脾主运化的源流及发展

Origin and development of spleen governing transportation and transformation

脾主运化理论是脾藏象理论的核心,文章探讨了脾主运化理论的源流与发展,从《黄帝内经》时代开始,至清明时期结束,脾主运化理论从萌芽到初具雏形,再到其产生和不断发展壮大的过程。其不同时期,受到社会及经济、文化等因素的影响,有着各自的特点。从最初在运化水谷的过程中脾胃同论,到之后将脾在运化中的功能分离出来,并在理法方药上不断的完善,最终形成了完整的脾主运化理论。

The theory of spleen governing transportation and transformation was an important part of the theory of spleen visceral manifestations. This article discussed the origin and development of the theory of spleen governing transportation and transformation. It started from the dynasty of The Inner Canon of Huangdi till Ming and Qing dynasty, experienced a process from the seed to the production. This theory had different characteristics in different periods which influenced by the social, economic and cultural factors, and its development process had twists and turns. The initial theory was that spleen and stomach transform and transport the food in common. Then the function of spleen in transforming and transporting was separated. Its theory, method, formula and herb were refined. Finally, a complete theory of Spleen governing transformation and transportation was formed.