【摘要】 文章以中医脏腑理论中奇恒之腑男五女六、数量不一的疑难问题作为切入点，从发生学角度对其进行诠释，提出奇恒之腑的“胆”本义为男性的生殖器官，系藏蓄精气、种子化育之所，并进一步引申发挥为一身阳气周流运行的整体功能，主司全身阳气的升发、枢转的敛放，故奇恒之腑的胆是对全身阳气功能的概括，并据此提出了“男子以胆为先天”的观点，以与“女子以肝为先天”的理论相对应。这不仅为男科疾病的论治思想提供一定的启迪，同时可以使奇恒之腑的理论更为圆融，也使得中医藏象学说更加完善。更多还原

【Abstract】 This article takes the difficult problem of the varying numbers of Qi Heng Fu organs in the theory of traditional Chinese medicine organs as the starting point, and interprets it from the perspective of genetics. It proposes that the ‘gallbladder’ of Qi Heng Fu organs is the male reproductive organ, which stores essence and qi, and is a place for seed cultivation. It further extends to play the overall function of the circulation of Yang qi throughout the body, mainly responsible for the rise, development, and pivot of yang qi throughout the body. Therefore, the gallbladder of Qi Heng Fu organs is a summary of the function of yang qi throughout the body, and based on this, puts forward the viewpoint that ‘men are born with gallbladder’, corresponding to the theory that ‘women are born with liver first’. This not only provides some enlightenment for the treatment of male diseases, but also makes the theory of Qi Heng Fu organs more comprehensive, and also makes the theory of traditional Chinese medicine’s hidden phenomena more perfect.更多还原