基于五运六气探讨李东垣学术思想--以壬戌与壬辰之疫为中心  

LI Dongyuan’s Academic Thoughts Based on Five Circuits and Six Qi--Centered on Epidemics of Renxu and Renchen

作　　者：吴玲玉 宋咏梅[1] WU Lingyu;SONG Yongmei(Shandong University of Traditional Chinese Medicine,Jinan 250355,China)

机构地区：[1]山东中医药大学,山东济南250355

出　　处：《山东中医药大学学报》2024年第3期286-290,共5页Journal of Shandong University of Traditional Chinese Medicine

基　　金：疫病文献辑录及中医药防治疫病知识体系构建与应用研究(编号:SQ2022FY010083)。

摘　　要：李东垣一生中经历2次大疫,对其学术思想的构建产生了直接影响。在传统认知中,五运六气是疫灾发生的重要影响因素之一,在五运六气视域下探析李东垣学术思想发现:壬戌年风火与燥金迭加的异常气象导致大头瘟毒,进而促成普济消毒饮的产生;壬辰年寒湿相遘的气化状态构成“脾胃不足为百病之始”的认知基础;壬辰大疫“病寒反为热中”的性质与阴火的气化状态相互吻合。由此验证了五运六气对李东垣学术思想的重要影响。并在2次大疫的对比中探讨气化力量的碰撞与交合,在隐而不显的干支推衍中探究文本背后的象数之道,从而揭示五运六气与李东垣具体学术问题以及整体学术框架之间的深刻联系,力图为探索金元医家学术体系提供新视角和新思路。LI Dongyuan experienced two epidemics in his life,which had a direct impact on the formation of his academic thoughts.In traditional cognition,five circuits and six qi are one of the important influencing factors of epidemics.In the perspective of five circuits and six qi,we analyzed LI Dongyuan’s academic thoughts and found that the abnormal weather of wind-fire and dryness-metal in the year of Renxu led to swollen-head infection,and then promoted the production of Puji Xiaodu Drink(普济消毒饮).The qi transformation of cold-dampness in the year of Renchen constituted the cognitive basis of“deficiency of spleen and stomach being the source of all diseases”.The nature of“cold disease turning into heat”in the great plague of Renchen was in accordance with qi transformation state of yin fire.Therefore,the important influence of five circuits and six qi on LI Dongyuan’s academic thoughts was verified.The collision and intersection of the forces of qi transformation were analyzed in the comparison of the two epidemics.The image-number theory behind the text was analyzed by employing heavenly stems and earthly branches,so as to reveal the profound relationship among five circuits and six qi,LI Dongyuan’s specific academic issues and the overall academic framework,trying to provide a new perspective and new ideas for investigating the academic system of Jin and Yuan medical school.

关 键 词：五运六气 李东垣 大头瘟 普济消毒饮 壬辰大疫 气化 

分 类 号：R289.1[医药卫生—方剂学]