《运气商》五运六气诊疗特色探析OACSTPCD
Analysis on the characteristics in the diagnosis and treatment of diseases caused by the five evolutive phases and six climatic factors in Yun Qi Shang
明代医家徐亦稚所撰《运气商》,对《黄帝内经》运气理论有所创悟.认为五运六气为阴阳五行所化生,六气各有主时,司天只主三之气,不可拘泥司天之说而不明间气;运气疾病的发生主要是由于运气的胜复变化,而人体于呼吸之间感受邪气,肺胃二脏首先受病;在诊断时要脉症合参,脉象的诊断不必以左手侯外感之说为拘,症状多见于肺胃二脏的异常变化;在用剂方面徐亦稚认为诸名医家所创方剂周详完备,所以并未收录以及创立方剂,而是提出了运气致病的处方用药原则当参以《内经》治法.其五运六气诊疗特色值得当代医家继承与发展.
Xu Yizhi,a doctor in the Ming Dynasty,creates the Yun Qi Shang(Discussion on the Five Evolutive Phases and Six Climatic Factors),and in the work,he makes some innovations on the theory of five evolutive phases and six climatic factors in the Huangdi Neijing.He maintains that the theory of five evolutive phases and six climatic factors is transformed from and generated by the theory of Yin Yang and the Five Phases,that the six climatic factors govern a certain period of time respectively,while the celestial manager qi only governs the third period.Therefore,it is unreasonable to adhere just to the theory of celestial manager qi and qi in the earth,without exploring into the four intermediate qis between them.The diseases caused by the five evolutive phases and six climatic factors are mainly due to the changes in the restriction and counter restriction relationship between them,and the human body is exposed to those pathogenic factors when breathing,with the lung and stomach as the first two organs to be affected.In diagnosis,it is advisable to make a comprehensive analysis to both pulse manifestations and symptoms,and the diagnosis of pulse manifestations should not be confined to the theory that the pulse manifestations on the left hand embody the exogenous diseases,instead some symptoms more commonly mirror the abnormal changes in the lung and stomach.In terms of prescriptions,Xu Yizhi thinks that the prescriptions formulated by famous doctors are thoughtful and systematic,so he doesn't collect or create prescriptions himself,instead suggests that the principle of formulating prescriptions and selecting medications for the treatment of diseases caused by the five evolutive phases and six climatic factors refer to the methods in the Huangdi Neijing.The characteristics in the diagnosis and treatment of diseases caused by the five evolutive phases and six climatic factors expounded in this work are worth inheriting and developing by contemporary doctors.
胡亚男;唐鑫;高宇;杨艳秋
长春中医药大学,长春 130117
中医学
《运气商》五运六气六淫致病诊疗特色
Yun Qi Shang(Discussion on the Five Evolutive Phases and Six Climatic Factors)five evolutive phases and six climatic factorssix climatic exopathogens causing diseasesdiagnosis and treatment characteristics
《吉林中医药》 2024 (008)
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吉林省中医药管理局科技项目(2022003)
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