论“女子以肝为先天”的生理病理基础及临床意义

Discussion on Physiopathological Basis of "the Liver is the Congenital Dependence of Women"and Its Clinical Significance

关键词:  肝  先天  生理  病理  临床

Key words:  liver  congenital dependence  physiology  pathology  clinic

摘要:

"女子以肝为先天"之说,首见于叶天士《临证指南医案》,其说影响深远,对临床有一定指导意义。本文试从生理、病理基础及临床意义诸方面加以阐述。指出女子经、带、胎、产以肝为枢纽,肝与冲任二脉关系密切为其生理基础;女子多肝郁之证,多肝血不足之证,多肝郁化火之证等为其病理基础;并就肝病导致妇科疾病的临床表现及治疗意义进行了深入探讨,指出调肝养肝是妇科常用治法之一。

Abstract:

The liver is the congenital dependence of women"was put forward firstly in Linzheng Zhinan Yi’an written by Ye Tianshi with a pronounced influence. The theory had certain significance for clinical practice. It was discussed on the physiological and pathological basis and with respect to the clinical significance and shown that the liver was the pivot of menstruation, leukorrhea, pregnancy and delivery. The physiological basis was the close relationship between the liver and two extra channels (Chong and Ren Channels). The pathological basis was the syndrome of stagnation of liver qi, deficiency of the liver blood, and stagnant qi of the liver turning to fire, which was often found in women. The clinical manifestations and therapeutic effects of gynecopathy secondary to the liver diseases were discussed deeply. Regulating and nourishing the liver was one of the often-used therapies in gynecology.