从五运六气学说认识疫病流行的经验积累——读《黄帝内经·素问》遗篇《刺法论篇》《本病论篇》有感

Experience of understanding pestilence from the perspective of five-circuit six-qi theory:Reading notes of two supplemented chapters in Suwen

《黄帝内经·素问》遗篇《刺法论篇》《本病论篇》关于时疫的理论阐述提示中国传统文化中的五运六气相关内容于当今社会仍具借鉴价值,以1974年乙型脑炎、2009年流感及2019年发生的新冠肺炎为例,提示中医人要以史为鉴,守正创新,将传统国学运气学结合生态学、社会学等多元化、多学科内容,寻求疫病流行缘由。此外,总结本次新冠肺炎的证候要素及治法要义,强调治疫应中西医并重,重视象数易一体的原创思维,观象明道,深化国学原理,指导治疫疗伤的临床实践。

The theoretical statements on epidemic diseases in the two originally-lost later-supplemented chapters in Suwen(Plain Questions)suggest that the five-circuit six-qi theory is still of significant reference to the prevention and treatment of pestilence in modern times.Taking three major historical pandemics as example,i.e.encephalitis B in 1974,influenza in 2009 and COVID-19 in Wuhan in 2019,this paper advocates that the TCM community should take the history as a mirror while shouldering the responsibility of preventing and treating epidemic diseases.The circuit-qi theory of the traditional ancient Chinese civilization needs to be integrated with modern ecology,sociology and other diverse disciplines and perspectives to seek the underlying cause of the spreading of pestilence.This paper also summarizes the essential pattern elements and the priority of treatment.Integrated Chinese and Western medical approach is emphasized in the battle against pestilence.The original thinking of holistic manifestation,numbers and changes needs to be highlighted.Under the guidance of ancient Chinese studies,observing the xiang(manifestation)of the disease to discern the underlying dao(way)of treatment should be used to guide the clinical practice.