摘要
“肝主筋”理论首见于《素问·痿论篇》,本文从中医学理论出发提出假设:肝藏血和主疏泄的生理功能是通过肝藏对“筋”的调控而实现的,对“肝主筋”的生物学本质进行探讨。“肝主筋”是“肝藏血”功能实现的基础,血管为储存血液的场所,如果被中医理论视为“筋”的血管平滑肌是调节血量分配的具体执行者,那么肝藏则可被视为血管平滑肌的统领者。“肝主筋”是“肝主疏泄”功能实现的根基,肝藏通过调控内脏平滑肌以实现精微物质的输布,这对于维持人体的正常生理活动有重要意义。
The theory of “the liver governs the sinews” was first seen in Wěi Lùn(Discourse on Flaccidity) of Sù Wèn(Basic Questions).This paper hypothesizes based on TCM theory that the liver’s physiological functions of storing blood and governing the free flow of qi are realized through its regulation of the sinews, and we propose a biological interpretation of “the liver governs the sinews”. Firstly, this theory is the basis of the liver’s function of storing blood. Since blood vessels are places where blood is stored, if the vascular smooth muscle which is regarded as “the sinews” in TCM theory is the executor of regulating blood allocation, then the liver can be seen as the regulator of the vascular smooth muscles. Secondly, this theory is also the foundation of “the liver governs the free flow of qi”. The liver can regulate the smooth muscle of viscera to transport essence, this is important for maintaining normal physiological activities of the human body.
作者
徐帅
赵静洁
XU Shuai;ZHAO Jingjie(Department of Traditional Chinese Medicine,Beijing Friendship Hospital,Capital Medical University,Beijing 100050;Department of Integrated Chinese and Western Medicine,Capital Medical University)
出处
《现代中医临床》
2022年第5期39-42,共4页
Modern Chinese Clinical Medicine
基金
国家自然科学基金资助项目(No.82004109)
北京市自然科学基金资助项目(No.7204250)
首都卫生发展科研专项(N0.2022-2-20213)。
关键词
肝主筋
肝藏血
肝主疏泄
平滑肌
the liver governs the sinews
the liver stores the blood
the liver governs the free flow of qi
smooth muscle
