浅析《黄帝内经》运气七篇中的辨证论治思想
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摘要
《黄帝内经》中的运气七篇详细阐述了古人对自然界气候变化的观察,并结合天干、地支纪年预测气象变化对人体生理、病理的影响,进而提出运用阴阳五行理论进行辨证论治,以恢复人体的阴阳平衡。针对外感六淫邪气及疫气,提出"治病者,必明六化分治"的辨证思想,即首先认清致病邪气的性质,再根据阴阳五行理论,利用药物的性味去克制其所胜的邪气,使各种偏胜之气得以恢复正常;针对运气之郁,指出其发源于自然界气候气化得太过或不及,治疗上要纠正偏胜之气,使其所胜之气得以恢复,并在偏胜之气来临之前补益其所胜之气,以防止相乘太甚。
The seven chapters on Yun Qi in Huang Di Nei Jing elaborate the ancient people′s observation of the climate change in the natural world,and the effects of meteorological changes on human physiology and pathology in combination with Tiangan and Dizhi.The use of Yin and Yang Theory as well as the Five Elements Theory should be used in syndrome differentiation and treatment to restore the balance between human Yin and Yang.In aspects of the external Evils and epidemic Qi,the author puts forward the dialectical thinking of "treatment of the disease must be carried out when 6 different cases are understood".In other words,firstly the nature of the pathogenic Evil should be recognized,and then drugs with different taste and character should be used to dispel the Evil factors and to maintain the balance condition of human body according to the theory of Yin and Yang.As for the stagnation of Yun Qi,it is pointed out that it originates from the climatic gasification of nature,being too much or too little,and the treatment should control the stronger and help the weaker to prevent the lost balance.
The seven chapters on Yun Qi in Huang Di Nei Jing elaborate the ancient people′s observation of the climate change in the natural world,and the effects of meteorological changes on human physiology and pathology in combination with Tiangan and Dizhi.The use of Yin and Yang Theory as well as the Five Elements Theory should be used in syndrome differentiation and treatment to restore the balance between human Yin and Yang.In aspects of the external Evils and epidemic Qi,the author puts forward the dialectical thinking of "treatment of the disease must be carried out when 6 different cases are understood".In other words,firstly the nature of the pathogenic Evil should be recognized,and then drugs with different taste and character should be used to dispel the Evil factors and to maintain the balance condition of human body according to the theory of Yin and Yang.As for the stagnation of Yun Qi,it is pointed out that it originates from the climatic gasification of nature,being too much or too little,and the treatment should control the stronger and help the weaker to prevent the lost balance.
引文
[1]任应秋.运气学说[M].上海:上海科学技术出版社,1956:148.
[2]孟庆云.五运六气:医学气象历法[J].吉林中医药,1984,6(4):5-8.
[3]顾植山.《内经》运气学说与疫病预测[J].中医药临床杂志,2004,16(1):93-95.
[4]黄帝内经素问[M].北京:人民卫生出版社,1956:167-184.
[5]林慧光.陈修园医学全书[M].太原:山西科学技术出版社,2011:46.
[6]苏颖.中医运气学[M].北京:中国中医药出版社,2012:8.
[7]宋祖敬.当代名医证治汇粹[M].石家庄:河北科学技术出版社,1990:10.
[8]李清,潘桂娟.《黄帝内经素问》运气七篇五郁探微[J].中华中医药杂志,2010,25(3):332-334.
[9]刘雅,陈震霖.浅析运气学说[J].湖南中医杂志,2015,31(1):121-122.
[10]张登本.运气学说临床应用的研究述评[J].陕西中医学院学报,2000,23(4):3-5.
[11]薛辉,陈正,胡玉萍,等.《黄帝内经》运气七篇的疫病观初探[J].中华中医药杂志,2014,29(2):551-553.
[12]张景岳.类经[M].北京:人民卫生出版社,1965:76.
[13]沈洪瑞,梁秀清.历代名医医话大观[M].太原:山西科学技术出版社,1996:960.
[14]池晓玲,萧焕明.五运六气学说在慢性肝病中的运用[J].中华中医药杂志,2006,21(12):758-759.
[15]周国琪,邹纯朴.《内经》对瘟疫与运气关系的认识[J].中医文献杂志,2008,26(2):16-18.
[16]阎银宗,庄建西,庄建东.试用系统科学理论解读阴阳五行[J].河南中医学院学报,2005,21(5):8-10.
[17]苏颖,岳冬辉.《内经》运气变化与疫病发生相关性探析[J].陕西中医,2009,30(12):1689-1690.
[2]孟庆云.五运六气:医学气象历法[J].吉林中医药,1984,6(4):5-8.
[3]顾植山.《内经》运气学说与疫病预测[J].中医药临床杂志,2004,16(1):93-95.
[4]黄帝内经素问[M].北京:人民卫生出版社,1956:167-184.
[5]林慧光.陈修园医学全书[M].太原:山西科学技术出版社,2011:46.
[6]苏颖.中医运气学[M].北京:中国中医药出版社,2012:8.
[7]宋祖敬.当代名医证治汇粹[M].石家庄:河北科学技术出版社,1990:10.
[8]李清,潘桂娟.《黄帝内经素问》运气七篇五郁探微[J].中华中医药杂志,2010,25(3):332-334.
[9]刘雅,陈震霖.浅析运气学说[J].湖南中医杂志,2015,31(1):121-122.
[10]张登本.运气学说临床应用的研究述评[J].陕西中医学院学报,2000,23(4):3-5.
[11]薛辉,陈正,胡玉萍,等.《黄帝内经》运气七篇的疫病观初探[J].中华中医药杂志,2014,29(2):551-553.
[12]张景岳.类经[M].北京:人民卫生出版社,1965:76.
[13]沈洪瑞,梁秀清.历代名医医话大观[M].太原:山西科学技术出版社,1996:960.
[14]池晓玲,萧焕明.五运六气学说在慢性肝病中的运用[J].中华中医药杂志,2006,21(12):758-759.
[15]周国琪,邹纯朴.《内经》对瘟疫与运气关系的认识[J].中医文献杂志,2008,26(2):16-18.
[16]阎银宗,庄建西,庄建东.试用系统科学理论解读阴阳五行[J].河南中医学院学报,2005,21(5):8-10.
[17]苏颖,岳冬辉.《内经》运气变化与疫病发生相关性探析[J].陕西中医,2009,30(12):1689-1690.