基于五运六气理论，从五运、六气、客主加临等方面分析2019年运气特点，发现初之气、二之气春行冬令，注意疏利少阳、温阳不忘宣表畅里，三之气风气偏胜则平肝疏风，四之气湿热交争注意清热利湿健脾，五之气燥湿交替则或温阳或利湿，终之气冬行春令应注意预防温病。在防治疾病的同时应"以辛调上，以咸调下"。

Based on the theory of five evolutive phases and six climatic factors, by analyzing the clinical characteristics of climate in 2019 from several aspects such as five evolutive phases and six climatic factors and eliminating exogenous pathogenic factors.The author found that at the beginning of the spring season, attention should be paid to dredging and promoting Shaoyang and warming yang, not forgetting to diffuse superficies.The temperament of the three qi is flat and the wind is stagnated, and the four qi and damp heat fight so heat, dampness and spleen should be focused.While at the end of the winter season, attention should be paid to clearing heat, promoting dampness and invigorating the spleen. In the prevention and treatment of diseases, at the same time we should " regulate upper qi with pungent drugs, and regulate lower qi with salty drugs " .