practice and to explain new phenomenon， then produce benefits for future.