黄帝内经 · 素问 · 运气七篇

五运六气 · 运气推演仪

立年干支以纪运气,推主客之加临、胜复之郁发、病机之治则——一器尽览天人之纪

丙午
2026 年实际
中运水运太过
司天少阴
在泉阳明
北政
岁年
甲子漫游
假如立局
步游标
随今日
参照
流派
密度

点岁码见出处与引用处;同一事实全仪只此一处为准。

中运水运·太过
司天少阴
在泉阳明
同化无(平年)
平气非平·流衍之纪
南北政北政

张力点 · 需权衡之机

先标出本岁内部相冲、需医者亲断之处,再入细目

《素问·至真要大论》
谨守病机,各司其属,有者求之,无者求之,盛者责之,虚者责之。
《素问·至真要大论》

下列为本岁气化自相牴牾之处——工具可指其机,而攻补缓急、上下治分,终须医者临证权衡。

  • 五之气 · 客主不相得

    何以成此步少阳客与阳明主客克其主,天人不相得,邪正交争于一时。

    需权衡同一时位而主客异治——主胜则从主、客胜则从客,须辨何者为甚而分上下论治。

  • 中运乘司天 · 气化偏并

    何以成中运水下临而克司天火,运强气弱,气化为运所并,岁候多从运变。

    需权衡运气相乘则病有偏并——当权运、气孰主孰从,毋执司天常候而失其变。

司天在泉 · 淫胜治则用药

风热湿火燥寒所胜,各有平治佐使之法

《素问·至真要大论》
风淫所胜,平以辛凉,佐以苦甘。
《素问·至真要大论》
司天
少阴君火热所胜

淫胜 热淫所胜,平以咸寒,佐以苦甘,以酸收之

心苦缓,急食酸以收之;心欲耎,急食咸以耎之,用咸补之
甘泻之
在泉
阳明燥金燥所胜

淫内 燥淫于内,治以苦温,佐以甘辛,以苦下之

肺苦气上逆,急食苦以泄之;肺欲收,急食酸以收之,用酸补之
辛泻之

余气治则参

  • 厥阴风淫所胜,平以辛凉
  • 太阴湿淫所胜,平以苦热
  • 少阳火淫所胜,平以酸冷
  • 太阳寒淫所胜,平以辛热

主气病候 · 病机十九条

六气所主病候,与十九条病机相参

《素问·至真要大论》
谨守病机,各司其属,有者求之,无者求之,盛者责之,虚者责之。
《素问·至真要大论》
当令客气湿土湿盛

应脏脾/胃

  • 肿满
  • 泄泻
  • 身重
  • 关节痹痛
  • 食欲不振
  • 痰饮

湿气弥漫,困遏脾阳,运化失常

司天君火热蒸

应脏心/小肠

  • 瞀瘛
  • 疮疡
  • 烦躁
  • 谵妄
  • 心悸
  • 口渴

君火炽盛,热扰心神,伤津耗液

在泉燥金燥涩

应脏肺/大肠

  • 咳嗽
  • 喘息
  • 皮肤干燥
  • 便秘
  • 鼻干
  • 咽痛

燥气伤津,肺失清润,大肠传导失常

病机十九条 · 凡属 湿 者,与当令客气 太阴湿土 相应

  1. 1诸风掉眩,皆属于肝
  2. 2诸寒收引,皆属于肾
  3. 3诸气膹郁,皆属于肺
  4. 4诸湿肿满,皆属于脾湿
  5. 5诸热瞀瘛,皆属于火
  6. 6诸痛痒疮,皆属于心
  7. 7诸厥固泄,皆属于下
  8. 8诸痿喘呕,皆属于上
  9. 9诸禁鼓栗,如丧神守,皆属于火
  10. 10诸痉项强,皆属于湿湿
  11. 11诸逆冲上,皆属于火
  12. 12诸胀腹大,皆属于热
  13. 13诸躁狂越,皆属于火
  14. 14诸暴强直,皆属于风
  15. 15诸病有声,鼓之如鼓,皆属于热
  16. 16诸病胕肿,疼酸惊骇,皆属于火
  17. 17诸转反戾,水液浑浊,皆属于热
  18. 18诸病水液,澄彻清冷,皆属于寒
  19. 19诸呕吐酸,暴注下迫,皆属于热

脏象经络 · 运气配属

五运六气所应脏腑经络与病位

《素问·金匮真言论》
东方生风,风生木,木生酸,酸生肝……在脏为肝,在窍为目,在志为怒。
《素问·阴阳应象大论》
寒水太过流衍之纪
中运所主 · 肾膀胱

所属经络足少阴肾经·足太阳膀胱经

  • 开窍耳及二阴
  • 在志
  • 在液
  • 所主

岁水太过病候水太过则寒气流行,邪害心火,身热烦心、谵妄、腹大胫肿;不及则湿乃盛行,腹满身重、濡泄、腰股痛、足痿清厥。

司天少阴少阴君火心/小肠
在泉阳明阳明燥金肺/大肠
五行
小肠
大肠悲忧皮毛
膀胱耳及二阴

三年化疫 · 民病之纪

刚柔失守,升降不前,越三岁而化疫

《素问遗篇·本病论》
升降不前,气交有变,即成暴郁……失守其位,即天运化易,三年变大疫。
《素问遗篇·本病论》
当年民病2026 年 · 司天之气所主
少阴君火热蒸

君火炽盛,热扰心神,伤津耗液

  • 瞀瘛
  • 疮疡
  • 烦躁
  • 谵妄
  • 心悸
  • 口渴
三年化疫刚柔失守 · 升降不前 · 越三岁而化
水疠中运 水
2026 2029
失守
丙辛刚柔失守,水运升降不前
民病
民病寒疡、腰膝痛、水饮、厥逆

框架性推演 三年化疫乃运气升降失常之势,非每岁必发,须刚柔失守乃成;当参其微甚、察其浅深,未可执文以断疫。

南北政 · 寸尺脉应

甲己南政,余为北政,少阴所在则脉不应

《素问·至真要大论》
北政 面北受令

乙丙丁戊庚辛壬癸之岁,臣面北而受令,故为北政。

少阴所在少阴君火司天两尺沉伏不应
左手
不应
右手
不应

北政之年,少阴司天则两尺不应,少阴在泉则两寸不应;与南政适相反。

北政之岁,少阴在泉,则寸口不应。
《素问·至真要大论》

岁运体质 · 先天禀赋

生年中运成禀赋之偏,可叠流年而参调养

《素问·五常政大论》
能毒者以厚药,不胜毒者以薄药。
《素问·五常政大论》
输入出生公历年,得先天中运禀赋,与本年流年体质对照
本年流年水旺体质太过
  • 肤色偏黑
  • 形体圆润
  • 骨骼粗壮
  • 精力充沛
易感
肾水偏盛,易发水肿、寒湿、腰痛
调摄
宜温阳化水,调畅气机

填入生年,见先天禀赋

先天为体,流年为用;同则相益,克则相累。

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