从《黄帝内经》日节律思想探析六经病欲解时

Discussion on“the time when six meridian disease tending to be cured”from the theory of circadian rhythm in Huangdi Neijing

六经病欲解时是仲景在《伤寒论》中提出的重要理论,指明了三阳三阴病欲解的特定时间,历代医家从不同角度对其内涵进行研究解读,众说纷纭。本文从《黄帝内经》日节律思想出发,分别以阴阳消长日节律和营卫循行日节律对六经病欲解时的机理进行初步探析,以助更好地理解六经欲解时的内涵及仲景学术思想,指导临床实践。

It is an important theory put forward by Zhongjing in Treatise on Febrile Diseases,indicating the specific time when the diseases of triple-yin and triple-yang need to be solved.To analyze its deep connotation,doctors of past generations have studied and interpreted it from different angles,and opinions are varied.Based on the theory of circadian rhythm in Huangdi Neijing,this article preliminarily analyzes the mechanism of“the time when six meridian disease tending to be cured”from two aspects,including the circadian thythm of yin and yang,and the circadian thythm of yin-qi and wei-qi,so as to better understand the connotation of the six channels syndrome differentiation and Zhongjing's academic ideology,and guide clinical practice.