质疑吴鞠通伏暑病“子、午、丑、未年为多”

Suspect the Wu Jutong,sTheory of fu-shu Disease is Multipled in the Year of “zi,wu,chou,wei”

吴鞠通深谙运气之理,认为"长夏受暑,过夏而发者,多曰伏暑。霜未降而发者少轻,霜既降而发者则重,冬日发者尤重,子、午、丑、未之年为多也",自注解释为"子、午、丑、未之年为独多者,子、午君火司天,暑本于火也;丑、未湿土司天,暑得湿则留也",司天之气是吴氏预测子、午、丑、未之年伏暑多发的主要依据。伏暑病最大特点是过时而发,夏季感受暑湿病邪,伏藏体内,到秋冬季而发,"长夏盛暑,气壮者不受也;稍弱者但头晕片刻,或半日而已;次则即病;其不即病而内舍于骨髓,外舍于分肉之间者,气虚者也。盖气虚不能传送暑邪外出,必待秋凉金气相搏而后出也",可见,伏暑的发生取决于正邪两个方面,气虚而感受暑湿之邪,则易使暑湿停留体内而发为伏暑,故暑湿之气的强弱决定伏暑是否多发-暑湿主导,不可只拘泥于"子、午、丑、未"而忽略干支相配后的具体年份,同时还应对非"子、午、丑、未"年的运气特点加以重视。

Wu Jutong versed doctrine of the five circuit phases and six atmospheric influences,as his theory ＂Affected by summer-heat in long-summer,and onset of a disease post-term,this disease called fushu disease.Effusion before frost the condition is light,and after frost the condition is serious,and then the condition most serious when fushu disease attacks in the winter,and multiples in the year of zi,wu,chou,wei＂,Wu Jutong explains that ＂multiples in the year of zi,wu,chou,wei,because of zi,wu chief-fire controlling the heaven,summerheat belongs to chief-fire;chou,wei pathogenic dampness controlling the heaven, summer-heat easy to remain when mixing with pathogenic dampness＂,the six climatic factors of controlling the heaven is the mainstay that Wu Jutong forecast fushu disease multiples in the year of zi,wu,chou,wei.Fushu disease,s most characteristic is post-term effusion,attacks summer-heat and dampness in the summer,remain internal,and effusion in the autumn and winter,＂Long summer the summer-heat is serious, but will not attack when the healthy Qi is strong;And the Qi a bit weak,will dizzy for a moment, or half day;Or attack disease at once;Its not onset the disease at once and transmission of pathogenicfactors from bone marrow to boundary between muscles, and which is Qi deficiency.Qi deficiency can＇t transmit the summer-heat go out, will do to the autumn fight with the lung Qi and then attacks disease＂,so onset of fushu disease depends on the condition of human body,sresistance and pathogenic factor two sides,Qi deficiency and attacked by summer-heat and dampness,so the summer-heat and dampness easy to remain,and post-term effusion become fushu disease,so summer-heat and dampnes strong or weak is the main renson wheather the fushu disease multiples,can,t rigidly adhere to zi,wu,chou,wei,but to ignore the heavenly stems and earthly branches,and should pay attention to the doctrine characteristic of the year which is not zi,wu,chou,wei.