脾主化与肥胖症

Spleen Governing Transformation and Obestiy

中医藏象理论中的脾主运化功能可进一步分为“脾主运”和“脾主化”两个不同的生理过程。其中“脾主化”是指化其精微,精微物质被机体吸收后转化精、气、血、津液的过程,也就是营养物质从“纳”到“用”的过程。肥胖症作为高发的代谢性疾病,与“脾主化”功能的异常密不可分,脾虚不化、物不化正是其基本病机。基于其脾虚不化病机,临床采用益气化聚法中药复方治疗肥胖,通过解决脾虚不化,以及邪热、痰湿、瘀血等邪实蓄积的问题,标本兼治,从源头有效干预肥胖,实现治病求本。

In the theory of visceral manifestation of traditional Chinese medicine, the function of spleen governing transportation and transformation can be further divided into two parts: “spleen governing transportation” and “spleen governing transformation”.“Spleen governing transformation” refers to the process of transforming the subtle substances into essence, Qi, blood and body fluid after being absorbed by the body, which equals to the process of nutrients from “receiving” to “using”.Obesity, as a high-risk metabolic disease, is closely related to the abnormal transformation function of spleen.Dysfunction of transformation due to spleen deficiency is its basic pathogenesis.Based on the pathogenesis, the traditional Chinese medicine compound for benefiting Qi and resolving the mass is used in clinic.By solving the problems of spleen deficiency and non-transformation as well as the accumulation of evil heat, phlegm-dampness, blood stasis and other evil substances, we can effectively intervene obesity from the source to achieve the goal of treating diseases.