潘赐明 李应红 卞晶 查学志 朱瑛 汪剑 姚政

    〔摘要〕 调肝理脾法为历代医家认可，肝脾既有五行生克制化关系，又有体阴用阳的协同作用，现代医学已经阐述了肝脾参与消化系统的机制。肝脾一体的思想滥觞于《黄帝内经》，从肝治脾、从脾调肝、肝脾同治可以体现在肠道微环境改变;“肝喜调达”与“六腑以通为用”，亦从中医理论解释了肝脾一体的新内涵。

    〔关键词〕 肝脾;肝脾同治;肠道微环境;肠道菌群

    〔中图分类号〕R229? ? ? 〔文献标志码〕A? ? ? ?〔文章编号〕doi：10.3969/j.issn.1674-070X.2021.04.026

    recognized by the physicians of the past dynasties. The liver and spleen not only have the relationship of restraint of the five elements， but also have the synergistic effect of body Yin and Yang. Modern medicine has deciphered the mechanism of liver and spleen participating in the digestive system. The idea of the integration of liver and spleen originated in Inner Canon of Yellow Emperor. The treatment of spleen from liver， regulating liver from spleen， and the combination of liver and spleen can be reflected in the changes of intestinal microenvironment. The "liver likes to harmonize" and "six bowels unobstructed in function" also explained the new connotation of the integration of liver and spleen from the theory of traditional Chinese medicine.

    〔Keywords〕 liver and spleen; treatment of liver and spleen; intestinal microenvironment; intestinal flora ......