五运六气常位格局快速入门OA
Quick primer on standard configuration patterns of five evolutive phases and six climatic factors
学习运用五运六气,当先立其年、明气化之常,五运六气的常位格局是习用五运六气的基础.临床考察患者体质与病情的五运六气情况,主要考察其出生年、就诊时及首次发病的五运六气情况,这些考察包含着常与变,都是以相应年份的五运六气常位格局为基础."五运"主要考察岁运;"六气"主要考察主气、客气、客主加临情况,其中客气主要考察司天、在泉.考察患者先天体质的五运六气常位格局应:①据出生年尾数确定天干;据出生年生肖确定地支.②十天干统五运,定岁运.③主气一年六步年年不变,顺循时序为木火火土金水.④十二地支纪六气客气,定司天;六气客气,据司天定加临方位,循"一二三一二三"的阴阳之序规律顺时流转.⑤一年6个时段,每个时段的客气加于主气,构成客主加临情况.考察任一年份的五运六气常位格局同理.临床考察运用五运六气的核心要义为观象识气、知常达变.
To study and apply the theory of five evolutive phases and six climatic factors,one must first identify the year and its constant patterns of qi transformation.The standard configuration pattern of the five evolutive phases and six climatic factors is the foundation for mastering this system.In clinical practice,when examining patients' constitution and condition through the lens of five evolutive phases and six climatic factors,key considerations include:the five evolutive phases and six climatic factors pattern at their birth year,the pattern at the time of consultation,and the pattern at the onset of their initial illness.These analyses involve both constants and variations,all grounded in a thorough understanding of the standard configuration pattern of the relevant year's five evolutive phases and six climatic factors.For five evolutive phases,the annual qi movement should be primarily examined;for six climatic factors,dominant qi,guest qi,and their interaction are the focuses,with special attention to celestial control and terrestrial effect of the guest qi.The procedures for analyzing the standard configuration pattern for a patient's innate constitution are as follows:①Determine the heavenly stem by the last digit of the birth year,and the earthly branch by the birth year's zodiac sign.②The ten heavenly stems govern the five evolutive phases to determine the annual qi movement.③The dominant qi remains unchanged yearly,cycling through six phases in sequence:wood,fire,fire,earth,metal and water.④Twelve earthly branches mark the six guest qi phases to determine celestial control.The six guest qi follows the'one-two-three-one-two-three'yin-yang sequence,rotating clockwise based on celestial control.⑤Each of the year's six phases features guest qi superimposed on dominant qi,forming their interaction.The same logic applies to analyzing any year's standard configuration pattern.Accordingly,the core principle of applying five evolutive phases and six climatic factors in clinic is to observe manifestations to recognize qi;and to know the constants to comprehend change.
郑晓红
南京中医药大学中医学院,南京 210023
五运六气常位格局快速入门
Five evolutive phases and six climatic factorsStandard configuration patternsQuick primer
《中华中医药杂志》 2026 (4)
1076-1080,5
国家社会科学基金重大项目(No.18ZDA322),江苏省医学科研重点项目(No.ZD2022068),江苏省中医药科技发展计划委托研究项目(No.2022WTZX02),江苏省中医疫病研究中心开放课题(No.JSYB2024KF01),江苏省中医流派研究院开放课题(No.JSZYLP2024035)
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