从中医肝主疏泄理论谈疏肝解郁法在情志病中的应用
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摘要
肝主疏泄是中医脏象理论的重要内容之一,它是指肝脏具有维持全身气机疏通畅达的功能。中医理论认为,肝脏对于人精神情志活动的调节具有重要影响。肝主疏泄的功能正常,则气机调畅、气血和调,情志活动方能正常发挥。若肝气郁结或亢逆,疏泄失职或太过,则会导致情志活动异常,出现情志类疾病。而情志病多与气机郁滞密切相关,正是由于肝与情志之间存在着密切关系,因此古往今来众多医家在治疗情志病时多从肝主疏泄理论入手,十分重视疏肝调肝,这对情志病的诊疗起着非常重要的指导作用。
Liver controlling conveyance and dispersion is an important part of visceral manifestations theory, which refers that the liver has the function of maintaining the full body qi dredging. Chinese medicine theory believes that the liver has an important influence on the adjustment of human mental and emotional activities. If the function of the liver controlling conveyance and dispersion is normal, the qi in our body is smooth and in harmonious with blood, and emotional activities is normal. If the liver qi is deficient or excessive, it will lead to abnormal emotional activities and emotional diseases. Emotional diseases is often closely related to qi stagnation. Because of the close relationship between liver and emotions, many physicians start with the theory of catharsis of livers in the treatment of emotional diseases since ancient times. They all attach great importance to the regulation of liver function, which plays an important guiding role in the diagnosis and treatment of emotional diseases.
Liver controlling conveyance and dispersion is an important part of visceral manifestations theory, which refers that the liver has the function of maintaining the full body qi dredging. Chinese medicine theory believes that the liver has an important influence on the adjustment of human mental and emotional activities. If the function of the liver controlling conveyance and dispersion is normal, the qi in our body is smooth and in harmonious with blood, and emotional activities is normal. If the liver qi is deficient or excessive, it will lead to abnormal emotional activities and emotional diseases. Emotional diseases is often closely related to qi stagnation. Because of the close relationship between liver and emotions, many physicians start with the theory of catharsis of livers in the treatment of emotional diseases since ancient times. They all attach great importance to the regulation of liver function, which plays an important guiding role in the diagnosis and treatment of emotional diseases.
引文
[1] 李德新.李德新中医基础理论讲稿[M].北京:人民卫生出版社,2011:127-128.
[2] 郑洪新.中医基础理论[M].北京:中国中医药出版社,2016:54-55,154-155.
[3] 李成卫,王庆国.基于知识考古学的朱震亨肝“司疏泄”形成分析[J].世界中医药,2013,8(9):1039.
[4] 张清怡.《临证指南医案》中“肝藏血主疏泄”的脏象理论研究[D].北京:北京中医药大学,2013.
[5] 赵迪,任杰,安海燕.肝主疏泄源流研究[J].西部中医药,2016,29(7):59-60.
[6] 赵迪,任杰,安海燕.肝主疏泄的源流追溯及现代研究[J].中国中医基础医学杂志,2017,23(2):289-291.
[7] 陈攀,徐志伟,敖海清,等.肝主疏泄功能与心理应激性海马损伤相关性研究的概述[J].内蒙古中医药,2013,32(16):125.
[8] 王永炎,王忠.中医神志学说的构建[J].北京中医药大学学报,2013,36(1):10-13.
[9] 于宝明.5位新安医家情志病治疗特色研究[D].合肥:安徽中医药大学,2016.
[10] 乔明琦,王文燕,张惠云,等.肝气逆肝气郁两证病因流行病学调查及情志致病方式研究[J].中国中西医结合杂志,2007,(2):117-119.
[11] 巨守仁.浅谈肝主疏泄的病理变化[J].陕西中医,2012,33(9):1192-1193.
[12] 于峥,黄晓华,滕静如,等.肝主疏泄畅情志的理论内涵及临床应用[J].中医杂志,2013,54(22):1914-1916.
[13] 鲁娜,董湘玉.《伤寒杂病论》情志病浅析[J].贵阳中医学院学报,2009,31(3):1-2.
[14] 魏东生,邵卫,张忠文,等.《金匮要略》情志病治法[J].河南中医,2018,38(4):495-498.
[15] 苏晶.经典经方与情志病的防治[J].环球中医药,2017,10(5):562-564.
[16] 赵迪,任杰,安海燕.肝主疏泄的源流追溯及现代研究[J].中国中医基础医学杂志,2017,23(2):289-291.
[17] 王维广,王莉媛,李成卫,等.当代肝主疏泄理论框架构建分析[J].世界中医药,2015,10(11):1645-1649.
[18] 蔡光先.情志病学[M].北京:人民卫生出版社,2011:15.
