《黄帝内经》运气七篇的疫病观初探

Preliminary study of loemia based on the theory of chapter qi in the Inner Canon of Yellow Emperor

以《黄帝内经》运气七篇为代表的运气学说,讨论了人体的健康、疾病与生存环境的关系,是古人研究天象、气候、物候和病候之间生态关系的一种学说。文章结合《黄帝内经》运气七篇对疫病的理论认识,认为疫疠是因升降气化失司而致,治疗重在明六化分治,遣方用药贵在各安其气,人体正气充实与否在疫病发病过程中起着关键作用。同时结合历代医家的医案,以火热疫、寒湿疫为例,分析《黄帝内经》运气七篇在疫病防治过程中的的价值,希冀为临床提供一定的参考。

This paper discussed the relationship between health, disease and the living environment of the human body, based on the chapter qi in the Inner Canon of Yellow Emperor. The theory was related to the ecological relationship between the weather, climate and human diseases. Based on understanding the theory of lemology in the Inner Canon of Yellow Emperor, this paper put forward the opinion that the dysfunction of qi transportation and transformation could result in the plague, and the treatment should focus on the ＇Liuhua＇ respectively. The sufficiency of vital qi played an leading role in the disease development. Combined with some traditional medical records, taking the hot plague and cold and dampness plague as an example, it illustrated the great value of guiding treatment for loemia of chapter qi in the Inner Canon of Yellow Emperor.