摘要：在中医的浩瀚海洋中，总有一些璀璨的理论如明灯般照亮着前行的道路。梁世杰主任提出的“象数五行体质”学说，便是其中一颗耀眼的明珠。这一学说根据人的出生年月日时，结合周易术数学，推理得出每一个人的五行体质，进而揭示体质与脏腑薄弱环节的内在联系，为中医药的针对性调理提
在中医的浩瀚海洋中，总有一些璀璨的理论如明灯般照亮着前行的道路。梁世杰主任提出的“象数五行体质”学说，便是其中一颗耀眼的明珠。这一学说根据人的出生年月日时，结合周易术数学，推理得出每一个人的五行体质，进而揭示体质与脏腑薄弱环节的内在联系，为中医药的针对性调理提供了更为精准的路径。
如果说通过出生年月日时来确定一个人的身体状况是“命”的话，那么五运六气则相当于每一个人的“运”。五运六气，这一源自古人的智慧结晶，是探讨自然变化的周期性节律及其对健康和疾病影响的学问。它不仅仅是天干地支的机械推演，更是天人合一理念的深刻体现。
顾植山教授认为：五运六气学说，以其独特的视角揭示了宇宙万事万物的周期性规律。太极图，作为这一自然节律变化的基本图式，以动态太极的开、枢、阖呈现了三阴三阳（太阳、少阳、阳明、太阴、少阴、厥阴）的六气周期。而万物变化所呈现的“生、长、化、收、藏”五种时相，则产生了五行（木、火、土、金、水）的周期。这两者合称“五运六气”，共同构成了中医理论中的基石。
然而，五运六气的历史并非一帆风顺。东汉以降，历朝政府严禁图谶，五运六气被严重误解，甚至上千年间隐没于历史的长河中。宋元时期，虽有稍有复苏，但偏见已深，难以挽回。近代西学东渐，五运六气更是饱受诟病和质疑，几乎从中医理论中湮没。
但五运六气的重要性，却是不容忽视的。它是中医基本理论的源头，是古人对自然变化规律的基本认识。动态太极的三阴三阳理论，作为中医阴阳学说的精髓，对中医临床具有重大的指导意义。摒弃五运六气后，许多中医的道理和原则变得难以清晰阐述。阴阳五行理论被简化为对立统一的辩证法，导致中医教科书中的“三阴三阳”概念变得晦涩难懂，失去了其应有的重要地位。
以经络的三阴三阳命名为例，这一命名方式并非随意为之，而是与五运六气密切相关。它反映了自然界运动变化的六气节律在人体经络上的同步体现。同样，阴阳十一脉的构建、寸口六部脉象的划分等，都与五运六气有着千丝万缕的联系。丢弃了五运六气，“天人合一”的理念也被简化为仅顺应四季变化，徒留其名。
《伤寒论》中的六经辨证，更是五运六气在临床应用中的典范。然而，一些人却误解其为“实即八纲辨证，六经名称本可废除”，忽视了其重大的临床指导意义。殊不知，“六经欲解时”正是五运六气在临床中的具体运用，它揭示了疾病在不同时间段的病情变化规律，为中医治疗提供了更为精准的时机选择。
中医学家邹云翔先生曾说：“不讲五运六气学说，就是不了解祖国医学。”这句话语重心长，切中肯綮。五运六气不仅是中医理论的基础和渊源，更是中医临床实践的指南和瑰宝。它让我们更加深刻地认识到人与自然界的密切联系，更加精准地把握疾病的本质和规律。
梁世杰主任的“象数五行体质”学说，与传统“五运六气”学说，有异曲同工之妙！他通过结合周易术数学和五行学说的理念，为每一个人的体质进行了精准的划分和调理建议。这一学说的提出，不仅丰富了中医理论的内涵，也为中医临床实践提供了新的思路和方法。
展望未来，我们有理由相信，随着对五运六气学说的深入研究和挖掘，中医理论将更加完善和系统。而梁世杰主任的“象数五行体质”学说，也将在这一过程中发挥重要的作用。它将为更多的人提供精准的体质划分和调理建议，让中医的智慧和魅力在新的时代背景下焕发出更加璀璨的光芒。
作者简介：梁世杰 中医高年资主治医师，本科学历，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。事迹入选《当代科学家》杂志、《中华英才》杂志。
Director Leung Shijie's theory of the "five lines of physicality" and the "five luck and six luck theory" complement each other
In the vast ocean of traditional Chinese medicine, there are always some bright theories that light up the way forward. Director Liang Shijie's theory of "the physical nature of the five rings of elephants" is one of the bright pearls. This doctrine, based on the date of birth of a person, combines the mathematics of manipulation, infers the five-line physical nature of each person, and reveals the inner connection between the physical nature and the weak links of the internal organs, providing a more precise path for the targeted conditioning of traditional Chinese medicine.
