厥阴肝脏。在人身居太阴脾之下。少阴肾之前。为人身下部之中。故其位在少腹。其地为血海。其脏微偏左。故其
部在两胁两 。其经气起足上 内廉。循股阴。环阴器。抵小腹。上贯膈。循喉咙之后。上入颃颡。与督脉会于巅。是
以厥阴通乎巅顶。然其脏为两阴之交尽。乃阴之绝阴。其表为少阳。绝而复苏。一阳来复。故少阳起于厥阴。一阳发生
之气由此而起。故其藏为木德。主春属甲乙。而与胆气为表里。又其脏主藏血。为血家之部。故其职为血脏而摄血。又
主筋。在两阴之间为独使。故能任筋骨劳役之事。为罢极之本。其精上荣于目。而旁通于耳。以木为德。故其体柔和而
升。以象春。以条达为性。故其气常苦急。而激暴以发怒。及其病也。其症多逆。逆则头痛。耳聋不聪。颊肿。 蒙招
尤。目瞑。及两胁下痛引少腹。令人善怒。虚则目 无所见。耳无所闻。善恐。如人将捕之。以至经病。则腰痛不可
仰。丈夫 疝。妇人少腹肿。甚则嗌干面尘脱色。溺道癃闭。其郁与胜。必使及所胜。胜则脾土受邪。故胸满呕逆飧
泄。此其大较也。然于其五脏为独使。而合少阳胆为游部。又为将军之官。则于一身上下。其气无所不乘。和则为诸脏
之赡养。衰与亢则为诸脏之残贼。凡弦脉所见者皆是也。是以肝家之逆证最多。其与寒热虚实邪气使克。本经自病。与
经气相加。凡三十有余症。要为肝之不足。此不必言也。即肝之有余非有余也。肝之阴不足也。或谓肝无补法。此昔人
之谬也。夫肝气之逆。由肝志之郁。经曰。以辛散之。以辛补之。岂曰伐之乎。肝火之实。由肝血之虚。经曰。以酸泻
之。以酸收之。岂废滋养乎。至若阴邪犯入。则阴厥。阴厥宜温。是补其气也。阴虚不荣。则阳厥。阳厥宜清。是凉其
血也。近代薛立斋立论。清肝火。补肝血。矫前人之弊。其得之矣。
厥阴肝脏,在人体中位于太阴脾脏之下,少阴肾脏之前,处于人身下部的中央位置。因此,它的部位在少腹,其地为血海,脏器略微偏左,所以它的分部在两胁和两髀(大腿内侧)。它的经脉之气起始于足大趾丛毛之际(足大趾外侧),沿大腿内侧上行,环绕生殖器,抵达小腹,向上贯穿膈肌,沿着喉咙后方,向上进入颃颡(鼻咽部),与督脉交会于头顶。因此,厥阴经通达头顶。然而,该脏是两阴交尽之处,乃是阴气的绝处,其表为少阳,绝而复苏,一阳来复。所以少阳经起于厥阴,一阳发生之气由此而起。因此,该脏具有木的德性,主管春季,归属于甲乙(天干),并与胆气互为表里。另外,该脏主藏血,是血液汇聚的部位,所以它的职能是作为血脏而统摄血液。又主管筋,在两阴之间作为独使,所以能承担筋骨劳役的工作,是罢极之本(耐受疲劳的根本)。它的精气上荣于目,并旁通于耳。因为以木为德,所以它的体性柔和而上升,象征春天,以条达为特性,所以它的气常常容易急迫,激发暴怒。等到它发病时,症状多表现为气逆,气逆则头痛、耳聋不聪、面颊肿胀、头摇颤、眼睛昏花,以及两胁下疼痛牵引少腹,使人容易发怒。虚证则视物不明,听不见声音,容易恐惧,好像有人要抓捕自己一样。至于经脉病变,则腰痛不能仰卧,男子患疝气,女子少腹胀肿,严重时咽喉干燥、面色如蒙尘失去光泽、小便癃闭。如果是郁滞或相胜(五行克制关系)导致的病变,必定会波及它所克制的脏腑。若肝木胜则脾土受邪,所以出现胸满、呕吐逆气、完谷不化的泄泻。这是大概的情况。然而,它在五脏中作为独使,并与少阳胆经合为游部,又被称为将军之官,所以在身体上下,它的气无所不到。调和时则是各脏的滋养来源,衰弱或亢盛时则成为各脏的残害者。凡是弦脉所见到的情况都是如此。因此,肝脏的逆证最多。它与寒热虚实等邪气相互克制,本经自病,以及经气相加,共有三十多种病症,总归是肝气不足,这不必多说。即使是肝气有余,也不是真正的有余,而是肝阴不足。有人说肝没有补法,这是古人的谬误。肝气之逆,是由于肝志之郁结,医经说:用辛味药发散它,用辛味药补益它,难道说是攻伐吗?肝火之实,是由于肝血之虚,医经说:用酸味药泻它,用酸味药收敛它,难道废弃滋养吗?至于阴邪侵入,则导致阴厥,阴厥适宜温补,这是补其气。阴虚不能荣养,则导致阳厥,阳厥适宜清解,这是凉其血。近代的薛立斋提出理论,主张清肝火、补肝血,纠正前人的弊端,他是正确的。
The Jueyin Liver resides in the human body below the Taiyin Spleen and anterior to the Shaoyin Kidney, occupying the central position of the lower body. Therefore, its location is in the hypogastrium (lower abdomen), its territory is the Sea of Blood (Xuehai), and the organ is slightly deviated to the left; thus, its region corresponds to the two flanks and the inner thighs. Its meridian Qi originates at the lateral side of the big toe, ascends along the medial aspect of the thigh, circles the external genitalia, reaches the hypogastrium, passes upward through the diaphragm, follows the posterior aspect of the throat, enters the pharynx (Hangsang), and intersects with the Du Meridian at the vertex. Hence, the Jueyin channel connects to the vertex. However, this organ represents the culmination of Yin-Yin interaction, being the extreme end of Yin. Its exterior counterpart is the Shaoyang; from this extremity, recovery begins, and the arrival of one Yang leads to regeneration. Thus, the Shaoyang channel originates from Jueyin, and the generating Qi of one Yang arises here. Consequently, this organ possesses the virtue of Wood, governs Spring, corresponds to Jia and Yi (Heavenly Stems), and shares a interior-exterior relationship with the Gallbladder Qi. Furthermore, this organ stores Blood and serves as the repository for blood; therefore, its