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时藏模式视角下"肺应审平"理论内涵发微OA

Discussion on the theoretical connotation of'the lung corresponding to Shen Ping'from the pattern perspective of seasonal organs

中文摘要英文摘要

为了更加清晰论述肺气受秋季气运变化影响,文章基于《黄帝内经》运气七篇肺之时藏相应模式的研究,认为七篇中时藏相应本质源于天文,并提出"肺应审平"理论."肺应审平"指"正商"时立、气布"审平",体内外气化感通,从而肺气审平、敛脏权衡的过程."肺应审平"病理变化据《温病条辨·补秋燥胜气论》首条进行总结,包括金气失度,本气自病;湿气兼化,肺困失濩;火热对化,肺气焦举;寒气杀物,肺元浮散.此理论丰富外延了"肺应秋"理论内涵,为后世医家"秋伤""秋燥"之辨考镜源流,并为临床秋季肺病用药提供理论指导.

To clarify the impact of autumn qi variations on lung qi,this paper investigates the temporal-visceral correspondence of the lung in the seven chapters on Yunqi from Huangdi Neijing,proposing that its essence originates from astronomy.The theory of'the lung corresponding to Shen Ping'describes a physiological process where the'Zheng Shang'phase stabilizes,qi distributes harmoniously,and internal-external qi interactions ensure pulmonary equilibrium and visceral regulation.Pathological manifestations,summarized from the Wenbing Tiaobian·Supplementary Discourse on Autumn Dryness,include:Metal qi imbalance inducing autopathy;dampness complicating transformation,impairing lung diffusion;heat counter-transformation causing lung qi scorching and rebellion;cold aggression dispersing lung essence.This theory enriches the'lung-autumn correspondence'framework,clarifies historical debates on'autumn injury'and'autumn dryness',and guides clinical management of autumnal pulmonary disorders.

王玉莹;刘晓雅;袁卫玲

天津中医药大学中医学院,天津 301617天津中医药大学中医学院,天津 301617天津中医药大学中医学院,天津 301617

《黄帝内经》《温病条辨》运气七篇肺应审平时藏五运六气

Huangdi NeijingWenbing TiaobianSeven chapters on YunqiThe lung corresponding to Shen PingSeasonal organsFive yun and six qi

《中华中医药杂志》 2026 (1)

44-48,5

国家自然科学基金面上项目(No.82174242,No.82474356)

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