摘要
“脾主涎”理论是中医脾藏象理论的重要组成部分。至今,鲜有同道对该理论的源流进行系统的梳理总结,这限制了全面深入挖掘该理论的现代科学内涵及临床诊疗价值。笔者通过检索相关书籍及“中医典海”数据库,系统梳理了“脾主涎”理论的发展脉络,大致分为3个阶段:理论雏形、临床实践和微观研究。“脾主涎”理论发源于先秦、肇始于秦汉、临床应用始于魏晋隋唐、推广深化于宋元明清,开启微观研究于中华人民共和国成立后。历经2 000多年的理论发展和实践探索,“脾主涎”理论得到较广泛的阐发,丰富了脾藏象理论的内涵。但该理论在指导科研及临床诊疗中的价值亟待进一步发掘。后续需加强“脾主涎”理论科学内涵与临床实践相结合的探索工作,以拓展“脾主涎”理论的临床运用,实现“脾主涎”理论的客观化、现代化。
‘Spleen controlling salivary secretion’ is an important component of the theory of spleen visceral manifestation in traditional Chinese medicine(TCM).So far,few colleagues have systematically reviewed and summarized the origin and development of this theory.It limits the further study of the scientific connotation and clinical diagnosis and treatment value of this theory.For this reason,the authors search related books and the database of ‘Traditional Chinese Medicine’,and systematically sort out the development of the theory of ‘spleen controlling salivary secretion’,can be divided into three stages:the rudiment of the theory,clinical practice and micro research.The theory of ‘spleen controlling salivary secretion’ originated in the pre-Qin period,officially began in Qin and Han dynasties,and was initially applied to Wei and Jin dynasties to Sui and Tang dynasties,and was expanded and deepened from Song and Yuan dynasties to Ming and Qing dynasties.After the founding of the People’s Republic of China,the modern research was carried out at the micro level.After more than 2 000 years of theoretical development and practical exploration,the theory of ‘spleen controlling salivary secretion’ has been widely expounded and innovated and it enriches the connotation of the theory of the spleen visceral manifestation.However,its value in guiding scientific research and clinical diagnosis and treatment needs to be further explored urgently.It is necessary to strengthen the exploration of the combination of scientific connotation of this theory and clinical practice to expand the clinical application of the theory and finally to realize its objectification and modernization.
作者
李伟豪
王文凯
赵立凝
黄也
郑小妹
侯江涛
王升强
周宇清
林传权
LI Wei-hao;WANG Wen-kai;ZHAO Li-ning;HUANG Ye;ZHENG Xiao-mei;HOU Jiang-tao;WANG Sheng-qiang;ZHOU Yu-qing;LIN Chuan-quan(Science and Technology Innovation Center,Guangzhou University of Chinese Medicine,Guangzhou 510405,China;Library of Guangzhou University of Chinese Medicine,Guangzhou 510405,China;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405,China;Central Hospital of Marina Bay of Dongguan,Dongguan 523900,China;Dongguan Hospital of TCM,Dongguan 523127,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2022年第8期4474-4479,共6页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
国家自然科学基金项目(No.81973723)
广东省自然科学基金面上项目(No.2021A515011476)
国家中医药管理局重点研究室“脾胃病脾虚证候”
广东省中医药局科研项目(No.20215005)。
关键词
脾主涎
学术渊源
脾藏象理论
中医文献
脾气虚证
唾液淀粉酶
证候微观指标
Spleen controlling salivary secretion
Academic origin
Theory of spleen visceral manifestations
Literature of traditional Chinese medicine
Spleen qi deficiency syndrome
Salivary amylase
Syndrome micro-indicators
