摘要
在中医临床诊疗过程中常出现相同病机引发相反症状的现象,如脾气虚既可以导致消瘦,也可以导致肥胖。不同疾病种类、不同体质类型和其他脏腑功能盛衰都是影响"脾气虚"患者体态发生相反变化的因素。不同种类疾病的致病特点不同,而这些特性对病机的发展变化具有影响作用;不同体质类型影响了疾病传变、转归及预后同样也可影响病机的发展;不同脏腑功能的改变也会累及脾脏,使脾气虚病机向不同方向发展产生不同临床表现。脾气虚既可导致消瘦也可以导致肥胖归因于病机的复杂性,而病机的复杂性是多种影响因素联合作用下的结果,在临床辨证论治过程中要综合考虑、整体把握。
The opposite symptoms often caused by the same pathogenesis in TCM clinical medicine. For instance, spleen qi deficiency causes not only emaciation but obesity. Different types of diseases, different types of physique and other organs function all affect the patients＇ body of spleen qi deficiency to change in opposite. Different diseases have different characteristics, and these characteristics have an impact on the development and changes of pathogenesis; Different types of constitution affect the development of the disease, prognosis and pathogenesis; Changes in the functions of different organs will also affect the spleen, so that the pathogenesis ofqi deficiency in different directions have different clinical manifestations. Spleen qi deficiency causes not only emaciation but obesity. Because the complexity of the pathogenesis is the result of many factors, we should consider overall in clinical treatment.
作者
侯雅静
陈家旭
宋明
王方方
王亭晔
HOU Yajing CHEN Jiaxu SONG Ming WANG Fangfang WANG Tingye(Beijing University of Chinese Medicine, Beijing 100029, China)
出处
《吉林中医药》
2017年第4期328-331,共4页
Jilin Journal of Chinese Medicine
基金
国家自然科学基金(81473597)
北京市自然科学基金(7152093)资助项目
关键词
脾气虚
肥胖
消瘦
spleen qi deficiency
obesity
emaciation
