通讯作者: 陈冬梅, 88550259@163.com

DOI：10.12201/bmr.202602.00014

Exploring the Diagnosis and Treatment of Menopausal Syndrome Based on Ye Tianshis Theory of Liver Body Yin Using Yang

• 摘要：更年期综合征的病机较为复杂,古代多数医家认为该病本质为肝肾阴虚,常伴肝郁不疏、痰瘀互结,又累及心、肝、脾、肾。叶天士认为女子以肝为先天,提出的“肝体阴用阳”理论着眼于脏腑整体思维,强调治肝体忌刚用柔,治肝用宜散宜泄,确立了“辛理体、酸治用、甘缓急”的体用兼调的治法原则,以求标本同治。本文基于“肝阴用阳”理论,深入探讨了更年期综合征“肝体阴用阳”的病机特点,并结合叶氏医案的独到用药见解,提出更年期综合征的诊治当遵循“动态平衡肝体肝用关系,体用同调,多脏兼顾”的创新思路,以期为临床工作者提供新的思路途径及研究方法。

  关键词： 肝体阴用阳; 叶天士; 更年期综合征; 体用同治; 用药特色

   

  Abstract: The pathogenesis of menopausal syndrome is relatively complex. Most ancient physicians believed that the essence of this condition lies in liver and kidney yin deficiency, often accompanied by liver stagnation, phlegm and blood stasis interlocking, and involving the heart, liver, spleen, and kidneys. Ye Tianshi proposed that the liver serves as the innate organ for women, emphasizing the livers yin body and yang function theory from a holistic organ perspective. He stressed that treating the livers body should avoid rigidity and favor gentleness, while treating its function should prioritize dispersion and elimination, establishing the treatment principle of spicy herbs to nourish the body, sour herbs to regulate function, and sweet herbs to moderate urgency, aiming for simultaneous treatment of both symptoms and root causes. Based on the livers yin body and yang function theory, this paper delves into the pathogenic characteristics of menopausal syndrome under the framework of livers yin body and yang function. By integrating Ye Tianshis unique insights on medication from his medical cases, it proposes an innovative approach to the diagnosis and treatment of menopausal syndrome: maintaining dynamic balance in the livers body and function, regulating both body and function, and addressing multiple organs simultaneously. This aims to provide clinicians with new perspectives, approaches, and research methods.

  Key words: Liver body yin uses yang; Ye Tianshi; Menopausal syndrome; Same treatment for physical use; Characteristics of medication

  提交时间：2026-02-05

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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  2	2026-01-20	10.12201/bmr.202602.00014V2	下载
  1	2026-01-20	10.12201/bmr.202602.00014V1	下载

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