

浏览全部资源
扫码关注微信
1.University of Plymouth, Plymouth,Devon,UK,PL4 8AA
2.中日友好医院/国家中西医结合医学中心
Received:09 October 2025,
Revised:2026-05-18,
Accepted:14 February 2026,
Online First:15 July 2026,
Published:17 July 2026
移动端阅览
庞广赫,张纾难.用比较分类方法构建非药物疗法思维框架[J].中医杂志,2026,67(14):1560-1566.
PANG Guanghe,ZHANG Shunan.Construction of Conceptual Framework for Non-Pharmacological Therapy Using a Comparative Classification Approach[J].Journal of Traditional Chinese Medicine,2026,67(14):1560-1566.
庞广赫,张纾难.用比较分类方法构建非药物疗法思维框架[J].中医杂志,2026,67(14):1560-1566. DOI: 10.13288/j.11-2166/r.2026.14.016.
PANG Guanghe,ZHANG Shunan.Construction of Conceptual Framework for Non-Pharmacological Therapy Using a Comparative Classification Approach[J].Journal of Traditional Chinese Medicine,2026,67(14):1560-1566. DOI: 10.13288/j.11-2166/r.2026.14.016.
借鉴“典型-非典型”学习范式与“离身-具身”双重视角,探讨非药物疗法思维框架的构建,并用思维导图呈现其构建过程。从“手法”“动作”“针灸”“气功”四个类别入手,比较其对人体客观结构与主观感知的作用特点,归纳其共通规律与差异特征。在此基础上初步提炼出非药物疗法存在“定位”与“改变”的共同规律,而“机械”和“温度”是感知“定位”和“改变”的要素,可为非药物疗法的理论学习、技能掌握及临床教研提供一种可动态更新的思维框架与表达方式。
Drawing on the "typical - atypical" learning paradigm and the dual perspectives of "disembodiment- embodiment", this paper develops a dynamic conceptual framework for non-pharmacological therapies and illustrates its construction through mind mapping. Four categories of interventions, including manual therapy, movement therapy, acupuncture and moxibustion, and qigong, are compared in terms of their effects on the body's objective structure and subjective perception, with their shared principles and distinguishing characteristics systematically summarized. On this basis, we preliminarily identify two fundamental principles underlying non-pharmacological therapies: "localization" and "transformation". Furthermore, "mechanics" and "temperature" are proposed as the key elements through which "localization" and "transformation" are perceived and manifested. This study provides a dynamically updatable conceptual framework and a visual mode of representation that can support theoretical learning, skill acquisition, and clinical teaching and research in non-pharmacological therapies.
黄龙祥 . 中医现代化的瓶颈与前景论中医理论能否以及如何有效进入实验室 [J]. 科学文化评论 , 2004 ( 3 ): 5 - 20 .
Goldstein E B , Van Hooff J C . Cognitive psychology [M]. Stamford : Cengage , 2021 : 295 .
李成卫 . 金匮要略学科基本结构及其教学应用探索 [J]. 中国中医药现代远程教育 , 2020 , 18 ( 10 ): 23 - 26 .
王宪正 , 李成卫 , 王庆国 . “典型-非典型-变化”模式下的《金匮要略》黄疸病诊治思路分析 [J]. 吉林中医药 , 2018 , 38 ( 4 ): 482 - 485 .
朱兵 . 拔罐疗法:亘古与永恒 [J]. 陕西中医药大学学报 , 2019 , 42 ( 5 ): 1 - 4,15 .
朱兵 . 世界类针灸疗法启示录:百年前的西医治疗学 [J]. 针刺研究 , 2021 , 46 ( 1 ): 1 - 7 .
朱兵 . 关于灸材和灸温的思考 [J]. 针刺研究 , 2018 , 43 ( 2 ): 63 - 67 .
Wu T , Wang X Y . A comparative study on marma and acupoints [J]. J Ayurveda Integr Med , 2023 , 14 ( 4 ): 100769 .
王晓宇 , 于清泉 , 何伟 , 等 . 从“分子药”到“电子药”:SPARC计划和针刺研究 [J]. 针刺研究 , 2019 , 44 ( 3 ): 157 - 160 .
黄龙祥 . 同一世界不同视界:中西医学的文化基因 [J]. 中医药文化 , 2009 , 4 ( 4 ): 1 .
