肝阴虚与胆石病关系初探

Discussion on the relationship between liver-yin deficiency and cholelithiasis

胆石病的治疗 ,多重其实而少虑其虚。本文从生理病理角度探讨了肝阴虚与胆石病发病、证治的关系 ,认为胆石病病位在胆 ,但病源在肝。胆汁的化生有赖于肝阴的资助、变化 ,胆汁的藏、泄取决于肝气 (阳 )的疏泄、调节。肝阴不足 ,失于气化、疏泄是胆石形成的重要病理基础。养肝阴、助肝用是防治胆石病的主要措施。强调治疗胆石病的关键在于治病求本 。

On the aspects of differentiation and treatment of cholelithiasis,its excess characters are often stressed while its deficient manifestations are ignored frequently In present article,the relationships of pathogenesis,diagnosis and treatment between liver yin deficiency and cholelithiasis are discussed from the physiology and pathology,holding that the focus of cholelithiasis locates at cholecyst but originates from liver,transformation and generation of bile depend on the supports from liver,storage and discharge of bile hinge on transportation and regulation of liver qi(yang) Insufficiency of liver yin failing to transformation and transportation is the main pathogenesis for cholelithiasis,and stressing the key treatment of cholelithiasis should to deal with its foundational pathologic change