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1.成都中医药大学基础医学院(四川 成都 610075)
2.成都中医药大学中国出土医学文献与文物研究院(四川 成都 610075)
3.中国中医科学院中医临床基础医学研究所(北京 100700)
刘立伟,男,博士研究生,主要从事秦汉医学史研究工作
柳长华,主任医师,教授,博士研究生导师;E-mail:liuchanghua010@sina.com
范逸品,副主任医师,研究员,硕士研究生导师;E-mail:hysf168@163.com
收稿日期:2024-06-25,
纸质出版日期:2025-04-10
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刘立伟,毕洋,柳长华,等.论汉代卦气说视角下时令节气的疾病思想[J].上海中医药杂志,2025,59(4):40-45.
LIU Liwei,BI Yang,LIU Changhua,et al.Disease concepts of seasonal solar terms from the perspective of Han dynasty hexagram qi theory[J].Shanghai Journal of Traditional Chinese Medicine,2025,59(4):40-45.
刘立伟,毕洋,柳长华,等.论汉代卦气说视角下时令节气的疾病思想[J].上海中医药杂志,2025,59(4):40-45. DOI: 10.16305/j.1007-1334.2025.z20240625001.
LIU Liwei,BI Yang,LIU Changhua,et al.Disease concepts of seasonal solar terms from the perspective of Han dynasty hexagram qi theory[J].Shanghai Journal of Traditional Chinese Medicine,2025,59(4):40-45. DOI: 10.16305/j.1007-1334.2025.z20240625001.
汉代卦气说承卜筮易学之余脉,以天人感应和阴阳五行灾异论为构建基础,形成了统摄天地气运的占验象数易学。其中以四时八节二十四节气应期与否,表示风雨寒温象数占验的灾异占候思想被引入到医学中,在《黄帝内经》《伤寒论》中充分体现。八卦二十四节气疾病思想包含了卦象、节气、物候、人体经脉系统,充分展示了早期以气象节气异常为核心的时行疫气思想。汉代卦气说体现了“天人合一”的时空气象疾病模式,形成了早期天行时疫之伤寒、温病的医学思想,同时五行灾异说也为五运六气学说的诞生奠定了思想基础。
The Han dynasty's Guaqi (hexagram qi) theory, inheriting the tradition of divination and studies of
Yijing
, is rooted in the concepts of heaven-human resonance and correspondence, as well as the yin-yang and five-element theories of disaster prediction. It constructs a divinatory, symbol- and numerology-
based study of
Yijing
that integrates and governs the qi dynamics of heaven and earth. The concept of disaster prediction, expressed through the timeliness or deviation of the 24 solar terms within the four seasons and eight solar terms to forecast wind, rain, cold, and heat using symbol and numerology-based divination, was introduced into medicine, as seen in
Huangdi Neijing
(
Yellow Emperor's Inner Canon
) and
Shanghan Lun
(
Treatise on Cold Damage
). The disease concepts associated with the eight trigrams and the twenty-four solar terms include hexagram imagery, solar terms, phenology, and the human meridian system, fully reflecting the early understanding of epidemic qi theory centered on abnormalities in weather phenomena and seasonal patterns. The Han dynasty's Guaqi (hexagram qi) theory embodies a disease model of the "unity of heaven and human", which integrates temporal, atmospheric, and climatic factors. It also gave rise to early medical concepts of epidemic diseases, including Shanghan (cold damage) and Wenbing (warm diseases). Furthermore, the five-element theory of disasters and epidemics laid the theoretical foundation for the development of the theory of Wuyun Liuqi (five movements and six qi).
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林静姝 , 高燕翔 , 周登威 . 基于秦汉简帛医药文献浅析中医学早期温病与伤寒概念 [J]. 中国中医基础医学杂志 , 2024 , 30 ( 9 ): 1449 - 1452 .
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