肝之补泻刍议

Analysis of Reinforcing and Reducing the Liver

分析《金匮要略·脏腑经络先后病脉证第一》中"夫肝之病,补用酸,助用焦苦,益用甘味之药调之"中所蕴含的阴阳互生、五行生克以及气机升降之机制。"酸、焦苦、甘"补肝法并不违背经旨,从某种意义上讲,是对《素问·脏气法时论》"辛补酸泻"的补充与发展。临床上,肝的补泻用药更多地体现在对肝病理状态及其传变的分析上,不应拘泥于原文经旨。

By analysis of ＂alternating between Yin and Yang＂, ＂promotion and restriction among the five elements＂ and ＂Qi activity lifting and lowering＂ contained of ＂For a case of liver disease,drugs with a sour taste would be used to replenish the deficient liver. Scorched,bitter and sweet ingredients should be used as an adjuvant to harmonize the syndrome＂ in Synopsis of Prescriptions of The Golden Chamber ＂On Pulse, Symptoms Complex and Transmission of Diseases of Viscera,Bowels,Channels and Collaterals. The theory of replenishing the liver by some drugs with sour,scorched,bitter and sweet tastes doesn＇t go against the theory of Huangdi＇s Inner Classic of Medicine. In a sense,it supplies and develops the method of ＂pungent reinforcing and sour reducing＂ in Huangdi＇s Inner Classic of Medicine. Drugs used to reinforce and reduce the liver reflect the analysis of the pathological state and disease transmission of the liver which shouldn＇t stick to the original of Huangdi＇s Inner Classic of Medicine.