《金匮要略》中肝脾理论在杂病中的应用

The Application of Liver and Spleen Theory in Miscellaneous Diseases in Synopsis of the Golden Chamber

《金匮要略》是中国古代著名医学大家张仲景所著《伤寒杂病论》的一部杂病,也是国内最早的一部关于疑难杂症的论著,其书原名《金匮要略杂论》。其中很多经典方剂一直至今都不时失用。肝脾理论在五脏关系中显得尤为特殊且是重要组成部分,以其不同的生理功能以及不同的病理特性,决定了肝脾之间的紧密相连,总的来说肝脾无论是在生理功能上来说还是病理功能上来说是相互影响、相互传变的。而《金匮要略》中极其重视肝、脾所产生的病变与矛盾,提出了“见肝之病,知病传脾”、“肝脾同调”等治疗理论,对当今临床治疗仍具有极大的意义。

Synopsis of Golden Chamber is one of the miscellaneous diseases of Typhoid Fever and Miscella-neous Diseases written by Zhang Zhongjing, a famous medical master in ancient China. It is also the earliest treatise on difficult and miscellaneous diseases in China. Many of these classic pre-scriptions have been discontinued from time to time. The theory of liver and spleen is particularly special and an important part of the relationship between the five viscera. With its different physiological functions and different pathological characteristics, it determines the close connection between liver and spleen. Generally speaking, liver and spleen interact with each other in physiological function and influence each other in pathology. In the Synopsis of the Golden Chamber, the diseases and contradictions of the liver and spleen were attached great importance, and the treatment theories such as “see the disease of the liver, know the disease to the spleen” and “the harmony of the liver and spleen” were put forward, which are still of great significance for clinical treatment today.