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重视从脾胃论治疾病对医学疗效评价体系的完善具有指导意义
Paying Attention to Treating Diseases from Spleen and Stomach Is of Guiding Significance to the Improvement of Medical Efficacy Evaluation System  [PDF]
匡振坤, 魏博洋, 沈王明
Medical Diagnosis (MD) , 2023, DOI: 10.12677/MD.2023.133055
Abstract: 脾胃理论是中医学理论体系极其重要的组成部分，脾胃被誉为“后天之本，气血生化之源”，重视脾胃功能，从脾胃论治疾病为历代中医家所倡导、推崇。中医学脾胃在现代医学主要对应胃肠道的消化功能，它是人体获取营养，排除废物，产生能量活动的源泉，且其也是人体内微生物的主要寄居场所，与人体免疫功能密切相关，近年来研究还发现胃肠道内拥有除人类大脑以外的庞大神经元数量，神经元对机体机能具有重要调控作用。因此无论从古老的中医学还是现代医学研究的角度来评估对人体疾病的临床疗效，重视脾胃功能的发挥并从“脾胃论治”疾病都具有重要的价值。
Spleen-stomach theory is an extremely important part of the theoretical system of traditional Chi-nese medicine. Spleen-stomach is known as “the foundation of the day after tomorrow, the source of qi, blood and biochemistry”. Paying attention to the function of spleen-stomach and treating dis-eases from spleen stomach theory have been advocated and respected by traditional Chinese medi-cine practitioners. In modern medicine, spleen and stomach in traditional Chinese medicine mainly correspond to the digestive function of gastrointestinal tract, which is the source of human body’s activities to obtain nutrition, eliminate waste and generate energy. Moreover, it is also the main dwelling place of microorganisms in human body, which is closely related to human immune func-tion. In recent years, it has been found that there are huge neurons in gastrointestinal tract except human brain, and neurons play an important role in regulating and controlling body function. Therefore, it is of great value to evaluate the clinical efficacy of human diseases from the angle of ancient Chinese medicine or modern medical research, to pay attention to the function of spleen and stomach and to treat diseases from the perspective of spleen and stomach.
基于脾胃学说论治小儿过敏性疾病的研究进展
Research Progress of Treating Allergic Diseases in Children Based on Spleen and Stomach Theory  [PDF]
张彤彤, 李志军
Advances in Clinical Medicine (ACM) , 2024, DOI: 10.12677/acm.2024.1461786
Abstract: 近年来小儿过敏性疾病发病率逐年升高，发病机制复杂，具有治疗周期长且易反复的特点，难以根治。传统中医理论中的脾胃学说对小儿过敏性疾病的诊治具有独特的见解和方法，基于脾胃学说论治小儿过敏性疾病的研究逐渐增多，本文综述基于李东垣脾胃学说治疗小儿过敏性疾病的研究进展，主要体现在脾胃学说与过敏性疾病的关系、国内外医家对此病的研究进展及治疗策略，为临床诊疗此病提供新思路，并证明脾胃学说在治疗小儿过敏性疾病具有重要的意义。
In recent years, the incidence of allergic diseases in children has increased year by year, the pathogenesis is complex, and the treatment cycle is long and easy to repeat, which is difficult to cure. The theory of spleen and stomach in traditional Chinese medicine has unique insights and methods for the diagnosis and treatment of allergic diseases in children. The research on the treatment of allergic diseases in children based on the theory of spleen and stomach has gradually increased. This paper reviews the research progress on the treatment of allergic diseases in children based on Li Dongyuan’s theory of spleen and stomach. It mainly reflects the relationship between spleen and stomach and allergic diseases, the research progress and treatment strategy of domestic and foreign doctors on this disease, which provides new ideas for clinical diagnosis and treatment of this disease, and proves that the spleen and stomach theory has important significance in the treatment of allergic diseases in children.
通降理论在脾胃病中的运用
Application of Tongjiang Theory in Spleen and Stomach Diseases  [PDF]
潘力, 叶松
Traditional Chinese Medicine (TCM) , 2023, DOI: 10.12677/TCM.2023.121036
Abstract: 自《黄帝内经》时期提出胃主通降理论至金元时期补土派代表李东垣著成《脾胃论》一书，脾胃学说即已成为中医早期理论体系中最具完整性和鲜活性的学说，其核心思想是通降理论，至今，通降理论在各代医家的传承、发展、创新中不断完善，对诊疗脾胃疾病具有重要指导意义。结合现代医学对消化系统疾病的认识，医务工作者将更好的继承前人的思想，将通降理论贯穿脾胃病的诊治过程。
From the time when the theory of the main stomach in the Huangdi Neijing was put forward to the time when Li Dongyuan, the representative of the Butu School in the Jin and Yuan Dynasties, wrote the book on Spleen and Stomach, the spleen and stomach theory has become the most complete and fresh theory in the early theoretical system of traditional Chinese medicine. The core idea is the theory of spleen and stomach. So far, the theory of spleen and stomach has been continuously improved through the inheritance, development and innovation of various generations of doctors. It has important guiding significance for the diagnosis and treatment of spleen and stomach diseases. Combined with modern medicine’s understanding of digestive diseases, medical workers will better inherit the predecessors’ thoughts, the theory of health through the diagnosis and treatment of spleen and stomach diseases.
