摘要：在中医的浩瀚学海中，曹东义教授以其深厚的学术功底和独到的见解，为经方理论注入了新的活力。他对于经方的理解，不仅超越了传统的“方证对应”模式，更提出了“懂源流、知体系、会妙用”的深刻见解。其中，他对六合辨证与六经辨证的阐述，更是为中医临床提供了一种全新的视角和方

在中医的浩瀚学海中，曹东义教授以其深厚的学术功底和独到的见解，为经方理论注入了新的活力。他对于经方的理解，不仅超越了传统的“方证对应”模式，更提出了“懂源流、知体系、会妙用”的深刻见解。其中，他对六合辨证与六经辨证的阐述，更是为中医临床提供了一种全新的视角和方法。

曹东义教授认为，六合辨证与六经辨证是中医两大重要的辨证体系。六合辨证，源于河图、洛书，是天人相关思想的重要体现。它涵盖了时空、整体、自然、生成、象数等多个要素，将这些要素紧密结合，形成了一个完整的理论体系。在这个体系中，前后左右上下（即左青龙右白虎，前朱雀后玄武，中间有黄土）构成了六合的基本框架，时空则成为这个框架中的边界，而变化则在这个框架中不断发生。

与六合辨证相对应的是张仲景的六经辨证体系。这一体系在东汉末年集大成，成为中医临床的重要指导。然而，曹东义教授指出，六合辨证的模式并未因此消失，而是淡出了人们的视野。在今天，重提六合辨证，不仅是为了与时俱进，发展中医学术，更是为了对中医经方理论与临床进行回本溯源，探索更为深刻的医学智慧。

在曹东义教授看来，六合辨证与六经辨证并非孤立存在，而是相互关联、相互补充的。他主张“六合辨证立规矩，六经辨证讲权衡”，即六合辨证为中医临床提供了基本框架和规矩，而六经辨证则在这个框架内进行权衡和调整。这种思想不仅体现了中医的整体观和辩证法，也为中医临床提供了更为灵活和有效的治疗方法。

为了更好地阐述这一思想，曹东义教授以《内经》、《汤液经》、《难经》等经典著作为例，分析了六合辨证的萌芽和发展。他指出，从这些经典著作中都可以看到六合辨证的影子，只是张仲景在东汉末年集大成了六经辨证体系，使得六合辨证的模式淡出了人们的视野。然而，这并不意味着六合辨证失去了其价值和意义。相反，在今天这个多元化的时代，重提六合辨证，更有助于我们深入理解和运用中医理论，为临床提供更为有效的治疗方案。

梁世杰主任提出的“商汤经方分类疗”法正是在“汤液经法二十四神方”、曹东义教授倡导的上古“六合辨证思维”启发下，依据外感内伤的不同进行二次分类，从而实现对中医经方理论与临床的回本溯源与二次创新。从而践行上古“六合思维”在中医临床中的具体应用。在上古“六合辨证思维”引领下的“商汤经方分类疗法”不仅提高了临床治疗的针对性和有效性，也进一步证明了“六合辨证思维”在中医临床中的重要价值和重大意义。

在曹东义教授的笔下，六合辨证不再是一个抽象的概念，而是一个充满生机和活力的理论体系。它像一把钥匙，打开了中医临床的宝库，让我们能够更深入地理解和运用中医理论，为人类的健康事业贡献更多的智慧和力量。同时，曹东义教授的探索和创新也为我们提供了一个启示：在中医的发展道路上，我们需要不断回归经典、挖掘传统智慧，同时也需要与时俱进、开拓创新，才能不断推动中医学术的发展和进步。

参考：《名老中医曹东义：行医五十年，酸甜苦辣说不完》

作者简介：梁世杰 中医高年资主治医师，从事中医临床工作24年，积累了较丰富的临床经验。师从首都医科大学附属北京中医院肝病科主任医师、著名老中医陈勇，侍诊多载，深得器重，尽得真传！擅用“商汤经方分类疗法”、专病专方结合“焦树德学术思想”“关幼波十纲辨证”学术思想治疗疑难杂症为特色。现任北京厚德为怀医生集团渐冻症研究中心主任，北京树德堂中医研究院研究员，北京中医药薪火传承新3+3工程—焦树德门人（陈勇）传承工作站研究员，国际易联易学与养生专委会常务理事，中国中医药研究促进会焦树德学术传承专业委员会委员，中国药文化研究会中医药慢病防治分会首批癌症领域入库专家。荣获2020年中国中医药研究促进会仲景医学分会举办的第八届医圣仲景南阳论坛“经方名医”荣誉称号。2023年首届京津冀“扁鹊杯”燕赵医学研究主题征文优秀奖获得者。

Six Harmonies Diagnosis Thinking: Professor Cao Dongyi's Deep Exploration and Innovation of the Theory of Classical Prescriptions

In the vast ocean of Chinese medicine, Professor Cao Dongyi has injected new vitality into the theory of Jingfang with his profound academic foundation and unique insights, His understanding of Jingfang has not only surpassed the traditional "form-symptom correspondence" model, but also proposed a profound insight of "understanding the source, knowing the system, and being able to use it skillfully". Among them, his elaboration of the six-way diagnosis and the six-way diagnosis has provided a new perspective and method for the clinical practice of Chinese medicine.

