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1.北京中医药大学 北京 100029
2.天津中医药大学
康帅,男,在读硕士生
# 刘晓燕,女,博士,教授,博士生导师,主要研究方向:中医天人医学五运六气的研究,E-mail:liuxy1088@sina.com
收稿日期:2024-11-11,
网络出版日期:2025-05-15,
纸质出版日期:2025-06-30
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康帅, 袁卫玲, 刘晓燕. 吴鞠通运气思想探赜[J]. 北京中医药大学学报, 2025,48(6):785-790.
KANG Shuai, YUAN Weiling, LIU Xiaoyan. An exploration of WU Jutong′s thought on five movements and six qi[J]. Journal of beijing university of traditional chinese medicine, 2025, 48(6): 785-790.
康帅, 袁卫玲, 刘晓燕. 吴鞠通运气思想探赜[J]. 北京中医药大学学报, 2025,48(6):785-790. DOI: 10.3969/j.issn.1006-2157.2025.06.008.
KANG Shuai, YUAN Weiling, LIU Xiaoyan. An exploration of WU Jutong′s thought on five movements and six qi[J]. Journal of beijing university of traditional chinese medicine, 2025, 48(6): 785-790. DOI: 10.3969/j.issn.1006-2157.2025.06.008.
清代著名医家吴鞠通深谙运气之理,并将之熟练运用于临证之中。在吴鞠通的学术体系中,运气思想贯穿始终,本文在学习其著作的基础上,梳理提炼其中涉及运气的条文章节,分析总结吴鞠通的运气思想。吴鞠通提出习医最为基本与首要的便是明运气、知三元,强调掌握运气理论对于医者的必要性。作为温病大家,他在《温病条辨》中首先论述运气内容,明确温病及其理论之肇源发端,以运气阐释温病因机证治,认为:温病流行及严重程度与每岁主气客气、司天在泉有关;疫病有寒温属性的差异,其原因在于每岁运气不同;痘证为少阴君火之温气所发,辨治需重视每岁运气变化;伏暑病多见于子、午、丑、未等年份,与少阴君火、太阴湿土相关。其次,依运气之理,纠前人论燥之弊,阐述秋燥为病,认为秋燥“轻则为燥重为寒,化气为湿复气火”。最后,在运气理论中悟气化,强调非时之气,外感为淫,并依此遣方制药。梳理吴鞠通运气思想,有助于理解运用其理法方药并应用于临床。
WU Jutong profoundly understood the principles of five movements and six qi and skillfully applied them in clinical practice. His academic system is consistently guided by theory of evolution phase. Based on WU′s original works
this article reviews and synthesizes chapters related to movements and qi
analyzing and summarizing his perspectives. WU asserted that mastering movements and qi and understanding the Sanyuan are the foundational prerequisites for medical practitioners
emphasizing its necessity. As a master of theory of Seasonal Febrile Disease
he first addressed movements and qi in
Detailed Analysis of Epidemic Warm Disease
clarifying the origins of warm disease theory. He interpreted the etiology
mechanisms
diagnosis
and treatment of Warm Diseases through movements and qi principles
proposing that epidemic patterns and severity correlate with annual host climatic qi and guest climatic qi
as well as the heaven-governing and earth-governing qi. He noted that pestilence exhibit cold or warm attributes depending on yearly movements and qi variations
while smallpox arises from shaoyin-monarch-fire′s warm qi
necessitating movements and qi based diagnosis and treatment.Latent Summer Heat Disease frequently occurs in years such as Zi-Wu and Chou-Wei
linked to shaoyin-monarch-fire and taiyin-damp-earth. Additionally
WU critiqued predecessors′ misunderstandings of dryness
explaining autumn dryness pathogenesis as mild cases manifest as dryness
severe cases as cold
transformed as dampness and reverted as fire. He further emphasized untimely qi transformations as pathogenic factors and tailored formulas accordingly. This analysis of WU′s movements and qi thought aids in clinically applying his theoretical and therapeutic frameworks.
吴瑭 . 温病条辨 [M ] . 北京 : 人民卫生出版社 , 2012 .
吴鞠通 . 医医病书 [M ] . 沈凤阁 , 校注 . 南京 : 江苏科学技术出版社 , 1985 .
卜开初 . 浅述吴鞠通“医非上智不能论” [J ] . 山东中医杂志 , 2009 , 28 ( 5 ): 352 - 353 .
吴有性 . 瘟疫论 [M ] . 张志斌 , 整理 . 北京 : 人民卫生出版社 , 2007 : 1 .
岳冬辉 . 吴鞠通从运气学说论治温病的贡献与特色探析 [J ] . 中国中医基础医学杂志 , 2010 , 16 ( 12 ): 1094 - 1095 .
黄宇轩 , 范逸品 . 吴鞠通从运气学说论治疫病思想探析 [J ] . 中国中医基础医学杂志 , 2024 , 30 ( 8 ): 1281 - 1283 .
王永炎 , 范逸品 , 张华敏 , 等 . 从五运六气学说认识疫病流行的经验积累:读《黄帝内经·素问》遗篇《刺法论篇》《本病论篇》有感 [J ] . 北京中医药大学学报 , 2020 , 43 ( 6 ): 445 - 448 .
胡勇 , 何伟 , 张惜燕 , 等 . 吴鞠通“寒湿疫”学术思想探析 [J ] . 陕西中医药大学学报 , 2022 , 45 ( 6 ): 58 - 61 .
胡亚男 , 李萍 , 苏颖 . 疫痘伏温,先知之妙:从《温病条辨》探析吴鞠通的五运六气思想 [J ] . 上海中医药杂志 , 2017 , 51 ( 3 ): 38 - 40 .
余岩雁 , 艾斯 . 温病大师吴鞠通辨治小儿痘证经验撷菁 [J ] . 亚太传统医药 , 2020 , 16 ( 8 ): 96 - 97 .
梁小龙 . 探析运气学说在《温病条辨》中的运用 [D ] . 沈阳 : 辽宁中医药大学 , 2015 .
刘完素 . 素问玄机原病式 [M ] . 孙洽熙 , 孙峰 , 整理 . 北京 : 人民卫生出版社 , 2005 : 36 .
吕保江 , 吴智兵 . 基于《温病条辨》探讨吴鞠通论治秋燥思想 [J ] . 中国民族民间医药 , 2021 , 30 ( 1 ): 6 - 9 .
周易 [M ] . 张善文 , 校注 . 2版 . 太原 : 三晋出版社 , 2008 : 154 .
邓嘉帅 , 熊为锋 , 贺娟 . 基于运气七篇论“燥”的属性与治疗 [J ] . 北京中医药大学学报 , 2023 , 46 ( 8 ): 1106 - 1110 .
刘津 , 杜武勋 , 李晓凤 , 等 . 《黄帝内经》“运气七篇”中复气相关规律探析 [J ] . 中华中医药杂志 , 2020 , 35 ( 9 ): 4318 - 4322 .
王先谦 , 刘武 . 庄子集解 [M ] . 2版 . 北京 : 中华书局 , 2012 : 12 .
孙志其 , 鲁明源 . 基于气本体论的阴阳思源与正误 [J ] . 中华中医药杂志 , 2018 , 33 ( 9 ): 3763 - 3767 .
陈毅恒 , 许二平 , 谢忠礼 , 等 . 银翘散方源考证及制方理论分析 [J ] . 中国中医基础医学杂志 , 2022 , 28 ( 9 ): 1488 - 1491 .
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