从“肝藏魂”论肝主疏泄  

Liver Governing Free Flow of Qi from the Perspective of “Liver Storing the Soul”

作　　者：程茗 彭伟军[2] 杜春雨 宋楠 高明周[4] 张震 CHENG Ming;PENG Weijun;DU Chunyu;SONG Nan;GAO Mingzhou;ZHANG Zhen(Guizhou University of Traditional Chinese Medicine,Guiyang 550025,China;Xiangya Second Hospital of Central South University,Changsha 410012,China;Qinhuangdao Shanhaiguan Pharmaceutical Co.,Ltd.,Qinhuangdao 066200,China;Shandong University of Traditional Chinese Medicine,Ji′nan 250035,China)

机构地区：[1]贵州中医药大学,贵阳550025 [2]中南大学湘雅二医院,长沙410012 [3]秦皇岛市山海关药业有限责任公司,秦皇岛066200 [4]山东中医药大学,济南250035

出　　处：《世界中医药》2024年第14期2140-2142,2147,共4页World Chinese Medicine

基　　金：国家自然科学基金项目(82160920,82360951);中国博士后科学基金资助项目(2022M711733);贵州省自然科学基金项目(黔科合基础-ZK[2022]一般511);河北省博士后择优资助项目基金(B2022003040);贵州省卫健委科学技术基金项目(gzwkj2023-148);贵州中医药大学学术新苗专项(贵科合学术新苗[2023]-51号)。

摘　　要：“肝藏魂”是中医藏象理论中的重要内容,魂随神往来,为阳神。无论“罢极之本”或“肝主疏泄”,均体现肝“用阳”的生理特性,肝“用阳”实为肝藏魂(阳神)的外在表现。疏泄为肝最重要的生理功能,肝魂调控肝之疏泄发挥功能作用,魂安则疏泄正常;若魂不安则疏泄失常,继而诱发肝气逆、肝气郁两证。“Liver stores the soul” is a key concept in the traditional Chinese medicine(TCM) theory of Zang manifestation.The soul,being a yang spirit,travels with the mind.Both the root of tolerance to fatigue and the “liver governing free flow of qi” reflect the physiological characteristic of the liver “using yang”.In essence,“using yang” by the liver is an external manifestation of the liver storing the soul(yang spirit).Free flow of qi is the most important physiological function of the liver.The liver soul regulates and ensures the proper functioning of the liver in governing the free flow of qi.When the soul is at peace,free flow of qi is normal.However,if the soul is unsettled,free flow of qi becomes disrupted,leading to conditions such as liver qi counterflow and liver qi stagnation.

关 键 词：肝主疏泄 肝失疏泄 五神 肝藏魂 肝气郁证 肝气逆证 阳神 证候 

分 类 号：R223.1[医药卫生—中医基础理论]