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杏苑医韵中医文化专题

中医知识

论《内经》脏腑与时辰配属

发布时间:2012-06-29 11:28:15

daidejishi,zhuyaoshigenjutaiyangzhishengluo、tiansedeminghui,erjiangyirifenweibutongdeshiduan。“shi”,zhishiduan,youdeshizhishunjianxianxiang,youdezejiaozhang,qieyiniansijizhouyedezhangduanbuyi,gushiyubudeng。“chen”,zhishierchen,jiangyirifenweishierdengfen,gechenshiyuxiangdeng,sijizhouyewubie。《neijing》renweishichenyuzangfuyouzhemiqiedeguanxi,meiyizangfuzhiqi,douzaiyitianzhongtedingdeshichennei,biaoxianchuxiangduidewangsheng,congeryingxiangrendeshenglihebingli,yeyingxiangzheduijibingdezhenduanhezhiliao。youyu《neijing》liluntixijuyouyiwuzangweizhongxindetedian,suoyiyouguanshiduanyuneizangdeguanxi,yewangwangyiwuzangweidaibiao。zheilidewuzang,shijishizhiwuzangxitong,tabaokuoliufu、wuti、zhuqiaodeng。yinci,shichenyuzangfusuiranyoubutongdepeishu,danyiwuzangweizhongxindetedian,queshiyizhide,qipeishuzhuyaoyouyixiajizhong:

diyi,wushiduanpeishuwuzang。jijiangyizhouyefenweiwugeshiduan,gepeishuyizang,qizhongyouliangzhongpeishufa。

shouxian,genjuwuzangsuozaibuweijiqigongnengtedian,yishangxiafubeifenbieyinyang,bingyuzhouyeyinyangshiduanxianghulianxierpeishu。ru《suwen·mingkuizhenyanlun》yun:“pingdanzhirizhong,tianzhiyang,yangzhongzhiyangye。rizhongzhihuanghun,tianzhiyang,yangzhongzhiyinye。heyezhijiming,tianzhiyin,yinzhongzhiyinye。jimingzhipingdan,tianzhiyin,yinzhongzhiyangye。”suowei“heye”,ji“shiye”,tianheizhishiye。zheizhongshiduanhuafen,chuhuanghundaoshiyewai,qitadoushixianglianguande,jiheye→jiming→pingdan→huanghun。youcikejian,huanghunzhiheyeyidangweiyigeshiduan。zheiyangjiubayizhouyefenweiwugeshiduan,qiahaoyuwuzangxiangpei。gaipianjiezheshuo:“beiweiyang,yangzhongzhiyang,xinye。beiweiyang,yangzhongzhiyin,feiye。fuweipeng,yinzhongzhiyin,shenye。fuweiyin,yinzhongzhiyang。ganye。fuweiyin,yinzhongzhizhiyin,piye。”qiansiduanfenbieyusizangxiangpeishenming,jimingzhipingdanpeigan,pingdanzhirizhongpeixin,rizhongzhihuanghunpeifei,heyezhijimingpeishen。piweizhiyin,zhizhe,daoye,jiaoye;congyangshijiaoyuyin,guchengzhiyin。huanghunzhiheyezhengshuzheiyangyigeshiduan,guyupixiangpei。

qici,genjuwuzangdewuxingshuxing,fenbieyuwugeshiduanxiangpeishu。ru《suwen·zangqifashilun》yiwuzangpeiwuji。weiganzhuchun,xinzhuxia,pizhuzhangxia,feizhuqiu,shenzhudong。duiwuzangyuzhouyeshiduanxiangpeideguanxi,shicongwuzangbingzaigezixiangpeideshiduanqibingqinghaozhuanerbiaoxianchulaide,ru“ganbingzhe,pingdanhui”,“xinbingzhe,rizhonghui”,“pibingzhe,riyinghui”,“feibingzhe,xiabuhui”,“shenbingzhe,yebanhui”。zheiyang,tamendepeishuguanxishi:pingdan(mu)peigan,rizhong(huo)peixin,ridie(tu)peipi,xiabu(jin)peifei,yeban(shui)peishen。

cizhongpeishufa,shigenjuwuxingxueshuoyiwuzang、wushi、wuxingxiangguanweibiaozhun,suoyipituzaiqisuoshengfeijinzhiqian;ershangshudiyipeishufa,zezhuyaoshianzhaoyinyangxueshuo,yiwuzangshangxiafubeiyinyangweibiaozhun,yinci,shangjiaoxiongbeizhifeizang,zaiyufuzhongpizangzhiqian。yuzangpeishushunxuxiangtong。zheiyichayi,chufanyingchuyinyangxueshuoyuwuxingxueshuoliangzhe,suiranxianghuronghe,danrengbiaoluchujiehebingbushifenjinmizhiwai,gengzhongyaodeshigezicongbutongdecemian,bufendifanyingchupizangzhushideteshuxing。

dier,sishiduanpeishuwuzang。jijiangyizhouyefenweisigeshiduan,fenbiepeishugan、xin、fei、shensizang,erjiangpizangfensanyugeshiduan。youyinpizangshifensanyusishiduanquanbuhaishigeshiduanyibu,eryouliangzhongshuofa。

