仲景调和肝脾学术思想初探

Research on Theory of Coordinating Liver and Spleen of ZHANG Zhong-jing

文章从《伤寒论》、《金匮要略》二书中,探讨总结了张仲景调和肝脾的学术思想及其体系,其总的精神为"平调阴阳",恢复机体生理平衡;其治疗方法,则按照标本关系,或治肝为主,或治脾为主,或肝脾同治,或先用一法,后用一法。其治疗手段则有方药、针刺等。文章试图总结归纳其方法及精神,以期对临床有所裨益。

Incoordination between liver and spleen is the frequent clinical pathogenesis.ZHANG Zhong-jing discussed this question particularly in his contributions Shanghan Lun（Treatise on Febrile Diseases Caused by Cold）and Jingui Yaolue（The Prescription in Golden Cabinet）.His academic standpoint has been influencing the later generations.Analyzing and summarizing the clauses in Shanghan Lun and Jingui Yaolue,analyzing the differences between different syndromes,there are eight basic methods in ZHANG＇s books：①dispersing the stagnation of liver-QI;②elimination of the liver heat;③subduing the excessive liver-energy;④supporting the liver blood;⑤elimination of the gallbladder fire;⑥warming the spleen yang;⑦elimination of cold-dampness;⑧eliminating Fu-organ excess.All diagnosis and treatment are based on an overall analysis of the illness and the patients＇ conditions.Sometimes the liver disease is treated at first,sometimes the spleen disease is treated at first,sometimes both of them are treated.One of these methods is used,or two of them are used together.Sometimes,one is used at first and another is used at last.According to this theory,there are many therapies here,for example,prescription and acupuncture.The purpose of coordinating liver and spleen is to harmonize Yin and Yang.