基于《黄帝内经》浅析“脾胃为脏腑之本”

Discussion on 'the spleen and stomach are the roots of zang-fu viscera' based on the theory of Huangdi Neijing

《黄帝内经》奠定了脾胃理论的基础,提出"脾者土也,治中央"、"脾不主时""胃为五脏六腑之海"等思想,无不强调脾胃的重要性。《时方妙用》云:"脾为五脏之本",《类经》云:"土为万物之本,脾胃为脏腑之本",以上思想无一不根源于《黄帝内经》。因此,反复探究《黄帝内经》对学习并完善后世脾胃理论有重要意义。文章基于《黄帝内经》,从脾胃的属性、功能、病理阐释"脾胃为脏腑之本"的理论要义,探讨其实践意义,以期挖掘经典,指导临床。

Huangdi Neijing, which has settled the foundation for the theory of spleen and stomach, emphasizes great importance on the spleen and stomach by put forward the ideas such as ‘the spleen belong to the earth, governing the central region＇, ‘the spleen dose not governs the four seasons＇ and ‘the stomach provides the material basis for all visceras＇. ShifangMiaoyong proposes that ‘the spleen is the root of the five zang viscera＇. Leijing proposes that ‘the spleen and stomach are the roots of zang-fu viscera just as the earth provides material basis for life＇. All of the above theories are derived from Huangdi Neijing. Therefore, repeated exploration of Huangdi Neijing is of great significance to study and perfect the theory of spleen and stomach. According to the theory of Huangdi Neijing, this article discussed the theoretical essence of ‘the spleen and stomach are the roots of zang-fu viscera＇ from attribute, physiology and pathology of spleen and stomach. The purpose is to explore the practical significance of this theory, so as to learn classical theory, and to guide clinical practice.