主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2021, Vol. 44 ›› Issue (2): 114-118.doi: 10.3969/j.issn.1006-2157.2021.02.004

• 理论研究 • 上一篇    下一篇

“脾恶湿更恶燥”浅析*

原亚利1,2, 李选2, 刘勇3, 牛鑫2, 鞠文雪2, 姚娓1,2#   

  1. 1 大连医科大学附属第二医院中医科 辽宁 116023;
    2 大连医科大学中西医结合学院/研究院;
    3 大连医科大学附属第一医院
  • 收稿日期:2020-07-29 出版日期:2021-02-28 发布日期:2021-02-21
  • 通讯作者: #姚娓,女,博士,教授,主任医师,硕士生导师,主要研究方向:中医基础及临床研究,E-mail:411484335@qq.com
  • 作者简介:原亚利,女,在读硕士生
  • 基金资助:
    *全国中医临床特色技术传承骨干人才培训项目(No.国中医药人教函〔2019〕36号)

Analysis of “spleen disliking dampness and disgusting dryness”*

Yuan Yali1,2, Li Xuan2, Liu Yong3, Niu Xin2, Ju Wenxue2, Yao Wei1,2#   

  1. 1 Department of Traditional Chinese Medicine, the Second Affiliated Hospital of Dalian Medical University, Liaoning 116023, China;
    2 College of Integrated Traditional Chinese and Western Medicine, Dalian Medical University, Liaoning 116044, China;
    3 First Affiliated Hospital, Dalian Medical University, Liaoning 116011, China
  • Received:2020-07-29 Online:2021-02-28 Published:2021-02-21
  • Contact: Prof. Yao Wei, Ph. D., Chief Physician, Postgraduate Supervisor. Department of Traditional Chinese Medicine, the Second Affiliated Hospital of Dalian Medical University, No. 467 Zhongshan Road, Shahekou District, Dalian 116023. Email: 411484335@qq.com
  • Supported by:
    National Key Talent Training Project for Inheriting Featured Clinical Techniques of Traditional Chinese Medicine (Talent Training in Chinese Medicine [2019] No. 36)

摘要: 中医历代医家普遍认为“脾喜燥恶湿”,但国家级名老中医白长川教授根据中医对脾脏生理功能及病理特点的认识,提出“脾恶湿更恶燥”的独特观点。本文基于对“脾阴”“脾湿”“脾恶湿”“脾恶燥”相关概念及其辩证关系的阐述,从燥湿太过、过用苦燥或苦寒药、过食辛燥食物、思虑太过均可伤及脾阴以及标本中气理论等方面论述“脾恶湿更恶燥”的具体内涵,指出治疗脾脏相关疾病应以平润为目标,进一步完善脾脏的藏象学说理论并指导临床用药,使临床工作者对脾脏疾病有更深入的认识。

关键词: 脾阴, 脾湿, 脾恶湿, 脾恶燥, 理论研究

Abstract: “Spleen liking dryness and disliking dampness” is a common understanding among TCM doctors in all dynasties. Despite that, based on an analysis of the physiological functions and pathological characteristics of spleen in TCM, Professor Bai Changchuan, a nationally famous TCM doctor, puts forward the distinct view of “spleen disliking dampness and disgusting dryness”. In this paper, based on a detailed review of the concepts of “spleen yin”, “spleen dampness”, “spleen disliking dampness” and “spleen disliking dryness” and their dialectical relationships, the connotation of “spleen disliking dampness and disgusting dryness” is elaborated. Specifically, it is pointed out that spleen yin can be damaged due to excessive usage of dry medicinals to eliminate dampness, or bitter dry or bitter cold medicinals, or excessive consumption of spicy food, or excessive thinking, together with root-branch middle qi theory. It is suggested that the treatment of spleen disorders should be aimed at smoothing and moistening. This theory will provide reference for improving the visceral manifestation theory of spleen in TCM and guiding clinical practice.

Key words: spleen yin, spleen dampness, spleen disliking dampness, spleen disliking dryness, theoretical study

中图分类号: 

  • R223.1