“肝生于左,肺藏于右”理论起源及临床意义  

Origin and Clinical Significance of The "Liver Qi Rising from Left,Lung Qi Droping from Right" Theory

作　　者：周赛男[1] 喻斌[1] 张彧 徐寅[1] 符佳 ZHOU Sainan;YU Bin;ZHANG Yu;XU Yin;FU Jia(The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine,Changsha Hunan China 410021)

机构地区：[1]湖南中医药大学第一附属医院,湖南长沙410021

出　　处：《中医学报》2021年第12期2535-2537,共3页Acta Chinese Medicine

基　　金：湖南中医药大学中医学国内一流建设学科项目(2018-2020年);湖南中医药大学校级科研项目(2018XJJJ45)。

摘　　要：《黄帝内经》中的"肝生于左,肺藏于右"理论,因历代医家对其内涵解释不同及其与西医解剖学位置相反,时常引起争议。"肝生于左,肺藏于右"理论可溯源于《周易》的阴阳之道,在《黄帝内经》中演变为阴阳升降,并奠定了脏腑气机升降的理论基础。临床中,"肝生于左,肺藏于右"体现了肝肺气机升降的特性,标识了肝肺病证反映于体表的病位以及肝肺气血偏胜的病位,指导了中医法象用药。The "Liver Qi rising from left,Lung Qi droping from right " theory in Huang Di Nei Jing is often controversial because of the different interpretations of its connotation by physicians of the past dynasties and the position opposite to the anatomy of Western medicine.The theory can be traced back to the yin and yang in the Zhou Yi,which evolved into the rise and fall of Yin and Yang in the Huang Di Nei Jing and laid the theoretical foundation for the ascending-descending of Qi movement.In clinical practice,this theory reflects the characteristics of the ascending-descending of the liver and lung Qi movement,marking the disease location where the liver and lung disease syndrome is reflected on the body surface and the disease location where the liver,lung Qi and Blood are excessive,and guiding medication by observing Xiang in TCM.

关 键 词：“肝生于左 肺藏于右” 阴阳学说 气机升降 法象用药 《黄帝内经》 《周易》 

分 类 号：R221.1[医药卫生—中医基础理论]