基于"三虚""八正"论《黄帝内经》"虚邪贼风,避之有时"OA
Discussion on"avoiding pathogenic influences and damaging winds in due season"in Huangdi Neijing based on"three deficiencies"and"eight cardinal directions"
"虚邪贼风,避之有时"系《黄帝内经》中言约旨远之摄生经文,其不仅能着眼于规避四时不正邪气,亦可从"三虚""八正"两个角度进一步阐释.就"三虚"而言:其一,在岁运不及之阴年,须于初之气至三之气躲胜气,于四之气至终之气避复气;其二,在朔月及前后 1~2 日,人应于月相,处于身形之虚,须远天之虚邪;其三,当时令交节时,须谨察气候来至之常变,以避气淫和气迫.就"八正"而论:一方面,在四立、二分、二至这八个节气前后出现的异常风雨,即为气淫或气迫,须防之;另一方面,尤须在八正节气当日,留意来自时令所居方位对向之风,此虚风具暴虐之性,易使腠理开泄而致病,故当日须避于室内;此外,正月朔日之正风被视为推测未来一年疾病流行的依据,亦需格外关注.深入解读"虚邪贼风,避之有时",对充分发挥《黄帝内经》在防治未病中的作用具有重要意义.
"Avoiding pathogenic influences and damaging winds in due season"is a concise yet inclusive scripture in Huangdi Neijing that not only focuses on avoiding pathogenic qi in the four seasons but is also explained from the two perspectives of"three deficiencies"and"eight cardinal directions."First,in terms of"three deficiencies,"in the year of overrestraint,we should avoid the conquest of abnormal changes of climate from the first to third qi,and avoid the retaliation of abnormal changes of climate from the fourth qi to last;second,on the first day of each lunar month and one to two days before and after,the human body is in a weak state under the influence of the moon;therefore,deficient nature pathogens should be avoided.Third,when the solar terms are exchanged,climate changes should be observed to anticipate them.In terms of"eight cardinal directions,"we should prevent abnormal wind and rain,which come early or late around the eight solar terms(Beginning of Spring,the Spring Equinox,the Beginning of Summer,the Summer Solstice,the Beginning of Autumn,the Autumn Equinox,the Beginning of Winter,and the Winter Solstice).In contrast,especially on the day of the eight solar terms,the wind coming from the opposite direction of the corresponding solar terms should be paid attention to,as this wind is violent and easily opens the pores to cause disease.Therefore,it is necessary to stay indoors on such days.Additionally,the wind,coming from the rest of the six directions in addition to the direction and the opposite direction of the corresponding solar terms,on the first day of the first month of the lunar calendar,is regarded as the basis for predicting the prevalence of diseases of the coming year,which also needs special attention.Therefore,"avoiding pathogenic influences and damaging winds in due season"must be deeply interpreted to fully use the Huangdi Neijing to prevent and treat diseases.
曲润敏;贺娟
北京中医药大学中医学院 北京 100029北京中医药大学中医学院 北京 100029
医药卫生
三虚八正黄帝内经虚邪贼风
three deficiencieseight cardinal directionsHuangdi Neijingpathogenic influencesdamaging winds
《北京中医药大学学报》 2026 (4)
473-477,5
国家社会科学基金重大项目(No.21&ZD349) National Social Science Foundation of China(No.21&ZD349)
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