五方圆运动之自然解读及“五方病机”临证探讨

"圆运动"一词自《圆运动的古中医学》正式提出以来,近代医家对其多有研究与发挥。"圆运动"理论是中医学对我国古典哲学核心理论阴阳、五行学说的传承与发展,对于当代中医基础理论的研究和临床实践具有一定的指导意义。该文通过对先哲文献所提观点的总结,尝试从四季更迭、节气变化等角度论述五方圆运动的自然规律,阐明天地气机的变化情况,进而结合"天地人相应"的三才医学理念,探究五方圆运动对人体气机周流的影响,并通过经典方剂详细说明它在临证中的运用。邪之所凑,其气必虚。两虚相得,乃克其形。五方圆运动理论指出,疾病出现的原因在于气机的运行出现异常,包括自然气机、人体气机以及二者的相互感应。五方圆运动阐述了天地与人体气机正常情况下的运行规律,以及二者之间的相互联系,提示五方气机常运失司,可以扰乱圆运动的有序运转,影响人体疾病的发生、发展及变化,故临证处方用药亦应根据五方病机而有所侧重。知常达变,了解五方圆运动的变化规律,有助于当代医者从新的角度认识疾病,把握病机,从而达到临证获得更优疗效的目的。笔者通过对五方自然气机圆运动的解读,探讨五方病机与圆运动的关系以及临证运用,旨在探讨中医圆运动理论对疾病防治的指导意义,为当代中医药理论研究及临床实践提供有益参考。

Natural Law and Pathogenesis Based on Wufang Circular Motion

Various academic discussions have been officially proposed in the " theory of circular motion" in Circular Motion of Ancient Chinese Medicine. The theory of circular motion reflects the inheritance and development of the theory of Yin-Yang and five elements in ancient Chinese medicine, which has a great significance in the modern basic theory research and clinical practice of traditional Chinese medicine. On the basis of ancient literatures, this article aims to discuss the natural law of circular motion from the perspectives of the path of sun and 24-solar-terms of seasons via five-elements and Wufang circular motion theory according to circular motion. The circular motion has an effect on human body and natural environment. The invasion of pathogen is caused by deficiency of essential Qi. The combination of the healthy-Qi deficiency with the deficiency-type pathogen leads to the occurrence of external contraction. Therefore, the abnormality of Yang-Qi including nature and human is the main cause of the disease''s development. Because the circular motion can expound the change rule and mutual relations of nature and human, we can predict the development of disease by it. When the circulation motion is disordered, clinical symptoms appear with inner pathogenesis. The understanding of the change of the circulation motion is helpful for us to have a deeper realization of the disease, grasp the pathogenesis and provide treatment based on syndrome differentiation. The authors explain nature environment and human physiology, and elaborate the relations between natural rule and Wufang''s effect on circulation motion, in order to provide certain suggestions to guide clinical treatment based on pathogenesis.