摘要
[目的]探析《灵枢·九宫八风》中“肝与湿相应”的内涵。[方法]在分析《灵枢·九宫八风》原文的基础上,通过收集、整理相关古今文献,探究“肝与湿相应”的机制,并与现代临床应用相结合,对“因肝气不调而使机体伤于湿”的临床防治进行探析。[结果]《灵枢·九宫八风》原文通过描述太一游宫的规律,将时、空相统一,体现了古代时空统一观;通过描述游宫过程中的占法,提出太一移宫会引起风雨。“风”又分虚实,通过八方虚风将人体与时空相联系,形成了时间、空间、脏腑相统一的早期中医时空观。“肝与湿相应”,从时空角度来看,春季与东方均与肝相应,春季多雨,东方临海,均可使东方虚风湿气过盛;西方秋分时,易感受主气为湿的东方虚风。西方应肺,东方应肝,从脏腑角度来看,为肺气不足,肝气犯肺,气机失调而生内湿,进而招外湿来犯。联系临床可知,肝气不调可使机体伤于湿,在防治过程中要以调肝为要,肝肺同调,顾护脾胃,顺应四时,形神兼养。[结论]《灵枢·九宫八风》中“肝与湿相应”与文中体现的早期中医时空观有关,可将时空与脏腑结合起来理解。肝气不调可使机体伤于湿,在防治过程中要以调肝为主,兼调肺和脾胃,顺应四时以形神兼养。
[Objective]To explore the connotation of“liver corresponding to dampness evil”in Lingshu·Jiugong Bafeng.[Methods]Based on the analysis of the original text of Lingshu·Jiugong Bafeng,the mechanisms for the“liver corresponding to dampness evil”were explored through the collection and collation of relevant ancient and modern literature,Combine with modern clinical application,and the clinical prevention and treatment of“dampness injury caused by the abnormal liver Qi”was analyzed in combination with modern clinical application.[Results]Through the analysis of the original text of Lingshu·Jiugong Bafeng,it can be seen that the text unifies time and space by describing the law of Taiyi marches in the nine palaces,reflecting the ancient unified view of time and space.Through describing the divination methods in the course of the tour,it is proposed that Taiyi tour will cause wind and rain,and the“wind”is divided into deficiency and excess,and the human body is connected with time and space through the deficient wind of eight directions,forming the early traditional Chinese medicine(TCM)view of time and space,which unifies time,space and viscera.Liver corresponding to dampness evil,from the perspective of time and space,the spring and the east are corresponding to the liver,the spring is rainy,and the east is near the sea,which can make the eastern deficient wind and excessive moisture;in the autumn equinox in the west,it is easy to be attacked by the dampness of the eastern deficient wind,the western viscera should be the lung,and the eastern viscera should be the liver.From the perspective of the viscera,it is deficiency of the lung Qi,the liver Qi invading the lung,and the imbalance of Qi movement leads to the internal dampness,which leads to the external dampness invasion.According to the clinical application,the irregular liver Qi can cause the body to be injured by dampness.In the prevention and treatment process,it is necessary to regulate the liver,harmonize the liver and lung,take care of the spleen and stomach,comply with the four seasons,and nourish the body and spirit.[Conclusion]“Liver corresponding to dampness evil”in Lingshu·Jiugong Bafeng is related to the early TCM view of time and space reflected in the original text,which can be understood by combining time and space with organs.The unregulated liver Qi can cause the body to be harmed by dampness,it is necessary to regulate the liver,combined with regulating the lung,spleen and stomach,and obey the law of four seasons to nourish the body and spirit in the process of prevention and treatment.
作者
王敏
王兴伊
钱伟强
WANG Min;WANG Xingyi;QIAN Weiqiang(Shanghai University of Traditional Chinese Medicine,Shanghai(201203),China;Tianjin Binhai New Area Hospital of Tra-ditional Chinese Medicine)
出处
《浙江中医药大学学报》
2025年第8期996-1003,共8页
Journal of Zhejiang Chinese Medical University
基金
国家社会科学基金项目(19VJX165)。
关键词
《黄帝内经》
《灵枢·九宫八风》
太一
肝
湿气
时空
脏腑
形神兼养
Huangdi’s Inner Classic
Lingshu·Jiugong Bafeng
Taiyi
liver
dampness evil
time and space
Zang-fu organs
nourish both body and spirit
