中华中医药学刊2025,Vol.43Issue(10):6-14,9.DOI:10.13193/j.issn.1673-7717.2025.10.002
"五行十态体质"构建与体质状态多维演化规律探讨
Research on Construction of "Five Elements and Ten States Constitution" and Multi-dimensional Evolution of Constitution States
摘要
Abstract
The World Health Organization(WHO)emphasizes improving health levels through health promotion,disease pre-vention and early diagnosis and treatment.Due to the wide variety of diseases and the complexity of viewpoints,the pathogenesis often shows a"diversified"trend.Especially for major chronic diseases,difficult and severe cases,and complex comorbidities,they are closely related to the complex physical condition.Therefore,starting from the perspective of"body-disease correlation"for discussion is the key to breaking through the bottlenecks in disease prediction,prevention and treatment.Based on years of re-search,the team has put forward the innovative concept of"five elements and ten states constitution".Adhering to the law of"correspondence between heaven and man",the traditional theory of the 60-year cycle is applied to the study of physical consti-tution.It comprehensively considers the influence of key factors such as the interaction and inheritance of the five elements and six Qi,the inherent system of the Heavenly Stems and Earthly Branches,the transformation of the positive and the negative,the two Jiazi cycles of the heaven and the earth,and the balanced state of Qi on the functions of the five internal Zang-organs and six Fu-organs of the human body.By applying traditional"medical algorithms",Based on the ascending and descending charac-teristics of the Qi movement characterized by"generation,restriction and generation","depression due to alternative preponder-ance of five elements and six Qi"and"depression due to over-restriction of five elements and six Qi",a detailed analysis was conducted on the relationship between the basic constitution and the acquired constitution state.Paying attention to the influence of the fate pattern at different nodes such as the time of birth,the onset of disease,the time of transmission and transformation,the time of recovery,and the time of medical treatment on the human body,can reveal the relationship between the specificity of the constitution and the susceptibility to diseases of the corresponding system,as well as the relationship between the primary and sec-ondary symptoms of the complex pathogenesis of the zangfu organs,and predict the evolution of the pathogenesis and disease trend at different stages of health status and disease,in order to provide the guiding ideas for the prediction,prevention,individualized intervention and group prevention and treatment of clinical diseases.关键词
五行十态体质/体质状态多维演化/五运六气/合病共治/治未病Key words
five elements and ten states constitution/multi-dimensional evolution of physical condition/five elements and six Qi/co-treatment of concurrent illness/preventing diseases before onset分类
医药卫生引用本文复制引用
谢胜,刘园园,彭柳莹,张丽敏.."五行十态体质"构建与体质状态多维演化规律探讨[J].中华中医药学刊,2025,43(10):6-14,9.基金项目
国家中医药管理局高水平重点学科建设项目(zyyzdxk-2023167) (zyyzdxk-2023167)
国家中医药管理局岐黄学者培养项目(中医药领军人才培养项目)(国中医药人教函[2025]182号) (中医药领军人才培养项目)
广西自然科学基金青年科学基金项目(2025GXNSFBA069279) (2025GXNSFBA069279)
广西重点研发计划项目(桂科AB23026099) (桂科AB23026099)
桂派中医大师工作室建设项目(GZY2024004) (GZY2024004)
广西中医药重点研究室建设项目-脾胃治未病重点研究室(桂中医药科教发[2023]9号) (桂中医药科教发[2023]9号)
广西壮族自治区教育厅高校中青年教师科研基础能力提升项目(2024KY0328) (2024KY0328)
广西壮族自治区中医药管理局自筹经费科研项目(GXZYA20230047,GXZYA20230031) (GXZYA20230047,GXZYA20230031)