淫胜 热淫所胜,平以咸寒,佐以苦甘,以酸收之
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
点岁码见出处与引用处;同一事实全仪只此一处为准。
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
谨守病机,各司其属,有者求之,无者求之,盛者责之,虚者责之。
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。
- 中五之气 · 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
风淫所胜,平以辛凉,佐以苦甘。
淫内 燥淫于内,治以苦温,佐以甘辛,以苦下之
余气治则参
- 木厥阴风淫所胜,平以辛凉
- 土太阴湿淫所胜,平以苦热
- 火少阳火淫所胜,平以酸冷
- 水太阳寒淫所胜,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
谨守病机,各司其属,有者求之,无者求之,盛者责之,虚者责之。
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
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
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 或 土 者,与当令客气 太阴湿土 相应
- 1诸风掉眩,皆属于肝风
- 2诸寒收引,皆属于肾寒
- 3诸气膹郁,皆属于肺燥
- 4诸湿肿满,皆属于脾湿
- 5诸热瞀瘛,皆属于火热
- 6诸痛痒疮,皆属于心火
- 7诸厥固泄,皆属于下寒
- 8诸痿喘呕,皆属于上热
- 9诸禁鼓栗,如丧神守,皆属于火火
- 10诸痉项强,皆属于湿湿
- 11诸逆冲上,皆属于火火
- 12诸胀腹大,皆属于热热
- 13诸躁狂越,皆属于火火
- 14诸暴强直,皆属于风风
- 15诸病有声,鼓之如鼓,皆属于热热
- 16诸病胕肿,疼酸惊骇,皆属于火火
- 17诸转反戾,水液浑浊,皆属于热热
- 18诸病水液,澄彻清冷,皆属于寒寒
- 19诸呕吐酸,暴注下迫,皆属于热热
脏象经络 · 运气配属
五运六气所应脏腑经络与病位
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。
所属经络足少阴肾经·足太阳膀胱经
- 开窍耳及二阴
- 在志恐
- 在液唾
- 所主骨
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。
三年化疫 · 民病之纪
刚柔失守,升降不前,越三岁而化疫
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。
君火炽盛,热扰心神,伤津耗液
- 瞀瘛
- 疮疡
- 烦躁
- 谵妄
- 心悸
- 口渴
- 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
乙丙丁戊庚辛壬癸之岁,臣面北而受令,故为北政。
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。
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
能毒者以厚药,不胜毒者以薄药。
- 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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