从温胆汤浅析胆阳调神理论
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R229

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浙江省中医药现代化专项项目(2020ZX013)


A Brief Analysis of Theory of Regulating Spirit by Supporting Gallbladder Yang from Perspective of Wendan Tang
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    摘要:

    从溯源温胆汤出发,认为温胆汤最早为胆寒证所创,具有温补胆阳的作用,而非当代所认为的清热化痰方剂。更从古籍记载、现代临床应用以及相关实验研究阐述,认为温胆汤能够调畅神机,治疗多种情志、神志相关性疾病。由此推知,胆阳具有调节神机的生理功能。再结合《素问》《灵枢》等经典著作对胆阳调神理论进行归纳、阐述,认为胆阳主要通过调节五脏之神对神机起到平衡-协调的作用。温胆汤之温胆调神法源流已久,但由于历史沿革逐渐被忽视,如能温故知新,将有助于更新中医对神志、情志的生理及病理变化的理解,为临床辨证论治提供新的思路和方法。

    Abstract:

    Abstract:Tracing back to the origin of Wendan tang,it is believed that this prescription,rather than having the function of clearing heat and resolving phlegm suggested in modern time,was first created for the gallbladder cold syndrome with the function of warming and tonifying the gallbladder yang. Besides, according to ancient records, modern clinical application and related experimental study,it is considered that the Wendan tang can regulate the spirit and treat a variety of emotional disorders and mental diseases. Therefore, it can be inferred that the gallbladder yang has the physiological function of regulating spirit mechanism. In addition,combining the classic works such as Suwen and Lingshu,this paper sums up and expounds the theory of regulating spirit by supporting gallbladder yang, and holds that the gallbladder yang balances and coordinates the spirit mechanism mainly by regulating the spirit of five viscera. The method of using Wendan tang to warm the gallbladder and regulate spirit has a long history,but it is gradually neglected due to historical evolution. As the saying goes, we can gain new insights through restudying old material. It is hoped that the study will help to update the understanding of physiological and pathological changes of spirit and emotion in Chinese medicine, and provide new ideas and methods for clinical syndrome differentiation and treatment.

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张一鸣,叶发,张永华.从温胆汤浅析胆阳调神理论[J].新中医,2021,53(10):12-16

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  • 在线发布日期: 2021-05-24
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