yishipizangfensanyusishiduanquanbu,meiyouzijidandusuopeizhishi。《lingshu·shunqiyirifenweisishi》pianyun:“yiyirifenweisishi,chaozeweichun,rizhongweixia,riruweiqiu.yebanweidong。”genju《suwen·zangqifashilun》ji《neijing》qitaduochujizai,bunankanchu,chaopeishugan,rizhongpeishuxin,rirupeishufei,yebanpeishushen。《suwen·yujizhenzanglun》yun:“piweiguzang,zhongyangtuyiguansibang。”piweihoutianzhiben,duiqitasizangqiziyangzuoyong;chun、xia、qiu、dongsijiyijielaituqizhizhangyang;sishimaixiangdoudangyouweiqi,shuomingrentiyishiyikebukelikaipitu,sizangyixuyubukewutuqi。suoyishuopizangmeiyoudandusuozhuzhishi,dansishiduanjunyoupiqi。《lingshu·jiugongbafeng》pianjizaiwuxingyujiufangbashixiangpeishi,tushuwujuzhongyang,buzhushiling,erqitaliufanggezhusishiliuri,liangfanggezhusishiwuri,fansanbailiushiliuriweiyisui,yeshirenweipibuduzhuyishi。yinianruci,yirizhongfensishi,yiruci。

ershipizangfensanyusishiduanzhimo,gejipeimeiduanwufenzhiyi。ru《suwen·taiyinyangminglun》yun:“pibuzhushiheye?qiboyue:pizhe,tuye,zhizhongyang,changyisishizhangsizang,geshibarijizhi,budeduzhuyushiye。”renshiyixiaotiandi,yizhouyeyishiyiniandesuoying,zaiyizhouyezhong,shuomingpizangfenzhusigeshiduanmodegewufenzhiyishijian。yinmeijijiushiri,shibarizeqiwufenzhiyi,pizangquanniangongzhanqishierri,yuqiyusizangsuozhuzhishidegeqigeerri,heweisanbailiushirizheng。cizhongsishiduanpeishuwuzangdefangfa,yushangshuwushiduanpeishuwuzangdejibenqubie,zaiyupizangbuduzhuyigeshiduanerfensanyuqitasishiduanzhizhong。suiranruci,danshiliangleipeishufadegenbendaolizeshiyizhide,doushiyi“tuyiguansibang”weigenjude,bulunpizhuyishihaishipibuzhushi,qizhongxinyisidouzaiyushuomingpitujuyoushenghuazhiyuan、qijizhuanyunzhishuliangzhongzuoyong。

disan,shierchenpeishuwuzang。shangshusishiduan、wushiduandehuafen,yinqishiyubudeng,buyizhangwo,ershierchenbayirifenweishierdengfen,jiehexiandaijishibiaozhun,meichenlianggexiaoshi,yunyongjisuanjunjiaofangbian。zaozai《neijing》shiqi,jiyouyirifenweishiershiduandejizai,zaihanwuditaichuyuannianyihou,bianyongshierdizhilaijiyirideshiershiduan,chengweishierchen。《neijing》deshiershichenyuzangfupeishushizaipi“budeduzhuyushi”、“jiwangyusijizhimogeshibari”dejichushangzhujianxingchengde,jiyinmao(chao)yugandanmuqixiangpei,siwu(rizhong)yuxinxiaochanghuoqixiangpei,shenyou(riru)yufeidachangjinqixiangpei,haizi(yeban)yushenbangguangshuiqixiangpei,chen、xu、chou、weisigeshichenyupiweituqixiangpei。qiansigeshiduan,fenbiezhulianggeshichen,houzhezhusigeshichen,fanshiershichen,heweiyizhouye。

zheizhongshierchenyuzangfupeishudeguanxi,yushangshu《lingshu·shunqiyirifenweisishi》pianshiduanhuafenfayizhi,ergengjiajingxi;tongshiyoubuchongrupibuzhushiderenshi,danpiwangdeshijian,bushi《suwen·taiyinyangminglun》zhichudezhanyinianhuoyizhouyedewufenzhiyi,ershisanfenzhiyi。zheiyipeishuguanxi,weimuqianlinchuangsuochangyong。

《neijing》renwei“renyutiandixiangcanye,yuriyuexiangyingye”。tiantibutingxidiyundong,duibaokuorenleizaineideshengwujiejuyouguangfanershenkedeyingxiang。zheizhongyingxiang,yijuyoumingxianjielvxingdetaiyang、yuelianghediqiudeyundongzuiweituchu。dongzhiwuyijirenlei,zaiyoujielvyundongbianhuadehuanjingzhongfashengheyanhua,yezhengshizaishiyingzheizhonghuanjingzhengqushengcundemanzhangguochengzhong,xingchengletongbuyutaiyang、yuelianghediqiuyundongdejizhongbutongjielvzhouqi。《neijing》renweirentizhuyaoshengminghuodongzaiyugan、xin、pi、fei、shenwuzanggongnenghuodongxitong,eryouyu“tianrenxiangying”deguanxi,zheiwugexitongyebiranshi“kaifang”de。yinci,duiyuyinianzhongsiji、yitianzhongsishihanrewenliangyinyangxiaozhangdebianhua,rentiyeyoubutongdegongnengxitongyuzhixiangtongying,bingchanshengxiangyingdebianhua。

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