肝郁脾虚证的虚气留滞病机演变

肝郁脾虚证是多种疾病的关键证候;虚气留滞是多种病证的动态化规律;分析肝郁脾虚证中肝郁与脾虚的虚气留滞病机演变对于“治未病”具有重要意义。肝郁是引起疾病的始动因素,脾虚是病情加重的关键环节,二者相互影响形成虚气留滞动态变化。肝郁脾虚证进一步发展演变,则伤及元气,形成元气亏虚,气血阴阳受损;虚则加重留滞,形成痰湿、瘀血、火热和浊毒等壅聚,虚滞裹挟,疾病缠绵难愈。对肝郁脾虚证的治疗,疏肝尤应重视补脾;针对虚气留滞,特别应先培补元气。因此,充分理解肝郁脾虚证的虚气留滞病机演变是防治多种慢病的关键。

Pathogenesis evolution of deficiency- qi stagnation of syndrome of liver qi stagnation and spleen deficiency

The syndrome of liver qi stagnation and spleen deficiency is the key syndrome of many diseases,and deficiency-qi stagnation is the dynamic law of many diseases and syndromes.It is of great significance to analyze the pathogenesis evolution of deficiency-qi stagnation in liver qi stagnation element and spleen deficiency element of syndrome of liver qi stagnation and spleen deficiency for preventive treatment of disease.Liver qi stagnation is the beginning factor of the disease,and spleen deficiency is the key link of the aggravation of the disease.Liver qi stagnation is the start factor of diseases,spleen deficiency is the key link of the deterioration of diseases,and the interaction of the two syndrome elements form the dynamic changes of deficiency-qi stagnation.The further development of syndrome of liver qi stagnation and spleen deficiency causes damage to primordial qi,and leads to primordial qi deficiency and qi-blood-yin-yang deficiency.The deficiency then aggravates stagnation and forms phlegm dampness,blood stasis,fire-heat and turbidity-toxicity and so on accumulation together.The interaction between deficiency and stagnation makes the disease hard to be cured.In the treatment of syndrome of liver qi stagnation and spleen deficiency,attention should be paid to invigorating the spleen first when it comes to soothing liver.In view of deficiency-qi stagnation,it is necessary to invigorating primordial qi first.Therefore,it is the key to prevent and cure many chronic diseases to fully understand the pathogenesis of syndrome of liver qi stagnation and spleen deficiency.