基于“九宫八风”时空观探析“秋伤于湿”的内涵及其临床防治  

Exploring connotation of"dampness‑induced injury in autumn"and its clinical prevention and treatment based on temporal‑spatial view of"nine palaces and eight winds"

作　　者：王敏 王兴伊 钱伟强 WANG Min;WANG Xingyi;QIAN Weiqiang(Institute of Science,Technology and Humanities,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Department of Cardiology,Fourth Affiliated Hospital of Tianjin University of Chinese Medicine,Tianjin 300451,China)

机构地区：[1]上海中医药大学科技人文研究院,上海201203 [2]天津中医药大学第四附属医院心内科,天津300451

出　　处：《上海中医药杂志》2025年第5期56-62,共7页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家社会科学基金项目(19VJX165)。

摘　　要：古人在对自然和宇宙的探索过程中,形成了时间与空间统一的时空观,《黄帝内经》将这种时空观与人体脏腑和疾病相联系,形成了具有中医特色的时间-空间-脏腑统一的中医时空观,《灵枢·九宫八风》中所体现的时空观便是代表。“秋伤于湿”属于中医时空医学范畴,见于《素问·阴阳应象大论》《素问·生气通天论》及《灵枢·论疾诊尺》等篇,历代医家对此句的理解众说纷纭。基于“九宫八风”时空观,探析“秋伤于湿”的原因、相关疾病及治疗方法,发现“秋伤于湿”与古人时空观相关;“秋伤于湿”所导致的咳嗽、痿厥等病症,治疗时不仅要调补肺、脾,还需调肝、补心肾,并注重形神兼养,以避“虚邪贼风”。In ancient explorations of nature and the universe,the concept of a unified time-space relationship was developed.The Huangdi Neijing(The Yellow Emperor's Inner Canon)links this temporal-spatial view with the human organs and diseases,forming a distinctive medical worldview in traditional Chinese medicine(TCM)that integrates time,space,and the viscera.The temporal-spatial view presented in the chapter"Jiugong Bafeng"(Nine Palaces and Eight Winds)of Lingshu(The Spiritual Pivot)is a strong representation.The concept of"dampness-induced injury in autumn"falls within the domain of TCM's temporal-spatial medicine and is discussed in several chapters of the Suwen(The Plain Questions),including Yinyang Yingxiang Dalun,Shengqi Tongtian Lun and Lunji Zhenchi.Over the centuries,numerous interpretations have emerged.Based on the temporal-spatial view of"Jiugong Bafeng"(Nine Palaces and Eight Winds),this paper explores the causes,related diseases,and treatment methods of"dampness-induced injury in autumn."It is found that this condition is connected to the ancient temporal-spatial view,and diseases such as cough,atrophy and cold extremities caused by"dampness-induced injury in autumn"require not only the supplementation of the lung and spleen,but also the regulation of the liver,and tonification of the heart and kidneys.Also,it is essential to nourish both the body and the spirit while guarding against"wind invasion due to vital qi deficiency".

关 键 词：秋伤于湿 《黄帝内经》 咳嗽 痿厥 中医药理论 

分 类 号：R222.2[医药卫生—中医基础理论]