Wang Wen-Ya, Liao Xing
Center for Evidence-based Chinese Medicine, Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences Beijing 100700, China.
Zhongguo Zhong Yao Za Zhi. 2024 Nov;49(22):5965-5976. doi: 10.19540/j.cnki.cjcmm.20240722.501.
Life is a dynamic and systematic whole, with organs interacting with each other. Traditional Chinese medicine(TCM) discusses the interaction between human tissue and organs through the Zangfu relations, while modern biological medicine clarifies physiological and pathological relationships through "organ crosstalk". From the perspective of "organ crosstalk", this article discussed the five classical Zangfu relations(lungs and large intestine, heart and small intestine, spleen and stomach, liver and gallbladder, and kidney and bladder) in TCM and their extension. It briefly summarized the relationship between Zangfu and pentasomy/orifices organs, extraordinary connection of Zangfu, and other relationships within Zangfu based on "organ crosstalk". The relevant Zangfu organ axis/crosstalk in the current research field of TCM was systematically retrieved, as well as related pharmacotherapy. This paper compared the characteristics of the Zangfu relations in TCM and the "organ crosstalk" in modern biological medicine. Zangfu relations in TCM are mainly related to the conduction of meridians and collaterals and the operation of Qi, blood, essence, and body fluid. The mechanism of "organ crosstalk" in modern biological medicine is mainly regulated by nerve conduction, immune response, secretory factors, microorganisms, and their metabolites. Both of them use intermediary channels and intermediate substances to assist Zangfu organs in communicating with each other. With the help of "organ crosstalk", the mechanism of Zangfu relations can be clarified more clearly and specifically, and the Zangfu relations can provide potential links for "organ crosstalk" to improve its systematicness and promote the application of theory.
生命是一个动态的系统整体,各器官相互作用。中医通过脏腑关系探讨人体组织器官之间的相互作用,而现代生物医药则通过“器官串扰”阐明生理和病理关系。本文从“器官串扰”的角度,探讨了中医中五个经典的脏腑关系(肺与大肠、心与小肠、脾与胃、肝与胆、肾与膀胱)及其延伸。基于“器官串扰”,简要总结了脏腑与五体/官窍器官的关系、脏腑的奇恒联系以及脏腑内部的其他关系。系统检索了中医当前研究领域中相关的脏腑器官轴/串扰以及相关药物治疗。本文比较了中医脏腑关系与现代生物医药中“器官串扰”的特点。中医的脏腑关系主要与经络传导以及气、血、精、津液的运行有关。现代生物医药中“器官串扰”的机制主要受神经传导、免疫反应、分泌因子、微生物及其代谢产物调节。两者都利用中介通道和中间物质辅助脏腑器官相互沟通。借助“器官串扰”,可以更清晰、具体地阐明脏腑关系的机制,而脏腑关系可为“器官串扰”提供潜在联系,以提高其系统性并促进理论应用。