中医“肝郁克脾”病机新解

New Perspective of Pathogenesis of “Liver Depression Restrains Spleen”in Chinese Medicine

"肝郁克脾"是最常见的中医病机之一,此病机涉及中医情志与神志理论的内容。"肝在志为怒""脾在志为思",怒志的生成与表达的矛盾是"肝郁克脾"的核心;"肝藏魂""脾藏意""魂"与"意"的内涵和功能是"肝郁克脾"的深层原因。在情志病和神志病范畴的"肝郁克脾"证,认知行为疗法有利于消除肝脾的矛盾,进而为"肝郁克脾"证治提供新思路。

＂Liver Depression Restrains Spleen＂ is one of the most common pathogenesises in Chinese medicine, which refers to e- motions and consciousness in the theory of Chinese medicine. ＂The emotions in liver can be reflected as anger,in spleen as wor- ry. ＂ The contradiction in generation and expression of anger and worry is the core of ＂Liver Depression Restrains Spleen＂. ＂Liver stores soul, spleen stores consciousness. ＂ The connotation and function of ＂soul＂ and ＂consciousness＂ is the deep reason of ＂Liv- er Depression Restrains Spleen＂. In the syndromes of ＂Liver Depression Restrains Spleen＂ under the category of emotions and con- sciousness disease, cognitive behavioral therapy is a good way in defusing the contradiction between the liver and the spleen, which can provide new method in treating ＂Liver Depression Restrains Spleen＂.