摘要
“思”在情绪为思虑且代表思考、思虑等思维功能,包含了情绪和认知双重范畴。传统理论认为“思”与脾、心关系密切,通过文献研究笔者认为“思”与亦肝存在密切的联系,思伤致病必先使肝气失调,耗伤肝血。“思”在生理中依赖肝主疏泄生理功能,病理中归纳为3个方面:一阻碍肝气升发,气机不畅;二思伤肝血,肝阳亢动;三思生痰湿,引起肝郁化火。过“思”致肝气不畅、肝血不足等病机易致化热、痰饮、阴虚等病理变化,故临床病证变化多端。
‘Si'represents thinking,thinking and other thinking functions in emotion,including the dual categories of emotion and cognition.The traditional theory believes that‘Si'is closely related to the spleen and heart.Through literature research,the author believes that'Si'is closely related to liver.The pathogenesis of thinking injury must first lead to liver qi disorder and liver blood loss.'Si'in physiology depends on the physiological function of liver governing dispersion.In the pathology,it is summarized as three aspects,which hinder the rise of liver qi and impede qi movement;Thinking hurt liver blood,hyperactivity of liver yang;Thinking produces phlegm and dampness,resulting in liver depression into fire.Excessive‘Si'leads to liver qi stagnation,and liver blood deficiency and other pathogenesis can easily lead to pathological changes such as heat pathogen,phlegm,yin deficiency and so on,so there are many changes in clinical syndromes.
作者
程勋树
林文达
冯珂
王可馨
刘鸣洋
游雪娟
纪立金
CHENG Xun-shu;LIN Wen-da;FENG Ke;WANG Ke-xin;LIU Ming-yang;YOU Xue-juan;JI Li-jin(School of Traditional Chinese Medicine,Shandong University of Traditional Chinese Medicine,Jinan 250355,China;College of Traditional Chinese Medicine,Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2022年第12期7109-7112,共4页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
福建省自然科学基金项目(No.2020J01739)
国家自然科学基金面上项目(No.81373528)。
关键词
思
肝
情志
中医
脾胃
Contemplation
Liver
Emotion
TCM
Spleen and stomach
作者简介
通信作者:纪立金,福建省福州市闽侯上街邱阳路1号福建中医药大学中医学院,邮编:350122,电话:0591-22861171,E-mail:1307667018@qq.com。