现代中医临床2026，Vol.33Issue(2)：15-19,5.DOI:10.3969/j.issn.2095-6606.2026.02.004
顾植山"辨象—辨时—握机"诊治经验例释
Exemplary explanation of Gu Zhishan's diagnostic and therapeutic approach:discerning manifestations,differentiating timing,and grasping the pathogenesis
摘要
Abstract
The operation of the Five Circuits and Six Qi involves dynamic changes driven by multiple interrelated factors,which interweave with the progression of a patient's clinical manifestations.Professor Gu Zhishan proposes that,in order to grasp the dynamics of a disease within the cyclical rhythms of the Five Circuits and Six Qi,one must"carefully observe the pathogenesis while fully considering the appropriateness of qi."He summarizes a diagnostic and therapeutic approach of"discerning manifestations,differentiating timing,and grasping the pathogenesis".Manifestation differentiation includes observing climatic patterns,physical manifestations,disease manifestations,syndrome patterns,pulse signs,and so on.Timing differentiation,particularly in relation to the cyclical rhythms of the Five Circuits and Six Qi,constitutes a crucial aspect of"grasping the pathogenesis."Therefore,this article illustrates the clinical application of the approach through cases such as disease manifestations changing with annual cycles,symptom patterns varying according to the Remission Periods of Six-Meridian Diseases(liujing yujie shi),and pulse signs shifting in response to the Six Qi cycles.关键词
五运六气/周期节律/顾植山/病机/六经欲解时Key words
Five Circuits and Six Qi/circadian rhythm/Gu Zhishan/pathogenesis/Remission Periods of Six-Meridian Diseases分类
医药卫生引用本文复制引用
陈冰俊,陶国水,过祯,陆曙,顾植山..顾植山"辨象—辨时—握机"诊治经验例释[J].现代中医临床,2026,33(2):15-19,5.基金项目
全国中医学术流派传承工作室第二轮建设项目(No.国中医药人教函[2019]62号),江苏省中医流派研究院开放课题(No.JSZYLP2024027) （No.国中医药人教函[2019]62号）
国家中医药管理局全国名老中医药专家传承工作室建设项目(No.国中医药办人教函[2022]75号) （No.国中医药办人教函[2022]75号）
