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
中运水水运太过
司天火少阴
在泉金阳明
北政
岁年
甲子漫游
假如立局
步游标
气
运随今日
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。

中运水水运·太过
司天火少阴
在泉金阳明
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。

  • 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

《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
火少阴君火热所胜

淫胜 热淫所胜,平以咸寒,佐以苦甘,以酸收之

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

淫内 燥淫于内,治以苦温,佐以甘辛,以苦下之

补肺苦气上逆,急食苦以泄之;肺欲收,急食酸以收之,用酸补之
泻辛泻之

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

《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》
当令客气火相火火炎

应脏三焦/胆

  • 痈疽
  • 惊骇
  • 躁狂
  • 目赤肿痛
  • 口苦
  • 头痛

相火妄动,火热上炎,扰动心神

司天火君火热蒸

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

在泉金燥金燥涩

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 火 或 火 者,与当令客气 少阳相火 相应

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

《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》
水寒水太过流衍之纪
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。

司天火少阴少阴君火心/小肠
在泉金阳明阳明燥金肺/大肠
五行脏腑窍志液体
木青肝胆目怒泪筋
火赤心小肠舌喜汗脉
土黄脾胃口思涎肉
金白肺大肠鼻悲忧涕皮毛
水玄肾膀胱耳及二阴恐唾骨

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
火少阴君火热蒸

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。

少阴所在火少阴君火司天两尺沉伏不应
左手
寸应
关应
尺不应
右手
寸应
关应
尺不应

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。

Related Reading

Explore the I Ching and traditional Chinese culture

The Junzi's 'Dwelling in Ease and Savoring Divination' in the Xici: Restoring Pre-Qin Moral Nature and Cosmic Order

This article offers an in-depth philological investigation of the passage from the Xici Shangzhuan (Great Commentary on the Yijing): 'The junzi, when at rest, contemplates the images and savors the texts; when about to act, observes the transformations and savors the divination.' It restores how the pre-Qin junzi attained existential security through apprehending the 'order' (xu) of the Yi, and internalized cosmic order into personal cultivation through an attitude of aesthetic 'savoring' (wan).

ZhouyiXici ZhuanJunzi Personality

The Essence of the Xici Shangzhuan: A Philosophical Inquiry into the Junzi's Settled Peace and the Order of the Yijing

This article offers a deep reading of the core proposition in the Xici Shangzhuan — 'What the junzi dwells in and finds peace in is the order of the Yi' — integrating the pre-Qin context, the Confucian scholarly lineage, and the structure of the Zhouyi to elucidate how the junzi, by embodying the Way of Heaven and Earth, takes the Yi as the foundation of settled existence, contemplates the images and savors the statements, and ultimately attains the state of 'auspiciousness with nothing unfavorable.'

ZhouyiXici ShangzhuanThe Way of the Junzi

An In-Depth Study of Xunzi's 'Jiebi' Chapter: On the Cognitive Foundations of the Mind -- Xu, Yi, and Jing

This article offers a thorough analysis of the core proposition in Xunzi's 'Jiebi' (Dispelling Obscurations) chapter concerning the nature of cognition: 'How does a person know$33 Through the mind. How does the mind know$34 Through xu (openness), yi (unity), and jing (stillness).' It systematically elucidates the dialectical relationship among these three concepts, their epistemological significance, and their roots in high antiquity, revealing the systematic rigor and precision of pre-Qin cognitive theory.

XunziJiebi (Dispelling Obscurations)Philosophy of the Mind

Between Efficacy and Image: A Radical Inquiry into the Roots of the Yi Dao's Manifest and Subtle

This article offers an in-depth analysis of the core proposition of 'yao effecting and xiang imaging' in the Xici zhuan (Great Commentary) of the Zhouyi, examining the dynamic and static distinction between 'effecting' and 'imaging,' tracing the referent of 'this,' and elucidating how yao and xiang constitute the epistemological framework through which the Way of the Yi reveals the subtle and the manifest.

ZhouyiXici zhuanYao

Rising Together to the Ranks of Lords: Innate Equality and the Pre-Qin Vision of Self-Cultivation, Compared with Western Freedom and Equality

Starting from a brief episode in the Analects, in which the noble Wenzi of Wei promotes his own household steward, Zhuan, to stand alongside him among the lords, this essay reads that small event against the great declarations of freedom and equality since the Renaissance: the West places its ideal at the starting line, while the pre-Qin thinkers built the ideal into lived reality.

The Imagery of Music in Xunzi's 'Discourse on Music': Character, Cosmos, and the Civilizing Power of Ritual Music

This essay offers an in-depth reading of the passage on 'the imagery of music' (sheng yue zhi xiang) in Xunzi's 'Discourse on Music,' elucidating how musical sounds embody character-qualities that correspond to heaven, earth, and the myriad things, and situating the discussion within Master Xun's Confucian vision of transforming human nature through ritual and music.

XunziDiscourse on MusicImagery of Music
衍
衍象坊

Qimen Dunjia · Dayan divination · pre-Qin classics

© 2026 中鼎澄源 All rights reserved v1.0.413

For entertainment purposes only. Please interpret results rationally.