运脾转枢法在难治性心力衰竭中的运用

Application of Yunpi Zhuanshu Method in Refractory Heart Failure

运脾转枢是全国首批名老中医周炳文主任医师的重要学术思想,是以脾主升运、属阴土,胃主和降、属阳土,相反相成运动不息的特殊功能,而提出以"运"为主的治法。其强调重在调而不在补的调理脾胃方法以治诸脏,一法之中,多法存在,包括寒、温、补、泻。如寒者,温之使运;热者,清之使运;湿困者,燥之使运;食积者,消之使运;胃气上逆者,导气降逆使运;脾气下陷者,益气升阳使运。治法各异,而运脾则一也。

The theory of Yunpi Zhuanshu is an important academic thought of ZHOU Bingwen,a chief physician,one of the first famous Chinese medicine practitioners in China. It is a treatment method mainly focusing on "transformation" due to the special function of the spleen and stomach being both antagonistic and constituted movement to each other;specifically,the spleen governs ascent and transportation,ascribed to yin earth,and the stomach governs harmony and descent, ascribed to yang earth. The method emphasizes the regulation of the spleen and stomach to treat other zangorgans, attaching great importance to the harmony rather than supplementation. Other methods including cold, warm,tonifying and draining ones are also involved in this method. If patients are of cold constitution,they will be adopted warming method to transform;if patients are of heat constitution,they will be adopted clearing method to transform;if patients are of damp encumbrance,they will be adopted dry method to transform;if patients are with food accumulation,they will be adopted promoting method to transform;in patients ascending counterflow of stomach qi,their qi will be guided and the counterflow directed downward to transform;in patients sinking of spleen qi, their qi will be tonified and yang raised to transform. Though the above methods differ,they have common in transforming the spleen.