脾胃学说在外科临床的应用与思考
Application and Thinking of Theory of Spleen and Stomach in Clinical Surgery  [PDF]
阙华发, 张臻, 王云飞, 沈义婷, 王轩宇, 朱义用, 宋潇逸, 严张仁, 毛文丽, 刘怀强
Traditional Chinese Medicine (TCM) , 2023, DOI: 10.12677/TCM.2023.126220
Abstract: 脾胃学说是中医学理论体系的重要组成部分。本文梳理了脾胃学说的渊源、形成、发展至成熟，探讨了脾胃学说与外科疾病的发生、发展、变化、预后与转归的相关性与意义。并从脾胃的生理功能、病理特点及病证分析等出发，认为从脾胃论治外科疾病，必须时时顾护脾胃，调理脾胃法必须贯穿治疗始终,同病异治，异病同治；在外科围手术期，能加速患者快速康复。以脾胃学说指导外科疾病诊治，能拓宽治疗思路，进一步提高临床疗效，丰富和发展外科学术理论。
The theory of spleen-stomach is an important part of TCM theoretical system. This article sorted out the origin, formation, development and maturity of the spleen and stomach theory, the theory of spleen-stomach is closely related to the occurrence, development, change, prognosis and outcome of surgical diseases. This article from the spleen and stomach physiology, pathology, disease and syndromes analysis and so on, discussed the treatment of surgical diseases, must always take care of the spleen-stomach, through the regulation of spleen and stomach law is the key to therapy. During the perioperative period, it can accelerate the patient’s rapid recovery. To guide the diagnosis and treatment of surgical diseases with the theory of spleen-stomach, it can widen the treatment thought, further improve the clinical curative effect, enrich and develop the surgical academic theory.
脾胃不和引发失眠的机制探究与治疗新思路
Exploration of the Mechanism and New Therapeutic Approaches of Insomnia Caused by Disharmony of the Spleen and Stomach  [PDF]
滕玉晗, 王子涵, 何旭东, 张树峰
Journal of Clinical Personalized Medicine (JCPM) , 2025, DOI: 10.12677/jcpm.2025.42286
Abstract: 以中医理论阐述脾胃生理功能、失眠认识及二者相关经典论述；探究脾胃不和致失眠机制，如气血不足、升降失常、痰湿内生与情志关联；总结临床研究现状，涵盖观察和治疗研究；指出当前研究样本量小、方法单一等不足，展望未来多中心大样本及多学科交叉研究方向，旨在为后续科研和临床治疗提供参考。
This paper reviews the relationship between disharmony of the spleen and stomach and insomnia. It expounds on the physiological functions of the spleen and stomach, the understanding of insomnia in traditional Chinese medicine theory, and the classic discussions related to the two. The mechanisms by which disharmony of the spleen and stomach leads to insomnia are analyzed, including insufficient qi and blood, abnormal ascending and descending, internal generation of phlegm-dampness, and the connection with emotions. The current status of clinical research is summarized, covering both observational and treatment studies. It points out the deficiencies of current research, such as small sample sizes and single research methods, and looks ahead to the future research directions of multi-center large-sample and multidisciplinary cross-research, aiming to provide reference for subsequent scientific research and clinical treatment.
