治胆虚以“和”为“补”  

Treatment of Gallbladder Deficiency Regarding Harmonization as Tonifting

作　　者：钟泽明[1] 吴海滨[2] 黄恩[2] 陈荣添[2] 熊文生[2] 

机构地区：[1]天河区中医医院,广东广州510655 [2]广州中医药大学第一附属医院,广东广州510405

出　　处：《辽宁中医药大学学报》2013年第3期135-137,共3页Journal of Liaoning University of Traditional Chinese Medicine

摘　　要："胆虚"之记载从《内经.素问》记载开始,后随历代医家之源流分派,其对"胆虚"之见解亦大有不同。胆为六腑之首,又为奇恒之腑,其生理特点决定了其发病特征。肝胆相表里,胆为中正之官,刚正之腑,主决断;胆属足少阳经。少阳为枢。胆病则气机疏泄失常,枢机调控失灵,情志调节失控,故而出现"……善太息,口苦,呕宿汁,心下,恐人将捕之,嗌中然,数唾……"等症状。孙思邈在《备急千金要方.胆腑.胆虚寒》中提出:"大病后虚烦不得眠,此胆寒故也,宜服温胆汤。"胆象于肝,为清净之腑,喜宁谧柔和,恶烦扰壅郁。胆虚,治疗上当以温胆,温胆即为和胆,和胆即为补胆也[1]。The gallbladder deficiency is recorded in Neijing· Suwen, following the traditional source of assignment, their views of gallbladder deficiency are very different. Gallbladder is the first of the six hollow organs, and it is also extraordinary Fu-organs. Its physiological character determines the incidence characteristics. Gallbladder and liver are mutually connected form inside, and gallbladder is Fu-organ with decisive and upright eharacter, governing decision. The gallbladder belongs to meridian of foot-Shaoyang which is the pivot. If the gallbladder is sick, the Qi could not dredge normally, the emotion will be out of control, leading to derive other symptoms like sighed frequently, bitter taste, acid regurgitation, feeling terrified and worrying be arrested, feeling something obstructed in throat, nausea and desiring to retch and so on . SUN Simiao had stated in his works Thousand-Golden-Prescriptions Gallbladder - Deficiency- cold of gallbladder： dysphoria and insomnia after a serious illness are because of the deficiency-cold of gallbladder. It should take Wendan Decoction. Gallbladder is like liver, which is fond of peace and gentle, detesting bother and depression. Warming gallbladder is the treatment of gallbladder deficiency which is as harmonizing gallbladder. So harmonizing gallbladder is as tonifying gallbladder.

关 键 词：胆虚 中医辨证 温胆汤 补法 和法 

分 类 号：R256.4[医药卫生—中医内科学]