摘要
《素问·刺法论篇》将脾喻为“谏议之官”,其“知周”作用机制与脾的生理特性息息相关。脾“藏意、主思”是“知周”的功能基础,为脾行“谏议”提供思想指导;“位中央以灌四旁”是“知周”的位置基础,为“谏议”的快速执行创造便利条件;“主运化”为“知周”提供重要能量来源,保障“谏议”职能有条不紊的开展。而“脾为之卫”,则是脾行“谏议”的具体体现,发挥着护卫机体、抵御外邪的职责。西医学认为该理论与机体免疫功能有相通之处。本文通过总结历代医家对脾为“谏议之官”的诠释,依托中医哲学基础中“取象比类”及“治未病”思想,参合脾相关的中医生理特性、西医学对其理论内涵的阐发,以期为中医脾胃病、神志病和免疫疾病的临床辨治提供借鉴。
In the Legacy of Huangdi Neijing Suwen,the spleen is likened to the“Official in Charge of Admonition and Arbitration”,and its mechanism of action is closely related to the physiological characteristics of the spleen.The spleen’s function is based on its“concealment of the mind and mastery of thought”,and this provides ideological guidance for the spleen’s“remonstration”.Furthermore,the spleen’s“central position to instill the four sides”creates convenient conditions for the rapid arrival of“remonstration”,and its“main transport and transformation”provides an important source of energy for the“Zhi Zhou”;it further ensures the orderly development of the“remonstration”function.The“spleen is the guard”is the concrete embodiment of“remonstration”by the spleen that plays the role of guarding the body and resisting external evil.Western medicine believes that this theory has something in common with the immune function of the body.This paper summarizes the interpretation of the spleen as the“Official in Charge of Admonition and Arbitration”by medical scholars through the ages,relying on the ideas of“comparing images with similarities”and“preventing diseases”based on the philosophy of traditional Chinese medicine that considers the physiological characteristics of the spleen related to Chinese medicine and the interpretation of its theoretical connotation by modern medicine.This paper provides a reference for the clinical management of spleen and stomach diseases,neurological diseases,and immune disorders in Chinese medicine.
作者
洪婕
林翠丽
徐兴维
黄铭涵
柯晓
杨春波
HONG Jie;LIN Cuili;XU Xingwei;HUANG Minghan;KE Xiao;YANG Chunbo(The Second People's Hospital Affiliated lo Fujian University of Chinese Medicine,Fuzhou 350003,China)
出处
《北京中医药大学学报》
CAS
CSCD
北大核心
2022年第5期465-470,共6页
Journal of Beijing University of Traditional Chinese Medicine
基金
国家重点研发计划(No.2018YFC1705402)
国家自然科学基金项目(No.82174365)。
关键词
脾
谏议之官
生理特性
免疫
spleen
Official in Charge of Admonition and Arbitration
physiological characteristics
immunity