关玲 . 结构针灸解剖基础与刺法精要:肌肉分册 [M]. 北京 : 人民卫生出版社 , 2024 : 7 .
关玲 , 杜金龙 , 于洋 , 等 . 结构针灸刺法经验 [M]. 北京 : 人民卫生出版社 , 2017 : 3 .
李昕蔚 , 刘璐 , 游伟 , 等 . 针灸诊查之要,贵在医患共“知”:再论“以知为数,以痛为输 ”[J]. 针刺研究 , 2025 , 50 ( 2 ): 224 - 231 .
Ratnani I , Fatima S , Abid M M , et al . Evidence-based medicine: history, review, criticisms, and pitfalls [J]. Cureus , 2023 , 15 ( 2 ): e35266 .
魏玉龙 , 夏宇欣 , 吴晓云 , 等 . 具象思维与具身心智:东西方认知科学的相遇 [J]. 北京中医药大学学报 , 2013 , 36 ( 11 ): 732 - 737 .
王睿哲 , 郑晓微 . 对中西医的视角差异的思考 [J]. 医学与哲学 , 2024 , 45 ( 23 ): 19 - 23 .
刘天君 . 实验科学与体验科学:中西医方法论比较 [J]. 中国中医基础医学杂志 , 1996 , 2 ( 1 ): 34 - 35 .
庞广昌 . 五味调和的科学基础 [J]. 美食研究 , 2017 , 34 ( 2 ): 1 - 7 .
Edward S S , Cooper N . Mind mapping as a teaching resource [J]. Clin Teach , 2010 , 7 ( 4 ): 236 - 239 .
Aljamal H , Alawneh R , Derbas A , et al . Efficacy of mind maps and concept maps in enhancing academic performance among undergraduate medical students in the preclinical stage: a systematic review [J]. Adv Health Sci Educ , 2026 , 31 ( 2 ): 705 - 725 .
Sajadi A S , BabajanI A , Maroufi S S , et al . Using the mind map method in medical education, its advantages and challenges:a systematic review [J]. J Educ Health Promot , 2024 , 13 : 483 . DOI: 10.4103/jehp.jehp_1323_23 http://dx.doi.org/10.4103/jehp.jehp_1323_23 .
Liang Y S , Xu C L , Zhang P M , et al . Integrative research on the mechanisms of acupuncture mechanics and interdisciplinary innovation [J]. Biomed Eng Online , 2025 , 24 ( 1 ): 30 .
Purali N . Mechanosensitive ion channels: the unending riddle of mechanotransduction [J]. Bioelectricity , 2025 , 7 ( 1 ): 58 - 70 .
Qin L , Liu W , Cao H , et al . Molecular mechanosensors in osteocytes [J]. Bone Res , 2020 , 8 : 23 . DOI: 10. 1038/s41413-020-0099-y http://dx.doi.org/10.1038/s41413-020-0099-y .
Davis L A , Fogarty M J , Brown A , et al . Structure and function of the mammalian neuromuscular junction [J]. Compr Physiol , 2022 , 12 ( 4 ): 3731 - 3766 .
刘景源 . 刘景源温病学讲稿 [M]. 北京 : 人民卫生出版社 , 2008 : 66 .
Beinlich F R M , Asiminas A , Untiet V , et al . Oxygen imaging of hypoxic pockets in the mouse cerebral cortex [J]. Science , 2024 , 383 ( 6690 ): 1471 - 1478 .
Guimberteau J C , Sawaya E T , Armstrong C . New perspectives on the organization of living tissue and the ongoing connective tissue/fascia nomenclature debate, as revealed by intra-tissue endoscopy that provides real-time images during surgical procedures [J]. Life (Basel) , 2025 , 15 ( 5 ): 791 .
Myers T W . Tension-dependent structures in a stretch-activated system [J]. J Bodyw Mov Ther , 2020 , 24 ( 1 ): 131 - 133 .
卡拉·斯德科 . 人体筋膜系统功能解剖图谱 [M]. 王行环, 贺大林, 魏强, 等,译. 北京 : 北京科学技术出版社 , 2017 : 45 .
Frank C , Kobesova A , Kolar P . Dynamic neuromuscular stabilization sports rehabilitation [J]. Int J Sports Phys Ther , 2013 , 8 ( 1 ): 62 - 73 .
