从肝脾论治郁病源流初探  

Discussion on the origin and flow of treating depression from liver and spleen

作　　者：高维[1] 郭蓉娟[2] 于姚 李阳[1] 刘姝含 卢天戈 高东阳[1] GAO Wei;GUO Rongjuan;YU Yao(Beijing University of ChineseMedicine,Beijing 100029,China;不详)

机构地区：[1]北京中医药大学,100029 [2]北京中医药大学东方医院脑病科

出　　处：《环球中医药》2019年第12期1787-1790,共4页Global Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(81874422);国家自然科学基金面上项目(81573843);北京中医药大学优秀传承团队——王永炎名医传承工作站(1000062720028/010)

摘　　要：肝脾在病生理方面关系密切,本文通过分析两汉至今各个时期"肝"和"脾"内涵演变、发展和融合的过程,系统地梳理了肝郁脾虚证的历史源流。肝郁脾虚萌芽于汉唐时期,形成于金元时期,成熟于明清时期,"肝主疏泄"成为肝脏的主要功能,其疏泄情志的功能得到了医家们的充分发挥,使疏肝解郁成为治疗郁病的大法。近现代随着各医家对脾脏逐渐重视,肝脾论治郁病开始成为主流,"脑—肠轴"的发现也为肝脾相关理论提供了科学依据,为郁病的研究提供了新思路。The liver and spleen have a close relation in the physiology and pathology.Based on the historical background,this paper analyzes the evolution,development and integration of the connotation of liver and spleen in different periods from the Han dynasty to today,systematically sorts out the historical formation process and origin of the syndrome of liver stagnation and spleen deficiency.The concept of liver depression and spleen deficiency originated in the Han and Tang dynasties,was formed in the Jin and Yuan dynasties,and got matured in the Ming and Qing dynasties.Later on,the liver govern free coursing became the main function of the liver,especially in the function of regulating emotion which was well developed by doctors.So Soothing liver and relieving depression become the major method of treating depression.With the gradual attention paid to spleen by various doctors at modern times,the treatment of depression from liver and spleen began to become the mainstream.The discovery of brain-intestine axis provides scientific evidence of this theory and gives a new idea for the study of depression.

关 键 词：郁病 肝 脾 肝郁脾虚 理论源流 

分 类 号：R249[医药卫生—中医临床基础]