名医取象推论麦芽疏肝功效的思考

Getting analogy and deduction on effect of soothing liver of Fructus Hordei Germinatus by famous doctors

关键词:  象思维  麦芽  疏肝理气  张锡纯

Key words:  analogy  Fructus Hordei Germinatus  soothing the liver Qi  ZHANG Xi-chun

摘要:

清代名医陈修园以取象比类的思维方法推断麦芽有疏肝作用,民国名医张锡纯进一步从理论与临床实践中论证了生麦芽疏肝、升肝气的功效,所论富有法象药理的精神。取象比类是传统中医药说理时不可或缺思维方法,它富有创意但求证不严密。从理论层面而言,由于传统肝藏象理论的综合性、模糊性,麦芽的疏肝功效难以由微观药理分析证实或证伪,而只能仍由临床实践判定。

Abstract:

CHEN Xiu-yuan, a famou doctors in Qing Dynasty, with getting analogy and deducting method considered that Fructus Hordei Germinatus had the effect of soothing the liver. ZHANG Xi-chun, a famous doctor in the past time of civilian country has further proved the effect of soothing live and rising liver Qi of Fructus Hordei Germinatus from theory and practice. This conclusion has analogy-evidenced pharmacologic spirit. Getting analogy and classing is necessary method of thinking in demonstration of the traditional Chinese medicine, having creative significance but not so tight in obtaining the evidences. Speaking from the theory, owing to the characteristics of comprehension and moggy feature, the effect of shooting liver is a difficult problem in proving its reality or false phenomenon. It will be determined eventually by the clinical practices.