肝主疏泄的生理学基础探讨

Study on physiological basis of liver governing conveyance and dispersion

从现代信息控制系统理论的角度,探讨了肝主疏泄的生理学基础,认为本能需求为肝主疏泄的核心,动机和情绪中枢大脑边缘系统为肝主疏泄的调控中枢;下丘脑-脑干-自主神经通路和交感-肾上腺髓质通路是其信息通路;平滑肌系统是肝主疏泄功能得以实现的效应器,其通过舒缩运动引起气血津液分布的变化而使肝能疏泄,又通过感觉传入系统将这种变化传入边缘系统进行反馈调节;肾上腺皮质激素对肝主疏泄功能的维持和变化有重要的调节作用。

The physiological basis of liver governing conveyance and dispersion (LGCD) was investigated from the aspect of modern information control system. The result showed that the instinctive demand was the core of LGCD. The brain limbic system, the center of motivation and emotion, was the control center of LGCD. The information path of LGCD was the hypothalamic-brainstem-autonomic nervous path and its effector was the smooth muscle system, which changed the distribution of qi, blood and body fluid through the systaltic movement to bring about LGCD, then transmitted the changes to the limbic system to get the feedback regulation through the sensory afferent system. The adrenocortical hormone played an important role in maintaining and changing the normal function of LGCD.