The Influence of "Five Movements and Six Qi" Theory on Liu Wansu's Medical Theory System
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摘要: 五运六气理论(以下简称“运气理论”)思想贯穿刘完素的医学理论体系,主要体现在对病机理论的影响、火热论的创立及刘完素临床诊疗思想的影响等。运气理论对刘完素病机理论的影响包括六气交变论病机、五运亢承论病机、运气标本论病机三个方面。刘完素对六气病机的理解和“水善火恶”的哲学思想很大程度上影响了“火热论”的创立。运气理论对刘完素临床诊疗思想的影响主要体现在以标本中气理论对脏腑经络病症进行分类、以运气理论论脉诊、以运气思想推演疾病传变、司气备药几个方面。刘完素开启了金元时代的医学理论创新与争鸣,对明清温病学的兴起产生了深远的影响。Abstract: The five movements and six qi theory (hereinafter referred to as “movement qi theory”) runs through Liu Wansu’s medical theoretical system, which is mainly reflected in its influence on the theory of pathogenesis, the creation of fiery heat theory, and the influence of Liu Wansu’s clinical diagnosis and treatment thoughts. The influence of movement qi theory on Liu Wansu’s pathogenesis theory includes three aspects: six qi alternation on pathogenesis, five movement hyperactivities on pathogenesis, and the root and branch of movement qi on pathogenesis. Liu’s understanding of the pathogenesis of six qi and the philosophical thought of “water is good and fire is evil” mainly influenced the creation of Liu Wansu’s “fire theory”. The influence of movement qi theory on Liu Wansu’s clinical diagnosis and treatment thoughts is mainly reflected in the classification of viscera, meridian and collateral diseases based on the theory of root and branch of middle qi, the diagnosis of pulses based on movement qi theory, the deduction of disease transmission and change using movement qi thinking, and the preparation of medicines based on qi. Liu Wansu initiated the innovation and debate of medical theory in the Jin and Yuan Dynasties, and had a profound impact on the rise of warm febrile diseases in the Ming and Qing Dynasties.
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