肝脏的中医藏象归属

Zangxiang Attribution of Liver in Chinese Medicine

现代解剖学和中医学虽然对肝脏在形态和位置上的描述大体一致,但中医学中的肝的功能内涵明显大于现代解剖学中的肝脏,且中医学的肝所具有的功能和生理特性是现代解剖学的肝脏不能完全匹配和完成的,两者并不是同一脏器。依据中医藏象学说,肝脏可归属于中医的脾藏,主要依据为:第一,其代谢、分泌胆汁、解毒排泄的功能与中医脾藏的主运化功能相一致;第二,其造血功能与脾藏生血功能相一致;第三,肝脏能解毒的性质与脾主升清的生理特性是相符的;第四,肝脏的产热现象能诠释《难经》中"脾裹血,温五脏"的说法。

Although modern anatomy and Chinese medicine have the same description of liver in shape and position,the connotation of liver's function in Chinese medicine is obviously larger than that in modern anatomy,and the liver's function and physiological characteristics in Chinese medicine can not be completely matched and completed by modern anatomy,and they are not the same organ.According to the theory of Zang Xiang in Chinese medicine,the liver can be attributed to the spleen of Chinese medicine.The main bases are as follows:firstly,the functions of metabolism,bile secretion,detoxification and excretion are consistent with those of spleen in CM;secondly,the hemopoietic function of the liver is consistent with that of the spleen;thirdly,the detoxification properties of the liver is consistent with the physiological characteristics of spleen governing ascending clear;fourthly,the heat-generating phenomenon of the liver can interpret the saying that"the spleen wraps blood and warms the five zang visceras".