1.中国中医科学院西苑医院肝病科,北京 100091
2.首都医科大学附属北京中医医院消化中心,北京 100010
涂钰莹,女,24岁,硕士研究生。研究方向:中医药防治肝脏疾病。
张引强,E-mail:zhyq992@163.com
收稿:2025-04-15,
纸质出版:2026-04-25
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涂钰莹,董海航,蔡雨洁,等.基于“肝体阴用阳”论治肝源性疲乏经验[J].北京中医药,2026,45(4):511-514.
TU Yuying,DONG Haihang,CAI Yujie,et al.Differentiating and treating hepatogenic fatigue based on the theory of "yin in property and yang in function of liver"[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(04):511-514.
涂钰莹,董海航,蔡雨洁,等.基于“肝体阴用阳”论治肝源性疲乏经验[J].北京中医药,2026,45(4):511-514. DOI: 10.16025/j.1674-1307.2026.04.017.
TU Yuying,DONG Haihang,CAI Yujie,et al.Differentiating and treating hepatogenic fatigue based on the theory of "yin in property and yang in function of liver"[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(04):511-514. DOI: 10.16025/j.1674-1307.2026.04.017.
肝源性疲乏是慢性肝病的常见症状,可表现为昏睡、不适、乏力和疲惫等。本文基于“肝体阴用阳”理论,认为肝之体用协调是人体耐受形神疲乏的根本,慢性肝病常致肝“用阳”失畅(气郁不升、转枢失利)与“体阴”不足(肝血亏虚、形神失养),二者相互影响,终致肝体用失调,构成了肝源性疲乏的核心病机。据此提出治疗上当升阳发郁以畅肝之用,滋养肝血以柔肝之体,强调刚柔并济,动静和谐,体用同调。此外,临床处方用药应结合慢性肝病的具体病机特点,辨证与辨病相结合,随证化裁。
Hepatogenic fatigue is a common symptom of chronic liver disease, manifesting as drowsiness, malaise, weakness, and exhaustion. Based on the theory of “
yin
in property and
yang
in function of liver”, this article proposes that the coordination between the liver's property and function is fundamental to the body's tolerance of physical and mental fatigue. Chronic liver disease often leads to impaired liver
yang
function (characte
rized by stagnated
qi
failing to ascend and disrupted pivot regulation) and insufficient liver
yin
property (manifesting as liver blood deficiency and malnourishment of body and spirit). These two pathological states interact, ultimately resulting in disharmony between the liver's property and function, which constitutes the core pathogenesis of hepatogenic fatigue. Accordingly, treatment should focus on elevating yang and dispersing stagnation to facilitate liver function, and nourishing liver blood to soften and supplement liver property, emphasizing the balance of strength and gentleness, the harmony of activity and stillness, and simultaneous regulation of property and function. In clinical practice, prescriptions should also consider the specific pathological characteristics of chronic liver disease, combining syndrome differentiation with disease differentiation, and adjusting treatment according to the condition.
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