孙德仁　闫小林

【摘要】 “从胆论治”由“凡十一脏取决于胆”引申而来。“凡十一脏取决于胆”见于《内经》的《素问·六节藏象论》。人之机体以五脏为核心，其中心为君主之官，并未取决于之；肾乃先天之本，仍未取决于之；脾胃为后天之本，亦未取决于之。《内经》为何强调“十一脏取决于胆”？本文从胆与气血、脏腑的关系来解读“凡十一脏取决于胆”，进而在理论上探讨“从胆论治”与少儿推拿的关系及临床应用。

【关键词】 少儿推拿； 从胆论治； 关系； 应用

Treat Starting from the Dan and Tuina for Children/SUN Deren，YAN Xiaolin.//Medical Innovation of China，2018，15（03）：135-139

【Abstract】 “Treat starting from the Dan” derived from “the eleven viscera depend on the Dan”.“The eleven viscera depend on Dan” is first seen in the “Huangdis Canon of Medicine”.The human body takes the five viscera as its core，with the heart being a vital viscus like a king of the body，yet the viscera did not depend on it；the kidney is the origin of congenital constitution，yet the viscera still did not depend on it；the spleen and stomach provide the material basis of the acquired constitution，but the viscera does not depend on it either.Why did “Huang dis Canon of Medicine” emphasize “the eleven viscera depend on the Dan”？ In this paper，the relationship between the Dan，Qi-blood and viscera is interpreted，“the eleven viscera depend on the Dan” is discussed，and the relationship between the treatment of the Dan and the Tuina for children and its clinical applications are discussed theoretically.

【Key words】 Tuina for children； Treat starting from the Dan； Relationship； Application

First-authors address：The School of Hedong TCM Tuina for Children，Yuncheng 044000，China

doi：10.3969/j.issn.1674-4985.2018.03.037

“从胆论治”由“凡十一脏取决于胆”引申而来。“凡十一臟取决于胆”见于《内经》的《素问·六节藏象论》。五脏、六腑，合计十一，故称十一脏；取决者，由某事物或情况而决定之意。很显然，《内经》认为五脏六腑之生理功能、病理变化及其相关疾病的治疗调理多与胆相关。人之机体以五脏为核心，其中心为君主之官，主血脉，主神志，乃生之本，神之变也，然并未取决于之；肾乃先天之本，主藏精，是为一身阴阳之根，仍未取决于之；脾为后天之本，气血生化之源，亦未取决于之。那么，《内经》为什么强调“十一脏取决于胆”？胆与脏腑、气血是什么关系？这一理论与少儿及少儿推拿有何联系？本文就上述问题做一探讨。

1 解读“凡十一脏取决于胆”

“凡十一脏取决于胆”语出《素问·六节藏象论》，经文对这句话似有解读：“夫肝者，中之将也，取决于胆”，“此人者数谋虑不决，故胆虚”（《素问·奇病论》），胆虚则肝失谋虑，虽涉及肝取决于胆，亦具启示，但缺乏进一步的阐述。其后医家各有见解，其中的“胆气助正抗邪”学说与“胆主勇敢”理论对于少儿及少儿推拿尤其重要[1-7]。……