中华中医药杂志(原中国医药学报)2023年2月第38卷第2期CJTCMP,February2023,Vol.38,No.2•484•·仁心雕龙·通信作者：孙晓生,广东省广州市机场路12号广州中医药大学，邮编：510405，电话：020-36585115，E-mail：sunxiaosheng@gzucm.edu.cn基于干支象思维的新型中医时间医学推理模型探微江启煜，孙晓生（广州中医药大学，广州510405）摘要：干支术数与中医病因病机之间存在何种具体联系，可能是困惑学界已久的问题，致使中医时间医学领域一直难以向前突破。文章以干支象思维、五行学说以及中医藏象为基础，探索干支及其组合与中医气血津液、脏腑、病因、病机之间的映射关系，以此建立一种在推理算法上有别于五运六气的新型中医时间医学推理模型，并阐述其应用示例、意义及优缺点。该模型结合了五行、术数、藏象、类象、历法等多个维度的知识体系，是中医时间医学领域的理论创新以及五行学说的拓展阐发，能够应用于中医辨证辅助诊断、病机预测、体质调养等多方面。关键词：干支；时间医学；藏象；象思维；疾病预测；五行；术数；五运六气ExplorationonanovelreasoningmodeloftraditionalChinesemedicinechronomedicinebasedonsexagenarycycleandXiang-thinkingJIANGQi-yu,SUNXiao-sheng(GuangzhouUniversityofChineseMedicine,Guangzhou510405,China)Abstract:ThespecificrelationshipbetweenthesexagenarycycleandtraditionalChinesemedicine(TCM)etiologyandpathogenesismaybealong-standingproblemintheacademiccommunity,whichhasmadeitimpossibletomakeabreakthroughinthefieldofTCMchronomedicine.ThispaperestablishedanovelreasoningmodelofTCMchronomedicinedifferentfromfivemovementsandsixclimaticchanges,toexplorethemappingrelationshipbetweenthecombinationsofsexagenarycycleandqi-bloodbodyfluid,viscera,bowels,etiologyn,pathogenesisbasedonvisceralmanifestationofTCM,analogismoffiveelementsandXiang-thinkingofsexagenarycycle.Thisstudyalsoexpoundedapplicationexamples,significance,advantagesanddisadvantagesofthenovelmodel.Thenovelmodelwasbuiltwiththemultidimensionalknowledgesystemcomposedoffiveelements,numerology,visceralmanifestationofTCMandanalogismoffiveelements,calendar.ThenovelmodelwillbeaninnovationofTCMchronomedicineandfiveelementstheory,anditcanbeappliedtoTCMsyndromedifferentiat...
