摘要
现代解剖学和中医学虽然对肝脏在形态和位置上的描述大体一致,但中医学中的肝的功能内涵明显大于现代解剖学中的肝脏,且中医学的肝所具有的功能和生理特性是现代解剖学的肝脏不能完全匹配和完成的,两者并不是同一脏器。依据中医藏象学说,肝脏可归属于中医的脾藏,主要依据为:第一,其代谢、分泌胆汁、解毒排泄的功能与中医脾藏的主运化功能相一致;第二,其造血功能与脾藏生血功能相一致;第三,肝脏能解毒的性质与脾主升清的生理特性是相符的;第四,肝脏的产热现象能诠释《难经》中"脾裹血,温五脏"的说法。
Although modern anatomy and Chinese medicine have the same description of liver in shape and position,the connotation of liver's function in Chinese medicine is obviously larger than that in modern anatomy,and the liver's function and physiological characteristics in Chinese medicine can not be completely matched and completed by modern anatomy,and they are not the same organ.According to the theory of Zang Xiang in Chinese medicine,the liver can be attributed to the spleen of Chinese medicine.The main bases are as follows:firstly,the functions of metabolism,bile secretion,detoxification and excretion are consistent with those of spleen in CM;secondly,the hemopoietic function of the liver is consistent with that of the spleen;thirdly,the detoxification properties of the liver is consistent with the physiological characteristics of spleen governing ascending clear;fourthly,the heat-generating phenomenon of the liver can interpret the saying that"the spleen wraps blood and warms the five zang visceras".
作者
徐杨
张启明
王义国
XU Yang;ZHANG Qiming;WANG Yiguo(Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences,Beijing China 100700;Experimental Research Center,China Academy of Chinese Medical Sciences,Beijing China 100700)
出处
《中医学报》
CAS
2020年第7期1397-1400,共4页
Acta Chinese Medicine
基金
中华人民共和国科学技术部重点研发计划项目(2019YFC1711700)
中国中医科学院医学实验中心第十二批自主选题项目(ZZ2018016)。
关键词
肝脏
脾藏
中医藏象
liver
spleen
Zangxiang in Chinese medicine
作者简介
徐杨(1991-),女,河南濮阳人,博士研究生,研究方向:中医疗效的客观评价;通信作者:张启明(1964-),男,山东潍坊人,医学博士,教授,博士研究生导师,研究方向:中医理论的定量和实证研究。E-mail:zhang_917@126.com。
