思虑伤肝理论探析

Analysis on the theory of liver injury caused by contemplation

“思”在情绪为思虑且代表思考、思虑等思维功能,包含了情绪和认知双重范畴。传统理论认为“思”与脾、心关系密切,通过文献研究笔者认为“思”与亦肝存在密切的联系,思伤致病必先使肝气失调,耗伤肝血。“思”在生理中依赖肝主疏泄生理功能,病理中归纳为3个方面:一阻碍肝气升发,气机不畅;二思伤肝血,肝阳亢动;三思生痰湿,引起肝郁化火。过“思”致肝气不畅、肝血不足等病机易致化热、痰饮、阴虚等病理变化,故临床病证变化多端。

‘Si'represents thinking,thinking and other thinking functions in emotion,including the dual categories of emotion and cognition.The traditional theory believes that‘Si'is closely related to the spleen and heart.Through literature research,the author believes that'Si'is closely related to liver.The pathogenesis of thinking injury must first lead to liver qi disorder and liver blood loss.'Si'in physiology depends on the physiological function of liver governing dispersion.In the pathology,it is summarized as three aspects,which hinder the rise of liver qi and impede qi movement;Thinking hurt liver blood,hyperactivity of liver yang;Thinking produces phlegm and dampness,resulting in liver depression into fire.Excessive‘Si'leads to liver qi stagnation,and liver blood deficiency and other pathogenesis can easily lead to pathological changes such as heat pathogen,phlegm,yin deficiency and so on,so there are many changes in clinical syndromes.