肝主疏泄源流研究

Study on the Origin and Development of Liver Governing Catharsis

"疏泄"一词最早见于《黄帝内经》,可理解为涉及"脾土"与"肝木"之间的密切关系,是土与木关系的统论;至金元明时期,朱丹溪的"相火论"对"肝主疏泄"的内涵发展影响巨大;此后近代医家在此基础上又对该理论进行完善补充;新中国成立以后,"肝主疏泄"的理论被统一为肝的生理功能之一写进教材;此外,现代西医研究也从不同角度如心理应激角度,边缘系统理论,激素论等对肝主疏泄进行了合理阐释。

The term ＂liver governing catharsis＂ was first seen in HuangDi NeiJing, which meant the close re- lationship between spleen earth and liver wood, and the introduction of the correlations between earth and wood; till the JinYuan and Ming dynasties, Zhu Danxi＇s ＂phase fire theory＂ presented great influences on the development and the connotations of＂liver governing catharsis＂; henceforth the physician in the modem times optimized the theory on the foundation; since new China was founded, the theory of ＂liver governing catharsis＂ had been written into the teaching material as one of physiological functions of liver; besides that, rational explanation of ＂liver governing catharsis＂ had been found from different angles： mental stress, marginal system theory and hormone theory in west- em medicine.