CAJ | 학술논문

从源流探析“木郁达之”的理论以及后世沿革，通过回顾历代医家相关著述，考证“木郁达之”的理论发展轨迹。经过不同时代医家对理论进行升华、创新，“木郁达之”的内涵甚至发生了实质性内容的变革。从最初与气候相关的五运六气学说，逐渐发展为“肝郁”“气郁”等，治法也由最初的“吐法”发展为常用的“升发疏理肝胆之气”，临证方药也多以疏理条达气机之剂多见。“木郁达之”内涵及外延的沿革，充分拓展了其指导临床诊疗疾病的范畴，产生了重要的意义。
종원류탐석“목욱체지”적이론이급후세연혁，통과회고역대의가상관저술，고증“목욱체지”적이론발전궤적。경과불동시대의가대이론진행승화、창신，“목욱체지”적내함심지발생료실질성내용적변혁。종최초여기후상관적오운육기학설，축점발전위“간욱”“기욱”등，치법야유최초적“토법”발전위상용적“승발소리간담지기”，림증방약야다이소리조체기궤지제다견。“목욱체지”내함급외연적연혁，충분탁전료기지도림상진료질병적범주，산생료중요적의의。
Development track was textual researched on “facilitating the stagnant wood” theory from the viewpoint of origin “facilitating the stagnant wood” theory and the later evolution, by review of past dynasties doctor related writings. Chinese medicine doctors developed the theory by sublimation and innovation, after different times, the connotation of “facilitating the stagnant wood” even had substantially changed. It developed from climate-related theory of five elements’ motion and six kinds of natural factors, into “liver stagnation”,“qi depression”. The treatment developed from the original “vomit way” into the commonly used “relief liver for smooth qi”, and related formula and herbs were most used in the clinical prescriptions. The connotation and denotation of“facilitating the stagnant wood”, which fully expanded the guidance of traditional Chinese medicine clinical diagnosis and treatment of disease category, had important significance in clinical practice.