《内经》“凡十一脏取决于胆”机制探析

The Mechnism Discussion of the Theory of the Eleven Organs Depended by Gallbladder in Huangdi's Canon of Medicine

在归纳《黄帝内经》颇具争议的"凡十一脏取决于胆"一语的诸家之见基础上,认为有两解可互参互补。其一,基于《素问.六节藏象论》以时节论脏腑的天人背景,同意以胆气应春,具生、升之气为解,此偏"气"之"取决";其二,胆为中正之官取决论亦具意义,此偏"神"之"取决"。鉴于历来持后见者之释常语焉不详,笔者着重就中正与决断、决断与取决关系作了机制探析,或存启示。"神"与"气",本就气能生神,神能驭气关系,两种见解,自可并行不悖,互为补充。

The passage thought there were two explanations to the theory of the eleven organs depended by gallbladder in Huangdi＇s Canon of Medicine on the basis of the other views of specialist.Firstly,it agreed with the view of the gallbladder corresponds to the spring and processes the rising and growing QI which put emphasis on the depending Qi based on the theory of the unity of organs and timing in Su Wen six-six system and Visceral manifestation.Secondly,it agreed with the view of the gallbladder,it can be used to judge organ to make decision which put emphasis on the depending of spirit.The speech focused on the relationship of judging and decision-making and depending and made mechanism discussion for the reason of the unclear of explanation of the second view.The spirit and Qi can promote each other,so the two views can supplement to each other too.