If the determination of a person's physical condition by the date of birth is "fate," then five luck and six luck are equivalent to each person's "fortune." Five Luck, a crystallization of ancient wisdom, is the study of the periodic rhythms of natural change and their effects on health and disease. It is not only a mechanical deduction of the heavens and the earth, but also a profound embodiment of the concept of unity between man and nature.
Professor Gu Zhishan believes that the theory of five-luck and six-weather reveals the periodic laws of everything in the universe with its unique perspective. The Tai Chi diagram, as the basic diagram for this natural rhythm change, presents the six-qi cycle of the three yin and three yang (sun, yang, yangming, yang, yin, yang, and yang) with the opening, closing, and closing of dynamic Tai Chi. The five phases of "birth, growth, transformation, recovery and storage" that characterize the changes of all things generate the cycles of the five branches (wood, fire, earth, gold and water). Together, the two are known as "five luck and six luck," and together they form the cornerstone of Chinese medicine theory.
However, the history of luck is not always smooth. Since the Eastern Han Dynasty, successive governments have strictly prohibited rumors, and luck has been seriously misunderstood, and even hidden in the long history for thousands of years. During the Song and Yuan period, although there was a slight recovery, the prejudice was deep and difficult to reverse. In recent times, Western learning has advanced, and luck has been criticized and questioned, and has almost been lost in Chinese medicine theory.
But the importance of luck and luck cannot be ignored. It is the source of the basic theory of Chinese medicine, and it is the basic knowledge of the ancient people about the laws of natural change. The theory of yin and yang of dynamic tai chi, as the essence of traditional Chinese yin and yang theory, has great guidance for the clinical aspects of traditional medicine. After abandoning five chances and six fortunes, many of the principles and principles of Chinese medicine have become difficult to articulate clearly. The yin and yang theory was reduced to an opposing and unified dialectic, which caused the concept of "three yin and three yang" in traditional Chinese medicine textbooks to become obscure and difficult to understand, losing its rightful importance.
Take the name of the three yin and three yang of the meridians, for example. This naming method is not random, but closely related to five good luck and six good luck. It reflects the synchronous manifestation of the six-gas rhythms of movement changes in nature on the human meridian. Similarly, the construction of the eleven meridians of yin and yang, and the division of the six meridians in the narrow mouth, are inextricably related to five good fortune and six good fortune. Discarding five chances and six luck, the idea of unity between man and nature was reduced to conforming only to the changes of the four seasons and leaving its name behind.
The six-point diagnosis in Typhoid Theory is also a model for the application of luck and luck in clinical applications. However, some people have misunderstood it as "the reality is the syndrome differentiation of eight principles, the name of the six meridians can be abolished," ignoring its great clinical significance. In fact, "Six meridians wishing to understand" is precisely the application of five luck and six fortune in clinical practice, which reveals the pattern of disease change in different time periods, providing a more precise timing choice for traditional Chinese medicine treatment.
Mr. Zou Yunxiang, a Chinese medicine expert, once said, "If you don't talk about the theory of five chances and six fortunes, you don' t understand the motherland's medicine." This is a very serious sentence that strikes a chord with the truth. Five Luck and Six Luck is not only the basis and source of traditional Chinese medicine, but also the guide and treasure of clinical practice of traditional medicine. It gives us a deeper understanding of the close connection between man and nature, and a more precise grasp of the nature and laws of disease.
Director Liang Shijie's doctrine of counting the five branches of the body is similar to the traditional doctrine "five luck and six luck." By combining the concepts of the mathematics of the Pythagorean and the theory of the Five Elements, he gave precise divisions and counseling advice for each person's body. The formulation of this doctrine not only enriched the content of traditional Chinese medicine theory, but also provided new ideas and methods for the clinical practice of traditional medicine.
Looking to the future, we have reason to believe that with the in-depth study and digging into the theory of five luck and six luck, traditional Chinese medicine theory will become more complete and systematic. Director Liang Shijie's doctrine of "the five-letter physique" will also play an important role in this process. It will provide more people with precise physical classification and conditioning advice, so that the wisdom and charm of traditional Chinese medicine will shine even brighter in the new era.
Author Bio: Liang Shijie is a senior medical practitioner in traditional Chinese medicine with an undergraduate degree. 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 a researcher at the Shude Tang TCM Research Institute in Beijing, a fellow at the new 3 + 3 project of traditional Chinese medicine flame inheritance in Beijing - a scholar at the inheritance workstation 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. His work was featured in the journal Current Scientist and the journal Chinese Talent.
来源：首都专家梁世杰