Akhtar A , Richards J , Monga P . The biomechanics of the rotator cuff in health and disease: a narrative review [J]. J Clin Orthop Trauma , 2021 , 18 : 150 - 156 . DOI: 10.1016/j.jcot.2021.04.019 http://dx.doi.org/10.1016/j.jcot.2021.04.019 .
Donati D , Tedeschi R , Garnum P E , et al . A narrative review on greater trochanteric pain syndrome: diagnostic imaging and non-surgical treatments [J]. Musculoskelet Surg , 2026 , 110 ( 2 ): 163 - 172 .
Topp K S , Boyd B S . Structure and biomechanics of peripheral nerves: nerve responses to physical stresses and implications for physical therapist practice [J]. Phys Ther , 2006 , 86 ( 1 ): 92 - 109 .
Kobesova A , Kolar P . Developmental kinesiology: three levels of motor control in the assessment and treatment of the motor system [J]. J Bodyw Mov Ther , 2014 , 18 ( 1 ): 23 - 33 .
刘天君 . 在“首届哈佛国际医学气功与太极论坛”上的首席主旨发言 [C]//中国医学气功学会. 中国医学气功学会第六届会员代表大会暨学术年会论文集 . 北京 : 中国医学气功学会 , 2019 : 7 - 8 .
刘天君 , 魏玉龙 . 具象思维是三调合一境界的特征性意识活动 [EB/OL]. ( 2018-05-31 )[ 2026-05-05 ]. https://www.sport.gov.cn/qgzx/n5407/c861055/content.html https://www.sport.gov.cn/qgzx/n5407/c861055/content.html .
魏玉龙 , 刘天君 . 气功态的脑电研究进展 [J]. 河南中医学院学报 , 2009 , 24 ( 4 ): 118 - 121 .
Cacciatore T W , Anderson D I , Cohen R G . Central mechanisms of muscle tone regulation: implications for pain and performance [J]. Front Neurosci , 2024 , 18 : 1511783 . DOI: 10.3389/fnins.2024.1511783 http://dx.doi.org/10.3389/fnins.2024.1511783 .
Périard J D , Eijsvogels T , Daanen H . Exercise under heat stress: thermoregulation, hydration, performance implications, and mitigation strategies [J]. Physiol Rev , 2021 , 101 ( 4 ): 1873 - 1979 .
Bordoni B , Morabito B , Escher A R . Diaphragm's role as a systems-connector muscle: a narrative review [J]. Cureus , 2025 , 17 ( 10 ): e94679 .
Gunawan Y A , Suen M W , Denny H M , et al . Effect of Tai Chi and Qigong on heart rate variability: a systematic review and meta-analysis examining baseline autonomic function and intervention complexity as moderators in adults [J]. Complement Med Res , 2026 , 33 ( 1 ): 42 - 58 .
Huber M , Knottnerus J A , Green L , et al . How should we define health? [J]. BMJ , 2011 , 343 : d4163 . DOI: 10.1136/bmj.d4163 http://dx.doi.org/10.1136/bmj.d4163 .
王睿 , 吴齐飞 , 周晓宁 , 等 . 拨筋通络四步法治疗陈旧性内翻型踝扭伤临床观察 [J]. 光明中医 , 2024 , 39 ( 17 ): 3510 - 3513 .
饶景飞 , 阎喜换 . “拨筋通络手法”治疗臀上皮神经损伤临床经验 [J]. 中医临床研究 , 2021 , 13 ( 16 ): 49 - 50 .
Lehman G J . The role and value of symptom-modification approaches in musculoskeletal practice [J]. J Orthop Sports Phys Ther , 2018 , 48 ( 6 ): 430 - 435 .
Finucane L M , Downie A , Mercer C , et al . International framework for red flags for potential serious spinal patho-logies [J]. J Orthop Sports Phys Ther , 2020 , 50 ( 7 ): 350 - 372 .
Rushton A , Carlesso L C , Flynn T , et al . International framework for examination of the cervical region for potential of vascular pathologies of the neck prior to musculoskeletal intervention: international IFOMPT cervical framework [J]. J Orthop Sports Phys Ther , 2023 , 53 ( 1 ): 7 - 22 .
0
Views
0
下载量
0
CSCD
Publicity Resources
Related Articles
Related Author
Related Institution
京公网安备11010102007558号