脾主四时内涵之探析

Exploration into the connotation of spleen governing four seasons

《黄帝内经》中关于脾所主之时令,有"脾主长夏"与"四时……各十八日寄治"两种说法,然并不矛盾。书不尽言,言不尽意,文章从脾气所在,脾胃所主;有形无形,相互推求;先天后天,所重后天;中焦脾胃,万化之源;脾主四时,意贵圆通5个主要方面论述脾主四时,以期对于脾胃功能有一个较为清晰的认识,更好地服务于临床。

Huangdi Neijing has different views on the preponderating time of spleen. Whether the spleen being predominant to the body in late summer or exuberant in the four seasons for eighteen days is not definite, but the two viewpoints are not conflicting. The phenomenon was partly attributed to the old saying that the books are not the words, words not the meaning. This paper analyzed the theory of ‘the spleen governing four seasons’ from the flowing five main aspects： the spleen and stomach govern where the spleen qi exits; inquiring deeply into the visible and invisible; congenital qi and acquired qi are both important, while the acquired is attached more importance; the middle energizer is the source of the body; taking a flexible view of the spleen governing four seasons. The paper aimed to have a clearer understanding of the function of spleen and stomach for clinical services.