基于肠道菌群探讨从脾胃论治膝骨关节炎的研究进展
Progress of Research on the Treatment of Knee Osteoarthritis from the Spleen and Stomach Theory Based on Intestinal Flora  [PDF]
李崇铭, 梅其杰, 张久一
Advances in Clinical Medicine (ACM) , 2025, DOI: 10.12677/acm.2025.1572022
Abstract: 脾胃与肠道菌群之间存在着非常紧密的相互作用和联系，这种联系在膝骨关节炎的发生和发展过程中扮演着重要的角色。膝骨关节炎的发病和进展不仅与脾胃不能荣养膝关节有关，而且还与肠道菌群的失衡有着密不可分的联系。基于此，以健脾益气为治疗原则的药物，能够通过“脾胃–肠道菌群–膝骨关节炎”这一关系轴，对膝骨关节炎的病情进展产生积极的影响。从中医的脾胃理论角度来审视，肠道菌群的调节也是治疗膝骨关节炎的一个重要研究方向。因此，本文将对目前中医药领域中，从脾胃理论出发，通过调节肠道菌群来预防和治疗膝骨关节炎的研究进展进行综述分析，为后续的相关研究提供坚实的理论基础和明确的研究方向。
There is a very close interaction and connection between the spleen and stomach and the intestinal flora, and this connection plays an important role in the onset and progression of osteoarthritis of the knee. The onset and progression of knee osteoarthritis are not only related to the inability of the spleen and stomach to nourish the knee joint, but also closely associated with the imbalance of the gut microbiota. Based on this, drugs that strengthen the spleen and enhance qi can positively affect the progression of osteoarthritis of the knee through the relationship axis of “spleen and stomach-intestinal flora-osteoarthritis of the knee”. From the perspective of the spleen and stomach theory of Chinese medicine, the regulation of intestinal flora is also an important research direction for the treatment of osteoarthritis of the knee. Therefore, this paper will review and analyze the current research progress in the field of Chinese medicine on the prevention and treatment of osteoarthritis of the knee by regulating the intestinal flora from the perspective of the spleen and stomach theory, so as to provide a solid theoretical foundation and a clear research direction for the subsequent related research.
关于“岭南中医梁氏归脾法”的思考应用
Thinking and Application of “Liang’s Spleen Returning Method in Lingnan Traditional Chinese Medicine”  [PDF]
王宝金, 梁宏正, 吴社泉, 连瑞新
Traditional Chinese Medicine (TCM) , 2023, DOI: 10.12677/TCM.2023.1211488
Abstract: 本文通过简介“岭南中医梁氏流派”，对其“归脾法”理论从四个方面进行了浅显的思考论证，并试探性地用于临床。实践证实灵活运用“岭南中医梁氏归脾法”治疗临床各科病证，往往能执一而应万，屡获良效。可以说，对于大家学习应用“岭南中医梁氏归脾法”，起到了抛砖引玉的作用。
This article provides a brief introduction to the “Liang School of Traditional Chinese Medicine in Lingnan” and provides a superficial reflection and demonstration of its “Spleen Returning Method” theory from four aspects, and tentatively applies it to clinical practice. Practice has proven that the flexible use of the “Liang’s Spleen Returning Method in Lingnan Traditional Chinese Medicine” in the treatment of various clinical diseases and syndromes can often be applied consistently and achieve good results. It can be said that it has played a role in guiding everyone to learn and apply the “Liang’s Spleen Returning Method in Lingnan Traditional Chinese Medicine”.
基于《脾胃论》思想论治糖尿病肾病表虚证
A Therapeutic Approach to Diabetic Nephropathy with Superficial Deficiency Syndrome Based on the Ideology of “Treatise on Spleen and Stomach”  [PDF]
刘思谦, 姬絮, 张佩青
Journal of Clinical Personalized Medicine (JCPM) , 2025, DOI: 10.12677/jcpm.2025.42186
Abstract: 糖尿病肾病(Diabetic Kidney Disease, DKD)是糖尿病常见并发症，属中医“消渴病肾病”范畴，其表虚证以气虚不固、湿瘀内阻为特征。本文以李东垣《脾胃论》“内伤脾胃，百病由生”理论为基础，结合“三焦气化失司”，“清阳不升”，“阴火”学说，提出DKD表虚证的核心病机为脾胃虚损→清阳下陷→三焦壅滞→表虚湿瘀。治法采用补中升阳固表和利湿化瘀泻热相结合的方式，并引入《脾胃论》调卫汤，阐明其“固表不留邪、祛湿兼活血”的独特价值。通过理论探讨与临床验案，为DKD的中医治疗提供新思路。
Diabetic kidney disease (DKD), a prevalent complication of diabetes mellitus, falls under the category of “consumptive thirst-related nephropathy” in traditional Chinese medicine (TCM). Its exterior deficiency pattern is characterized by qi deficiency with failure of containment, and internal obstruction of dampness and blood stasis. Grounded in Li Dongyuan’s theory of “internal impairment of the spleen-stomach system serves as the origin of myriad diseases” from “Treatise on Spleen and Stomach”, this study integrates the doctrines of “dysfunction of triple energizer qi transformation”, “failure of clear yang to ascend” and “yin fire theory” to postulate the core pathogenesis of DKD’s exterior deficiency pattern as a sequential progression: spleen-stomach deficiency → sinking of clear yang → triple energizer stagnation → exterior deficiency with dampness-stasis. The therapeutic strategy combines center-fortifying yang-elevating exterior-consolidation with dampness-resolving stasis-dispelling heat-draining methods. Notably, the Wei-Regulating Decoction (Tiaowei Tang) from “Treatise on Spleen and Stomach” is introduced to elucidate its unique clinical value in consolidating the exterior without retaining pathogenic factors and eliminating dampness while activating blood circulation. Through theoretical exploration and clinical case validation, this work provides novel insights into TCM-based interventions for DKD.
