世界中医药
文章摘要
引用本文:谢胜1,刘园园1,梁谊深2,彭柳莹1.四象脾“土”模型及其在四时六气“以枢调枢”和五脏的应用[J].世界中医药,2015,10(08):.  
四象脾“土”模型及其在四时六气“以枢调枢”和五脏的应用
Four Symbols Spleen Earth Model and Its Application on Four Seasons and Six Natural Factors in the Method Regulating Pivot by Pivot and Five Viscera
投稿时间:2015-01-21  
DOI:10.3969/j.issn.1673-7202.2015.08.011
中文关键词:  四象脾“土”  四象启、承之“土”模型  经络红外热像图  以枢调枢
English Keywords:Four symbols spleen earth  Earth model of alternative four symbols  Meridian infrared thermal image  Regulating pivot by pivot
基金项目:国家自然科学基金项目(编号:81460723)
作者单位
谢胜1,刘园园1,梁谊深2,彭柳莹1 1 广西中医药大学第一附属医院中医治未病中心,南宁,530000
2 柳州市中医院中医预防保健科,柳州,545001 
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中文摘要:
      李东垣《脾胃论》指出:1)脾无正形于四季之末各旺一十八日以生四脏,四季者辰戌丑未是也;2)人身形以应九野,左足主立春丑位是也,左手主立夏辰位是也,右手主立秋未位是也,右足主立冬戌位是也。由后天八卦的对应关系可建立四象脾“土”即四象启、承之“土”模型:艮土、巽土、坤土、乾土。其中寅、巳、申、亥为启土,对应立春、立夏、立秋、立冬;辰、未、戌、丑为承土,即“四季之末一十八日”所对应之土。提示脾胃作为枢机在四时六气更替中发挥启、承之枢转作用时的不同状态有其独特的模型特点。人体脏腑气血的升降出入是维系生命活动之关键,而枢机体现的是脏腑间生克制衡关系,枢机不利则疾病丛生。多年来,我们应用经络红外热成像检测观察到在四时六气中脾胃枢机主令阶段平和性经络红外热像图出现几率会明显增加,而病变经络的失衡状态在此阶段也会得到一定的纠正而趋向相对平衡。因而,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,故对四象启、承之“土”在四时六气中“以枢调枢”和五脏的应用进行了探索。
English Summary:
      Li Dongyuan pointed out in his book Treatise on Spleen and Stomach that firstly, the spleen does not have its own shape, it flourishes for 18 days at the end of each seasons(chen, xu, chou, wei), to generate the other four Viscera; secondly, human body is connected to the nine positions:the left foot stands for the beginning of spring, its position is chou, the left hand stands for the beginning of summer, its position is chen, the right foot stands for the beginning of autumn, its position is wei, the right hand stands for the beginning of winter, its position is xu. Based on the correspondence relationship of houtianbagua, the Sixiang Spleen Earth Model can be established:gentu, xuntu, kuntu, qiantu. Yin, Si, Shen, Hai are Qi Earth, corresponding to the beginning of spring, beginning of summer, beginning of autumn, the beginning of winter; Chen, Wei, Xu, chou are Chen Earth, corresponding to the 18 days at the end of each seasons. This suggests that the spleen, as the key player on the process of Four Seasons and Six Natural Factors alternate, has its own unique effects. The flowing of blood and viscera is the key to sustaining life activities, while the pivot reflects the relationship of generation and restriction of the viscera. An unfavorable pivot can lead the human body to all sorts of diseases. In the past years, we used infrared thermal imaging to observe the meridian infrared thermal images, and found out that the appearance rate of pinghe level meridian infrared thermal images is significantly increased during the stage of piwei pivot, and the imbalance of meridian is corrected to a certain extent at this stage. Thus, considering regulating the human pivot by universal pivot, it is feasible to regain the normal flowing of the viscera. Therefore, diseases that originate from pivot can be healed with pivot. Hence, we study the application of Four Seasons and Six Natural Factors in the method regulating pivot by pivot and Five Viscera.
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