function is that of a Blood Organ governing the containment of blood. It also governs the sinews and acts as a unique envoy between the two Yins, enabling it to bear the labor of bones and sinews, serving as the root of fatigue tolerance (Baji zhi ben). Its essence nourishes the eyes superiorly and communicates laterally with the ears. Possessing the virtue of Wood, its nature is soft and ascending, symbolizing Spring, characterized by free flow and unobstructedness; thus, its Qi tends to be prone to urgency, manifesting as explosive anger when provoked. When diseased, its symptoms often involve rebellious Qi. Rebellious Qi causes headache, deafness and poor hearing, swelling of the cheeks, head tremors, blurred vision, pain in the hypochondrium radiating to the hypogastrium, and irritability. In deficiency patterns, there is impaired vision, inability to hear, excessive fear, and a sensation as if being pursued. Regarding meridian pathology, it presents as low back pain preventing bending backward, hernia in men, and hypogastric swelling in women. In severe cases, there is dryness of the throat, a dusty complexion with loss of luster, and strangury (difficulty in urination). If caused by stagnation or excessive control (Wu Xing overcoming relationship), it inevitably affects the controlled organs. If Liver Wood overacts, Spleen Earth suffers evil, resulting in chest fullness, vomiting and reflux, and undigested food diarrhea. This is the general overview. However, acting as a unique envoy among the five Zang organs and combining with the Shaoyang Gallbladder as a roaming department, and being called the "General Officer," its Qi permeates the entire body. When harmonious, it nourishes all organs; when deficient or hyperactive, it becomes a destroyer of all organs. All manifestations of the Wiry Pulse are related to this. Therefore, rebellious conditions of the Liver are most numerous. Interactions with cold, heat, excess, and deficiency pathogens, self-disease of the primary channel, and meridian Qi interactions result in more than thirty types of symptoms, fundamentally归结 to Liver Qi insufficiency, which needs no further explanation. Even apparent Liver excess is not true excess but rather Liver Yin insufficiency. Some claim there is no tonification method for the Liver; this is an error of past scholars. Liver Qi rebellion stems from Liver emotion stagnation; the Classic states: disperse it with Pungent flavors, tonify it with Pungent flavors. How can this be considered attacking? Liver Fire excess stems from Liver Blood deficiency; the Classic states: drain it with Sour flavors, gather it with Sour flavors. How can nourishment be abandoned? When Yin pathogens invade, Yin Cold collapse occurs, which requires warming, thereby tonifying Qi. When Yin deficiency fails to nourish, Yang Cold collapse occurs, which requires clearing, thereby cooling the Blood. In modern times, Xue Lizhai proposed theories of clearing Liver Fire and tonifying Liver Blood, correcting previous errors, which was appropriate.