《黄帝内经》诸湿肿满 皆属于脾理论临床验案举隅

Clinical Experience of Theory of All Dampness and Swelling Belong to Spleen in Huangdi Neijing

此文旨在深入理解病机十九条中“诸湿肿满,皆属于脾”这句话的含义及如何运用于临床,从而更好地运用“病机十九条”去指导临床。此文通过验案举例,介绍“诸湿肿满,皆属于脾”理论,强调该理论在临床中的治疗作用,通过对脾的中医解释及分析其产生水湿之邪的机制,加之其在典型病证的临床运用中具有指导性意义的验方分析,因而得出了一切水湿痰饮积聚之邪皆和脾脏有关,可以从脾论治的结论。

This paper aims to deeply understand“all dampness and swelling belong to spleen”in Nineteen Items of Pathogenesis,and how to apply it in clinical practice.This paper introduces the theory of“all dampness and swelling belong to the spleen”through the example of medical records,and emphasizes the therapeutic effect of this theory in clinic,so that we can use Nineteen Items of Pathogenesis better to guide clinical practice.According to the explanation of spleen in Chinese medicine and the analysis of its mechanism of water and dampness,as well as its experiential prescription analysis in the clinical application of typical diseases and syndromes,it concluded that almost dampness,edema,distension and fullness are related to spleen,which can be treated from spleen.