脾主统血的源流

Origin of spleen dominating blood circulation

"脾主统血"的理论起源于《黄帝内经》,从先秦两汉到明清时期,历代医家逐渐将其完善,其发展轨迹遵循中医学司外揣内的思想,从症状到理论,再到理法方药上的不断完善。"脾主统血"的理论发展到今天,各个时期的医家对其认识不同,其含义与最初也有所区别,从生血摄血过渡到单纯的摄血之义,在此过程中不是对脾生血功能的否定,而是将生血的功能归入脾主运化的功能之下,避免定义上的重复。

The theory of the spleen dominating blood circulation originated from Huangdi Neijing, and was gradually perfected by physicians over the dynasties. The TCM thought that governing exterior to infer interior run through its development history from symptoms to theory and principle-method-recipe-medicines. Physicians in each period had different understanding of this theory, resulting in difference between its original meaning that spleen could produce and control blood and its current meaning that spleen could control blood only. In this process, it was not to deny the function of spleen that it could produce blood but to classify it into the function that spleen governing transportation and transformation so that the repetition of the definition can be avoided.