“土郁夺之”的内涵及其临床应用

Connotation and clinical applications of the method of relieving spleen depression

"土郁夺之"为《内经》五郁之一。"土郁"应当包括脾胃郁滞所致的各种病证,主要以心腹胀满、肠鸣泄泻、胁肋疼痛、呕吐、下肢肿胀等为临床表现,与湿、食、热、痰等密切相关。"夺"法首当理解为通下之意,还包含消、汗、吐等治法,使用的同时也要注重培土的重要性。"土郁夺之"的临床应用颇为广泛,包括脾胃系的诸多疾病,以及冠心病、水肿等皆可应用。

The method of relieving spleen depression origins from the “five depression” according to Inner Canon of Huangdi. “Spleen depression” should include every disease due to stagnation of spleen and stomach, mainly include syndromes such as abdominal distension, gurgling sound, diarrhea, hypochondriac pain, vomit, leg edema, which is closely related to wet, food retention, heat evil, phlegm. Not only the “consumption method” should be grasped as purgation, but also include diaphoresis, emesis and resolving therapeutic methods, then we should pay attention to use the nourishing method. The method of relieving spleen depression can help to treat the spleen and stomach diseases, coronary heart diseases, edema etc.