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国际中医药研究

International Research in Chinese Medicine

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International Research in Chinese Medicine. 2026; 6: (1) ; 10.12208/j.ircm.20260001 .

A theoretical analysis of the characteristics in Bing‑Wu Years in the Yunqi Theory of the Huangdi Neijing
《黄帝内经》运气理论中丙午年岁运气化特征的理论分析

作者: 莫迪麟 *

香港中文大学中医学院 香港

*通讯作者: 莫迪麟,单位:香港中文大学中医学院 香港; ;

引用本文: 莫迪麟 《黄帝内经》运气理论中丙午年岁运气化特征的理论分析[J]. 国际中医药研究, 2026; 6: (1) : 1-7.
Published: 2026/3/10 10:00:38

摘要

本文基于中医经典理论“五运六气”,对丙午年岁运、司天在泉及客主气化进行系统推演与理论分析,以阐明其气化结构特征及学术意义。本文首先阐述了五运六气的理论基础与研究方法,继而分别从“五运”(岁运、主运、客运)和“六气”(主气、客气、司天在泉)两个概念,展现丙午年的运气格局。核心结论认为:丙午年岁运为“水运太过”,全年气候偏寒;上半年“少阴君火司天”,易形成寒热错杂之势;下半年“阳明燥金在泉”,寒气更甚,兼有湿邪。文章进一步通过“客主加临”与“运气同化”理论分析,指出该年虽存在特定病理倾向(如心肾阳虚、肝胆郁滞、脾胃寒湿),但整体气候与疾病流行趋势相对平和。最后,文章结合《黄帝内经》的养生思想,提出了顺应天时、调养正气的预防原则。

关键词: 五运六气;丙午年;运气学;气候变化;发病特点

Abstract

This article applies the classical Chinese medical theory of Five circuit and Six Qi to systematically extrapolate and analyze the climatic tendencies and potential disease patterns of the year Bing-Wu year. It first outlines the theoretical foundations and research methodology based on the Huangdi Neijing, and then calculates the annual configuration of the Five circuit and Six Qi. The core findings indicate that the Yearly Movement for Bing-Wu year is “Excessive Water circuit,” suggesting a predominantly cold climate throughout the year. In the first half of the year, Shao-Yin Minister Fire governs Heaven, creating a tendency toward a mixture of cold and heat. In the second half of the year, Yang-Ming Dry Metal governs the Source, intensifying coldness and introducing concomitant dampness. By applying the concepts of “Guest–Host interaction” and “Five circuit and Six Qi Assimilation,” the study further argues that although specific pathological tendencies—such as Heart–Kidney Yang deficiency, Liver–Gallbladder constraint, and Spleen–Stomach cold-dampness—may arise, the overall climatic and epidemiological outlook remains relatively moderate. Finally, drawing on the health-preserving principles of the Huangdi Neijing, the article proposes preventive guidelines emphasizing alignment with seasonal qi and the cultivation of upright qi to maintain health throughout the year.

Key words: Five circuit and six qi; Bing-wu year; Yunqi theory; Climatic variation; Pathological characteristics

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