四象脾土四时六气和五脏的理论渊源及其在中医治未病实践中的意义

Theoretical Origin of Sixiang Pitu and Four Seasons and Six Natural Factors Reconciling Five Zang-organs and Its Practical Significance on TCM Preventive Treatment of Diseases

基于易经河洛象数理论及内经对脾土的"中央"之用、四时主事时间(四季之末各旺一十八日)、"四时生四脏"的认识,在李东垣《脾胃论·脏气法时升降浮沉补泻之图》所构架的"以脾胃为枢的天-地-人"诊治模式启发下,构建了四象脾土模型并提出"四象脾土六气调神论",认为借天地枢机之力以调人体之枢机,即"以枢调枢"能使脏腑气机通调,由此疾病虽成于枢机也可止于枢机。同时,基于中医"藏象"、"时补"理论提出四象脾土"以象补藏"及时补防治观(包括:一年四季月末一十八日脾主令之时"以枢调枢"、一日之丑辰未戌时脾土的欲解及欲剧时的"以时调衡"),对"四象脾土四时六气以枢调枢和五脏"这一观点在中医治未病实践中的意义进行阐释。

Based on the understanding of the ＂center＂ and the administrating periods of four seasons and the four seasons promoting four viscera theory of Pitu from The Book of Changes （ Yijing）, Hetu Luoshu （ the ancient Chinese mythological fiction） and Yellow Emperors Inner Canon as well as inspired by the treatment model of spleen and Stomach centered Heaven,Earth and Man from Piweilun, one Of Lidongyuan＇ s work, we constructed the Sixiang Pitu model and proposed the theory of Sixiang Pitu and six natural factors regulating human spirit. We believe that one can regulate the hub of human body by using the power of the hub of Heaven and Earth, that is diseases begin with the hub and end with the hub. Meanwhile, based on the visceral manifestation and timing tonic theory, we proposed conceptions of using Xiang to tonify Zang and timing tonic theory of Sixiangpitu to interpret the practical significance of the concept of Sixiang Pitu, four seasons and six natural factors and using hub to regulate hub reconciling five viscera on TCM preventive treatment of diseases.