基于李东垣“阴火”理论论治遗精
On the Treatment of Spermatorrhea Based on Dongyuan Li’s Theory of “Yin Fire”  [PDF]
吴玟岐, 陈佐龙
Advances in Clinical Medicine (ACM) , 2025, DOI: 10.12677/acm.2025.1582297
Abstract: “阴火”理论作为重要论点贯穿于李东垣脾胃学说中，历代医家对此虽有不同观点，但其中心含义不外乎中焦脾胃虚弱郁火病及其他脏腑。遗精一病病机复杂，文章将“阴火”理论与遗精病相结合，基于临床实践，将遗精病分为心神不交、心脾两虚、肝郁脾虚、肾精不固以及湿热扰精，着眼于“固护脾胃以治本、清利湿热以治标、升阳理气通中枢”这三大原则，令气血调和，君相相安，从而肾精得固，本文遵从治病求本理念，以求为遗精提供不同的诊疗思路。
The theory of “Yin Fire” runs through Dongyuan Li’s theory of spleen and stomach as an important argument. Although there are different opinions among medical practitioners throughout history, the core meaning is no more than the weakness of the spleen and stomach in the middle jiao and the accumulation of fire in other internal organs. The pathogenesis of spermatorrhea is complex. This article combines the theory of “Yin Fire” with spermatorrhea, based on clinical practice, and divides spermatorrhea into five types: heart and spirit not communicating, deficiency of both heart and spleen, liver depression and spleen deficiency, kidney essence not being consolidated, and damp-heat disturbing essence. It focuses on the three major principles of “nourishing the spleen and stomach to address the root cause, clearing damp-heat to address the symptoms, and raising yang and regulating qi to unblock the central channel”, so as to harmonize qi and blood and keep the heart and liver in peace, thereby consolidating kidney essence. This article adheres to the concept of treating the root cause of diseases, aiming to provide different diagnostic and therapeutic ideas for spermatorrhea.
基于“升阳益胃法”探析阑尾黏液性肿瘤的论治思路
Based on the “Shengyang Yiwei Method” to Explore the Treatment Strategy for Appendiceal Mucinous Neoplasms  [PDF]
索诗淇, 施丽婕
Traditional Chinese Medicine (TCM) , 2026, DOI: 10.12677/tcm.2026.151047
Abstract: 阑尾黏液性肿瘤(AMNs)是临床罕见病，属中医“肠痈”“癥瘕”等范畴，临床表现可见腹胀、腹痛、腹泻。本文基于施丽婕主任医师临床经验，发挥李东垣“升阳益胃法”理论，系统探讨该病的中医辨治思路。研究认为，AMNs的核心病机在于中焦脾胃正气亏虚，气机升降失常，导致痰、湿、瘀、毒互结，形成虚实夹杂之证。施丽婕主任医师提出“固本、调衡、消壅”的临证策略，固本以健脾益气为主，调衡重在恢复脾胃升降之机，消壅则针对痰瘀毒结予以化解，三者相辅相成，共同构成AMNs的中医治疗框架。文中附验案一则，以升阳益胃汤为基础进行辨证加减，可有效改善患者临床症状，体现了理法方药的一致性，为中医参与该罕见病的诊疗提供了理论依据与实践参考。
Appendiceal Mucinous Neoplasms (AMNs) are a clinically rare disease, categorized in Traditional Chinese Medicine under “intestinal abscess” or “abdominal mass”, with clinical manifestations including abdominal distension, pain, and diarrhea. Based on the clinical experience of Chief Physician Shi Lijie, this paper elaborates on Li Dongyuan’s theory of the “Shengyang Yiwei Method” to systematically explore the TCM diagnosis and treatment approach for this condition. The study posits that the core pathogenesis of AMNs lies in the deficiency of healthy qi in the middle jiao (spleen and stomach) and the disruption of qi movement, leading to the intermingling of phlegm, dampness, stasis, and toxins, resulting in a complex condition characterized by both deficiency and excess. Chief Physician Shi Lijie proposes a clinical strategy of “consolidating the root, regulating balance, and resolving stagnation”. Consolidating the root focuses on strengthening the spleen and replenishing qi, regulating balance emphasizes restoring the ascending and descending functions of the spleen and stomach, and resolving stagnation targets the accumulation of phlegm, stasis, and toxins. These three aspects complement each other, collectively forming the TCM treatment framework for AMNs. A clinical case is included in the paper, demonstrating that modifications based on the Shengyang Yiwei Decoction can effectively alleviate patients’ symptoms, reflecting the consistency of theory, methodology, and prescription. This provides theoretical foundation and practical reference for TCM’s role in diagnosing and treating this rare disease.
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