吉林中医药2026，Vol.46Issue(8)：975-979,5.DOI:10.13463/j.cnki.jlzyy.2026.08.006
基于《脾胃论》"胆气春升"理论初步构建脂肪肝辨治体系
Construction of a syndrome differentiation and treatment system of fatty liver based on the"ascending of gallbladder qi in spring"theory from the"Treatise on the Spleen and Stomach"
摘要
Abstract
The"ascending of gallbladder qi in spring"theory originates from the Huangdi Neijing(Inner Canon of Yellow Emperor).The theory states that the Shaoyang gallbladder meridian represents yang in its first stage,characterized by faint yang qi--the initial emergence of yang qi,embodying a generative force with the nature of clear yang ascending,aligning with the rising qi in spring.Gallbladder qi promotes the vital essence of the viscera.Li Gao inherited and developed the theories from the Huangdi Neijing and the Shanghan Lun(Treatise on Cold Pathogenic Diseases),explicitly proposing the"ascending of gallbladder qi in spring"theory,whose connotation can be summarized into three aspects:"initiation","vitality",and"qi smoothing or regulating".The liver and gallbladder both pertain to wood,with the liver as yin and the gallbladder as yang.They synergize physiologically,jointly governing ascending and dredging and regulating qi movement.Based on Li Dongyuan's interpretation of"ascending of gallbladder qi in spring",this study explores the pathogeneses of fatty liver from the perspectives of liver-gallbladder disharmony,dysfunction of the six fu-organs in transformation,and metabolic disorders of qi,blood,and body fluids,attributing its occurrence to deficiency,stagnation,and counterflow of qi.The fatty liver treatment framework is preliminarily constructed under the theory of"ascending of gallbladder qi in spring",emphasizing dispelling wind and ascending yang,smoothing qi flow,and warming the gallbladder and resolving phlegm.关键词
胆气春升/《脾胃论》/脂肪肝Key words
ascending of gallbladder qi in spring/Piwei Lun(Treatise on Spleen and Stomach)/fatty liver分类
医药卫生引用本文复制引用
李紫健,牛建海,田巍,苏春芝..基于《脾胃论》"胆气春升"理论初步构建脂肪肝辨治体系[J].吉林中医药,2026,46(8):975-979,5.基金项目
2022年河北省重点研发计划项目(223777124D) （223777124D）
