世界中医药
文章摘要
引用本文:杨光,胡骏,何庆勇,王阶.肝气不足内涵探颐[J].世界中医药,2023,(10):.  
肝气不足内涵探颐
Exploration and Explanation of Deficiency of Liver Qi
投稿时间:2021-10-19  
DOI:10.3969/j.issn.1673-7202.2023.10.009
中文关键词:  肝气不足  肝气虚证  肝虚郁结  中医理论  治疗  土不荣木  胆汁酸代谢紊乱
English Keywords:Liver qi deficiency  Syndrome of deficiency of liver qi  Deficiency and stagnation of liver qi  Theory of traditional Chinese medicine  Treatment  Earth fails in nourishing wood  Disorder of bile acid metabolism
基金项目:国家自然科学基金项目(81974556)
作者单位
杨光,胡骏,何庆勇,王阶 中国中医科学院广安门医院北京100053 
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中文摘要:
      肝气不足的证候在历代古籍记载及临床实践中广泛存在,然而中医教材并未对这一概念进行详细论述。通过文献归纳后发现:肝气不足理论发端于《黄帝内经》,在后世的医疗实践中逐步形成完善的理法方药体系。肝气不足则肝的谋虑和疏泄功能减退,引起情绪及思维活动异常、消化系统症状、筋脉失养症状、女子月事及发育异常等。从现代医学的角度看,“肝气不足”与胆汁酸代谢紊乱比较类似。现对肝气虚与肝血虚进行鉴别,并论述不同疾病的治疗特点,从而拓宽中医临床的诊疗思路。
English Summary:
      The syndrome of liver qi deficiency has been widely recorded in ancient books and clinical practice throughout history,but traditional Chinese medicine(TCM) textbooks do not provide a detailed description of this concept.Through the literature review,it is found that the theory of liver qi deficiency originated from Huangdi's Internal Classic(Huang Di Nei Jing),and gradually formed a complete system of theory,diagnosis,and treatment in later medical practice.Liver qi deficiency leads to a decrease in the liver's function of organization and regulation of qi flow,resulting in abnormal emotions and thinking,digestive system symptoms,malnourishment of tendons and vessels,menstrual and developmental abnormalities in women,and other symptoms.From the perspective of modern medicine,“liver qi deficiency” is similar to disorders of bile acid metabolism.This article distinguished between liver qi deficiency and liver blood deficiency and described the treatment characteristics of different diseases to broaden the clinical diagnosis and treatment ideas in TCM.
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