一气周流视域下肝五味补泻理论与应用OA
Theory and application of tonifying and purging the liver with five flavors from the perspective of one qi circulation
文章运用一气周流,首先阐述不同程度肝气运行失常相应的五味治法,轻者仅及本脏且病位表浅,其升发不及者治以辛散,升发太过者治以酸敛,肝精气亏虚治以甘补;重者兼及他脏或层次较深,其升发不及者配以咸味渗泄,升发太过者配以苦味降泄,或配甘味枢转中土.其次,结合例证阐述肝五味补泻的临证应用,根据肝气升发太过、不及和相兼为患的三种类型,以及肝气病位与范围4个方面的个性特征,精准选用相应作用部位与范围、作用方向和态势的药物.文章系统阐释了肝五味补泻理论与应用思路,临证知常达变,方可提高肝气运行失常病证的治疗效果.
This article uses the principle of one qi circulation to first explain the treatment methods of the five flavors corresponding to different degrees of liver qi dysfunction.Mild cases only affect the liver and the location of disease is superficial.For cases with insufficient qi elevation,pungency drugs are used to promote digestion.For cases with excessive qi elevation,sour drugs are used to converge.For cases with liver essence and qi deficiency,sweet flavors are used to supplement benefits.For severe cases involving other internal organs or deeper disease sites,if the qi elevation is not sufficient,salty drugs should be used for exudation.If the qi elevation is too high,bitter drugs should be used to lower the qi and relieve heat,or sweet drugs should be used to pivot the middle earth.Secondly,combined with examples,the clinical application of tonifying and purging the liver with the five flavor was explained.Based on the three types of liver qi rising too much,too little,and coexisting,as well as the location and scope of liver qi disease,their individual characteristics were taken into account to accurately select drugs with corresponding action sites,ranges,directions,and trends.This article systematically explains the theory and application ideas of tonifying and purging the liver with the five flavor.Only by recognizing their regularity and achieving their changes can the treatment effect of liver qi dysfunction be improved.
宫庆秀;尹晓琳;魏凤琴
山东中医药大学,济南250355山东中医药大学中医学院,济南 250355山东中医药大学中医学院,济南 250355
一气周流肝五味补泻内涵临证应用
One qi circulationLiverFive flavors for tonifying and purgingConnotationClinical application
《中华中医药杂志》 2026 (1)
39-43,5
山东省重点研发计划(No.2016GSF202024),国家中医药管理局高水平中医药重点学科中医基础理论学科(No.2023-118)
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