汉藏医学阴阳观历史源流与交融互动研究

A Study on the Historical Origins and Interactions of the Yin-Yang Concept in Han and Tibetan Medicine

Both Han and Tibetan medicine are rooted in ancient Chinese philosophy, profoundly influenced by the theory of Yin and Yang. Although their expressions and theoretical frameworks differ, their core ideas consistently emphasize the dynamic balance between the human body and nature. Historically, medical exchanges between the Han and Tibetan traditions were frequent. During the Tang Dynasty, Princess Wencheng’s journey to Tibet brought with her Chinese medical texts and practitioners, which facilitated the absorption and transformation of Han medical theories within Tibetan medicine. Existing studies mainly focus on single medical systems, while systematic comparative and interactive analyses of the Yin-Yang concepts in Han and Tibetan medicine remain limited. This paper, from the perspectives of medical history and philology, systematically traces the independent formation and development of the Yin-Yang theory in Han medicine and the hot-cold theory in Tibetan medicine. It further examines their collision and integration during historical exchanges such as the Tang-Tubo interactions, aiming to deepen the understanding of the formation of the Chinese national medical community and to provide a theoretical foundation for the integration and development of contemporary ethnic medicine.

汉藏医学均根植于中国古代哲学，尤其深受阴阳学说影响，虽表述方式与理论框架有所差异，但核心思想均强调人体与自然的动态平衡。历史上，汉藏医学交流频繁，尤其唐代文成公主进藏，带去了汉医典籍与医工，促进了藏医学对汉医理论的吸收与转化。现有研究多集中于单一医学体系，对汉藏医学阴阳观的系统比较与互动分析仍显不足。本文旨在从医学史与文献学的视角出发，系统追溯汉医阴阳学说与藏医寒热理论各自独立的形成与发展脉络，并重点考察其在唐蕃交流等历史契机下的碰撞与融合过程，旨在深化对中华民族医学共同体形成过程的理解，并为当代民族医学的融合与发展提供理论依据。