[19] 顾玲艳,卢永屹.卢永屹治疗情志病的临床用药经验举隅[J].湖北中医杂志,2017,39(10):14-15.
[20] 钟燕宇,王天芳.王天芳主任医师临床诊治情志病的经验[J].广西中医药,2017,40(3):53-55.
[21] 陈颜.董湘玉教授情志病学术观点及临床经验总结[D].成都:成都中医药大学,2016.
[22] 郭烁,石芳,张娜娜,等.刘启泉应用甘麦大枣汤治疗情志病经验[J].湖北中医杂志,2018,40(1):19-21.
[23] 孙学华,孙青,徐玉萍,等.疏肝解郁法联合健康教育对慢性乙型肝炎患者情志异常的影响[J].上海中医药杂志,2006,(11):6-7.
[24] 李聚林,张世霞.行气解郁汤治疗情志相关性功能性消化不良120例[J].光明中医,2008,(8):1153-1154.
[25] 张赏,牛丽花,刘相蓝,等.舒郁助孕煎治疗情志型不孕症临床研究[J].陕西中医,2017,38(1):57-58.
[26] 林利.理气药对于情志病的应用36例疗效观察[J].中国医药指南,2012,10(18):282-283.
[2] 郑洪新.中医基础理论[M].北京:中国中医药出版社,2016:54-55,154-155.
[3] 李成卫,王庆国.基于知识考古学的朱震亨肝“司疏泄”形成分析[J].世界中医药,2013,8(9):1039.
[4] 张清怡.《临证指南医案》中“肝藏血主疏泄”的脏象理论研究[D].北京:北京中医药大学,2013.
[5] 赵迪,任杰,安海燕.肝主疏泄源流研究[J].西部中医药,2016,29(7):59-60.
[6] 赵迪,任杰,安海燕.肝主疏泄的源流追溯及现代研究[J].中国中医基础医学杂志,2017,23(2):289-291.
[7] 陈攀,徐志伟,敖海清,等.肝主疏泄功能与心理应激性海马损伤相关性研究的概述[J].内蒙古中医药,2013,32(16):125.
[8] 王永炎,王忠.中医神志学说的构建[J].北京中医药大学学报,2013,36(1):10-13.
[9] 于宝明.5位新安医家情志病治疗特色研究[D].合肥:安徽中医药大学,2016.
[10] 乔明琦,王文燕,张惠云,等.肝气逆肝气郁两证病因流行病学调查及情志致病方式研究[J].中国中西医结合杂志,2007,(2):117-119.
[11] 巨守仁.浅谈肝主疏泄的病理变化[J].陕西中医,2012,33(9):1192-1193.
[12] 于峥,黄晓华,滕静如,等.肝主疏泄畅情志的理论内涵及临床应用[J].中医杂志,2013,54(22):1914-1916.
[13] 鲁娜,董湘玉.《伤寒杂病论》情志病浅析[J].贵阳中医学院学报,2009,31(3):1-2.
[14] 魏东生,邵卫,张忠文,等.《金匮要略》情志病治法[J].河南中医,2018,38(4):495-498.
[15] 苏晶.经典经方与情志病的防治[J].环球中医药,2017,10(5):562-564.
[16] 赵迪,任杰,安海燕.肝主疏泄的源流追溯及现代研究[J].中国中医基础医学杂志,2017,23(2):289-291.
[17] 王维广,王莉媛,李成卫,等.当代肝主疏泄理论框架构建分析[J].世界中医药,2015,10(11):1645-1649.
[18] 蔡光先.情志病学[M].北京:人民卫生出版社,2011:15.
[19] 顾玲艳,卢永屹.卢永屹治疗情志病的临床用药经验举隅[J].湖北中医杂志,2017,39(10):14-15.
[20] 钟燕宇,王天芳.王天芳主任医师临床诊治情志病的经验[J].广西中医药,2017,40(3):53-55.
[21] 陈颜.董湘玉教授情志病学术观点及临床经验总结[D].成都:成都中医药大学,2016.
[22] 郭烁,石芳,张娜娜,等.刘启泉应用甘麦大枣汤治疗情志病经验[J].湖北中医杂志,2018,40(1):19-21.
[23] 孙学华,孙青,徐玉萍,等.疏肝解郁法联合健康教育对慢性乙型肝炎患者情志异常的影响[J].上海中医药杂志,2006,(11):6-7.
[24] 李聚林,张世霞.行气解郁汤治疗情志相关性功能性消化不良120例[J].光明中医,2008,(8):1153-1154.
[25] 张赏,牛丽花,刘相蓝,等.舒郁助孕煎治疗情志型不孕症临床研究[J].陕西中医,2017,38(1):57-58.
[26] 林利.理气药对于情志病的应用36例疗效观察[J].中国医药指南,2012,10(18):282-283.