脂肪肝与痰涎肝

中医学之痰涎,来源于五谷,是由于机体代谢失常产生.张景岳讲到"痰即人身之津液,无非水谷之所化(按:'化'即代谢).此痰亦即化之物,而非不化之属也……但化得其正则形体强,营卫充……若化失其正则脏腑病,津液败而血即成痰."李时珍也曾说过"痰之为物……入于肝则流伏,蓄聚而成胁痛"及尤在泾"左胁之痛,多因留血,右胁之痛.悉是痰积",说明肝有一特异证候,即痰涎肝.痰涎肝与脂肪肝无论生理、病理、体征等极为相似,故冠以痰涎肝之名.

Fatty liver and liver with phlegm

Phlegm in TCM theory, coming from 5 grains, was resulted from the abnormal metabolism of the body. Zhang Jing-yue considered that phlegm, a kind of body fluid, was the metabolism products of water and grain. This kind of phlegm was a kind of fluid derived from cereal essence when body was strong, and the spleen and stomach was in harmony. While, when the body was sick and the phlegm cannot be digested to blood or qi, the internal organs became sick, and the Jin and Ye was defeated even blood can be turned to phlegm. Li shi-zhen ever said that phlegm can live in the liver, when saved up much more it can induce hypochondriac pain. You Zai-xing said that left pain was resulted from accumulation of blood, right pain from phlegm. All of above showed that liver had a special syndrome i.e. the liver with phlegm. From the physiology and pathology, the clinical symptoms of fatty liver and liver with phlegm were much similar, so the fatty liver were consequently named with liver with phlegm.