基于五维辨治理论解读乙巳岁运气方药的应用策略OA
Interpretation of the application strategy of Circuit-Qi Formulas and medicinals for the Yi-Si year based on the five-dimensional pattern differentiation and treatment theory
运气理论是中医天人合一整体思想的核心范式,在不同运气条件下,不同组方特点的运气方药应运而生.六乙年,从革之纪,岁金不及,乙年生人易见肺金不足、心火亢盛之禀赋体质,遇金运不及之年更易发肺、心二脏之病,可考虑紫菀汤处治.巳亥岁,厥阴风木司天,少阳相火在泉,应于人体,则为肝气过亢、相火妄动、肺降不及、脾虚湿盛,致风火湿三者交争于内,病见胸胁心痛、眩晕耳鸣、冷泄腹胀诸症,宜敷和汤顺时调治.乙巳岁运临证可伍用紫菀、栀子、当归-白芍、木瓜-山萸肉等运气靶药、对药.并结合临床验案对基于五维辨治理论解读乙巳岁运气方药的应用进行阐述.
The Theory of Circuit-Qi is the core model of the Heaven-Human Unity concept.Different Circuit-Qi conditions give rise to distinct formula patterns.The Six Yi Years are characterized by insufficient Metal Qi(Congge phase),individuals born in Yi years often have a constitutional tendency toward lung deficiency and heart-fire excess.They are more prone to lung/heart disorders in such years,where Ziyuan Decoction(Aster Decoction)may be used.In the Si-Hai Years,when jueyin and shaoyang governs,the corresponding pattern in the body involves hyperactive liver qi,reckless ministerial fire,impaired lung descent,and spleen deficiency with dampness.This leads to internal conflict among wind,fire,and dampness,causing symptoms like chest pain,heartache,dizziness,tinnitus,cold diarrhea,and abdominal distension.Fuhe Decoction(Harmonizing and Spreading Decoction)is suitable for regulation.For clinical practice in a Yi-Si Year,Circuit-Qi-targeted medicinals and herb pairs,such as Ziwan(Asteris Radix),Zhizi(Gardeniae Fructus),Danggui(Angelicae Sinensis Radix)-Baishao(Paeoniae Radix Alba),Mugua(Chaenomelis Fructus)-Shanzhuyu(Corni Fructus)can be combined.Clinical cases are presented to illustrate the application of Yi-Si Year Circuit-Qi Formulas based on the theory of five-dimensional differentiation and treatment.
蓝弘毅;陆曙;陶国水;张卓珺;张晓芳;陈冠文;王智博
南京中医药大学 南京 210023南京中医药大学附属无锡医院||无锡市龙砂医学流派研究院南京中医药大学附属无锡医院||无锡市龙砂医学流派研究院南京中医药大学附属无锡医院南京中医药大学附属无锡医院||无锡市龙砂医学流派研究院南京中医药大学 南京 210023南京中医药大学 南京 210023
医药卫生
五维辨治五运六气运气方运气药
five-dimensional differentiation and treatmentFive Circuits and Six QiCircuit-Qi FormulasCircuit-Qi medicinals
《现代中医临床》 2026 (2)
10-14,5
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(国中医药办人教函[2022]75号)江苏省中医流派研究院开放课题(No.JSZYLP2024027)
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