Professor Cao Dongyi believes that the Six Harmonies Diagnosis and the Six Paths Diagnosis are two important diagnostic systems in traditional Chinese medicine. The Six Harmonies Diagnosis, which originates from the He Tu and Luo Shu, is an important embodiment of the thought of the relationship between heaven and man. It covers multiple elements such as time and space, holism, nature, generation, and symbolism, and these elements are closely combined to form a complete theoretical system. In this system, the front, back, left, right, and top and bottom (i.e., the left is the Azure Dragon and the right is the White Tiger, the front is the Red Phoenix and the back is the Black Tortoise, and the middle is the Yellow Earth) form the basic framework of the Six Harmonies, and time and space become the boundaries of this framework, while changes occur continuously within this framework.

Corresponding to the Six Harmonies Diagnosis is Zhang Zhongjing's Six Pathway Diagnosis system, which was completed in the late Eastern Han Dynasty and became an important guide for clinical practice in traditional Chinese medicine; however, Professor Cao Dongyi pointed out that the model of the Six Harmonies Diagnosis has not disappeared, but has faded from people's view; today, the re-proposal of the Six Harmonies Diagnosis is not only to keep pace with the times and develop the academic of traditional Chinese medicine, but also to return to the source of the theory and clinical practice of traditional Chinese medicine, and explore more profound medical wisdom.

In the view of Professor Cao Dongyi, the six-liu syndrome differentiation and the six-jing syndrome differentiation are not isolated, but are interrelated and complementary, he advocates that "the six-liu syndrome differentiation establishes rules, and the six-jing syndrome differentiation discusses balance", that is, the six-liu syndrome provides the basic framework and rules for the clinical practice of traditional Chinese medicine, while the six-jing syndrome adjusts and balances within this framework, this idea not only reflects the holistic view and dialectics of traditional Chinese medicine, but also provides more flexible and effective treatment methods for the clinical practice of traditional Chinese Medicine.

In order to better expound this idea, Professor Cao Dongyi took the classics such as the "Neijing", "Tangyejing", and "Nanjing" as examples, and analyzed the budding and development of the six-heaven syndrome. He pointed out that the shadow of the six-heaven syndrome can be seen in these classic works, but Zhang Zhongjing completed the six-heaven syndrome system in the late Eastern Han Dynasty, making the model of the six-heaven syndrome fade from people's sight. However, this does not mean that the six-heaven syndrome has lost its value and significance. On the contrary, in today's pluralistic era, raising the six-heaven syndrome will help us better understand and apply the theory of traditional Chinese medicine, and provide more effective treatment plans for clinical practice.

The method of "Shuanglang Jingfang Classification Therapy" proposed by Director Liang Shijie is based on the inspiration of the "Shuangye Jingfa Twenty-Four Divine Formulas" advocated by Professor Cao Dongyi and the ancient "Six-in-One Diagnosis Thinking", and is classified according to the different types of external and internal injuries, so as to realize the return to the source and secondary innovation of the theory and clinical practice of traditional Chinese medicine Jingfang, thus practicing the concrete application of the ancient "Six-in-one Thinking" in the clinical practice of traditional Chinese medicine. The "Shuanglang Jingfang Classification Treatment" under the guidance of the ancient "Six-in -One Diagnosis Thinking" not only improves the targetedness and effectiveness of clinical treatment, but also further proves the important value and significance of the "Six-in-One Diag-nosis Thinking" in the clinical practice of Chinese medicine.

In Professor Cao Dongyi's words, the Six Harmonies Diagnosis is no longer an abstract concept, but a vibrant and dynamic theoretical system; it is like a key that opens the treasure house of clinical Chinese medicine, allowing us to understand and apply Chinese medicine theory more deeply and contribute more wisdom and strength to the cause of human health; at the same time, Professor Cao Dongyi's exploration and innovation also provide us with an inspiration: on the road of the development of Chinese medicine, we need to constantly return to the classics, excavate traditional wisdom, and also need to keep pace with the times, innovate and create, so as to continuously promote the development and progress of Chinese medicine.

Reference: Cao Dongyi, a famous old doctor, has been practicing medicine for 50 years, and there is no end to the sweetness, sourness, bitterness, and spiciness.

Author Bio: Liang Shijie is a senior medical practitioner in traditional Chinese medicine. He has been engaged in traditional medicine clinical work for 24 years and has accumulated a wealth of clinical experience. Following Chen Yong, chief physician of liver disease at Beijing Traditional Medicine Hospital, affiliated with Capital Medical University, and renowned old Chinese medicine, he has been treated for many years and received great attention. He specializes in the treatment of difficult diseases using "conversational traditional therapy" and special treatments combined with the academic ideas of Jiao Shude and Guan Yubo's ten-level diagnosis.He is currently the director of the Center for Diffusion Research of Dr. Houde Wei Group in Beijing, a researcher at the Shude Tang Institute of Chinese Medicine, and a fellow at the new 3 + 3 project of traditional Chinese medicine flame inheritance in Beijing - a scholar at the inheritance work station of Jiao Shude's protégés (Chen Yong),He is a standing committee member of the International Expert Committee on E-learning and Health Care, a member of the Jiao Shude Academic Heritage Special Committee of the Chinese Association for the Advancement of Chinese Medicine Research, and the first cancer specialist to be included in the chapter of the Chinese Pharmaceutical Culture Research Association. Won the 2020 China Association for the Promotion of Traditional Chinese Medicine Zhongjing Medical Branch held the eighth session of the Medical Saint Zhongjing Nanyang Forum "Classic Prescription Famous Doctor" honorary title. The winner of the first Beijing-Tianjin-Hebei "Pingui Cup" Yanzhao Medical Research Essay Award in 2023.

来源：老梁谈养生