基于“脾藏象”理论针对更年期综合征从脾论治探讨

Theoretical Discussion on Treating Climacteric Syndrome from the Spleen Based on “Spleen Storing Spirit” Theory

更年期是女性由中年期向老年期过渡的一个阶段。在此期间,妇女的身体发生了一系列的生理功能紊乱,部分较严重的更年期综合征(Climacteric syndrome,CS)患者需要及时进行干预治疗,以避免日后对患者造成身心的危害。作者通过查阅文献及临床观察,根据中医"脾藏象"理论分析了脾与CS的密切联系,提出CS从脾论治的思路。分别阐述了CS的中西医病因、病机和治法,以进行对比。同时与传统的从肾论治对比,指出从脾论治的重要性,该方法可补充甚至替代从肾论治。

Climacteric is the stage between female＇s midlife to the old age. During this time,a series of changes about the physiological function occour inside the female＇s body. Some patients with more serious climacteric syndrome（CS）needs to be treated in time,which can avoid harming the body and mind of them. By means of consulting literature and clinical observation,the author analyses the close relathionship between spleen and CS according to the＂spleen storing spirit＂theory. Besides,the author proposes train of thought of treating from the spleen. And he states the pathogeny,pathogenesis and treatment of TCM and modern Western medicine separately. At the same time,the author proposes the importance of treating from the spleen by comparing with treating from the kindney,thinking it can supplement the latter even replace it.