[1]谭 跃,宫洪涛.“肝苦急,急食甘以缓之”探析及用药经验[J].陕西中医,2021,(2):217-221.[doi:DOI:10.3969/j.issn.1000-7369.2020.02.020]
　TAN Yue,GONG Hongtao.Analysis on “spasm dose harms to the liver,thus one should take something sweet at once to relieve it” and the experience of medication[J].,2021,(2):217-221.[doi:DOI:10.3969/j.issn.1000-7369.2020.02.020]
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“肝苦急,急食甘以缓之”探析及用药经验
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2021年2期
页码:
217-221
栏目:
学术探讨
出版日期:
2021-02-05

文章信息/Info

Title:
Analysis on “spasm dose harms to the liver,thus one should take something sweet at once to relieve it” and the experience of medication
作者:
谭 跃1; 宫洪涛2
(1.河南中医药大学,河南 郑州 450000; 2.河南中医药大学第一附属医院,河南 郑州 450000)
Author(s):
TAN Yue; GONG Hongtao
(Henan University of Traditional Chinese Medicine,Zhengzhou 450000,China)
关键词:
肝苦急;  肝体阴用阳;  辛补;  甘缓;  酸补;  酸泻;  五脏苦欲补泻
Keywords:
Spasm dose harms to the liver;  Liver with Yin Substance and Yang Function;  Taking something pungent to reinforce it;  Taking something sweet to relieve it;  Taking something sour to reinforce it;  Taking something sour to discharge it;  Five zang viscera lik
分类号:
R 256.4
DOI:
DOI:10.3969/j.issn.1000-7369.2020.02.020
文献标志码:
A
摘要:
结合中医经典,探析《素问·藏气法时论》五脏苦欲补泻理论中“肝苦急,急食甘以缓之”的内涵。肝体阴用阳,性条达。当肝体用失衡,影响肝之生发、条达、藏血、主筋等生理功能,出现“肝苦急”的病理状态。阐释“肝苦急”的内涵,从肝之体用方面试析“肝苦急”之病因,结合临床经验探讨“肝苦急”之病机,将其概括为肝用的不及、太过与肝体不及两方面,详述缓肝急之治则,肝用之急循辛补、酸补之法,肝体之急宜甘缓、酸补、酸泻之治,详辨不及与太过,总结用药经验,假借中药之性味,以中药之本性复肝之特性。有助于《内经》五脏苦欲补泻理论学习,对药物配伍及临床诊疗思路具有重要指导意义。
Abstract:
Combined with the classics of traditional Chinese medicine,this paper explores the connotation of “spasm dose harms to the liver,thus one should take something sweet at once to relieve it” in Zangqi Fashi Lun.Liver with Yin substance and Yang function,its nature is unconstrained.When the liver's substance and function is unbalanced,it affects the physiological functions of the liver,such as governing growth,stabilization,and blood storage,resulting in a pathological state of “spasm dose harms to the liver”.Explain the pathogenesis of “spasm dose harms to the liver” from the aspect of liver's substance and function,that is,the liver is suffering from the pathological state and it can't get rid of it.Try to analyze the cause of “liver pain and urgency” from the aspect of liver's substance and function.Discuss the pathogenesis of “liver pain and urgency” combined with clinical experience,which can be summarized as inadequate and excessive use of liver's function and inadequate use of liver's substance,and elaborate on the treatment principles of alleviating liver dysfunction.Taking something pungent to reinforce the disease of the liver's function,and something sour to reinforce it.Taking something sweet to relieve the disease of the liver's substance.Taking something sour to reinforce it,and taking something sour to discharge it.It is necessary to distinguish between inadequate and excessive of the liver.Sum up the experience of medication,and use the nature and flavor of Chinese medicine to restore the characteristics of the liver.It is helpful for the study of the theory of desire and bitterness infive-visceral with tonifying and dispersing methods of Huangdi Neijing,and it has important guiding significance for medicine compatibility and clinical diagnosis and treatment.

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备注/Memo

备注/Memo:
基金项目:河南省科技攻关项目(192102310166); 河南省重点中医学科(专科)学术带头人培养项目专项课题(2013ZY03005)
更新日期/Last Update: 2021-01-28