“肝胆相照”医学内涵探微

Exploration on Medical Connatation of“Liver and Gallbladder Being Closely Related”

通过查阅文献、结合临床,从解剖位置、生理功能、病理变化三方面阐释“肝胆相照”的医学内涵。肝胆两者在解剖上互相依靠,紧密相连;在生理上相互协同,相互为用;在病理上相互影响,互为因果。治疗肝胆疾病应将肝、胆作为整体,结合天人相应思想,重视丑时对肝胆疾病转归的重要影响,预防肝病及胆、胆病及肝的疾病转变,将调节肝胆作为维持人体健康的基础。

Through literature review and clinical practice,the medical connotation of“liver and gallbladder being closely related”was explained from the following three aspects:anatomical location,physiological function,and pathological change.In anatomical location,liver and gallbladder are adjacent and closely connected.In physiological function,they work collaboratively and reinforce each other.In pathological change,they are interconnected and there are reason-result relationships between them.In the treatment of hepatobiliary diseases,we should regard the liver and gallbladder as a whole,combine the thought of correspondence between man and universe,pay attention to the important influence of Choushi(the period of the day from 1 a.m.to 3 a.m.)on the prognosis of hepatobiliary diseases,prevent liver disease from spreading to gallbladder and gallbladder disease from spreading to liver,and take regulating the liver and gallbladder as the basis of maintaining human health.