“胆主决断”的再认识

Re-understanding of “gallbladder controls the power of decision”

古今对"胆主决断"的认识主要局限于胆在人体精神情志活动中的重要作用,显得过于片面,有必要回归"决断"的字义予以胆主决断的再认识。胆储存、分泌、排泄胆汁,并决定胆汁存泻的时机和多少是"胆主决断"的实质。这种决断的表现形式包括调节五脏六腑的藏泻满实、调节饮食物的化生代谢、调节气机、调畅气血;若胆决断胆汁藏泻功能的紊乱与障碍,使胆汁或排泄不畅,或排泄的成分比例失调,从而影响其对人体脏腑藏泻、满实的调节而引发全身多系统病变的发生。胆的解剖特点、脏腑归属及藏泻并兼的功能特性是胆主决断的生理基础。

The understanding of 'gallbladder controls the power of decision'in ancient and modern time is mainly confined to the important role that gallbladder plays in human mental and emotional activities,which seems too unilateral. So it's necessary to re-understand'gallbladder controls the power of decision 'by returning the literal meaning of the word'decision'. The substance of'gallbladder controls the power of decision'is that gallbladder stores,secretes and excretes bile,and decides the time and quantity of bile storage and discharge. The manifestation patterns of this kind of decision include regulating the storage and discharge of zang-fu organs,the transformation and metabolism of food and water,and the qi movement as well as qi and blood. Otherwise,the disorder and obstruction of bile storage and discharge could lead to difficult bile discharge or disproportionality of excretory ingredients,and subsequently affect the regulation of storage and discharge of zang-fu organs and finally result in systemic multiple system lesions. The physiological base of 'gallbladder controls the power of decision'is the anatomical features of gallbladder,the ascription of zang-fu organs and its concurrent functional properties of storage and discharge.