再论“脾为之使”

Futher discussion on“The spleen functions as an envoy”

“脾为之使”出自《素问·刺禁论》:“脾为之使,胃为之市。”以“脾为之使”的文辞解释以及含义为着眼点,结合上下文“胃为之市”分析其内在含义以及临床内涵:脾转输谷食精微,脾阳上输精微散精于肺,是化生精、气、血、津液的原材料,从而滋养全身脏腑形体官窍;脾阳上输散布津液或四布输散津液,脾气散津并为胃行其津液,脾转输水液,是人体水液代谢的枢纽,滋润濡养全身脏腑形体官窍;脾居五脏中央,与胃升降相因,维持五脏气机的协调。

“The spleen functions as an envoy”comes from Suwen·Cijin Lun,stated as“The spleen serves as an envoy,and the stomach serves as a market”.Based on its rhetoric interpretation and literal meaning,combined with its context,the implied meaning and clinical connotation of the statement is analyzed as follows:The spleen transforms grains into fi ne matters,and the spleen yang transfers them upward to the lung,as the raw material for transforming into essence,qi,blood,and body fl uid to nourish the viscera,the whole body and orifi ces.The spleen yang transports upward or disperses body fluid from the stomach in every direction,acting as the hub of human body’s water metabolism and nourishing the viscera,the whole body and orifi ces.Located in the center of the fi ve viscera organs,the spleen ascends,acting as both cause and eff ect of stomach decending and coordinating the qi movement of the fi ve viscera organs.