从“脾主困”理论探讨风药在慢性疲劳综合征治疗中的应用

Discussion of the function of"wind medicine"in the treatment of chronic fatigue syndrome from the"spleen governs Kun"theory

钱乙的“脾主困”理论源自《黄帝内经》而影响后世,其主要论及的脾实证正日益增多,但在临床上应用并不广泛。慢性疲劳综合征(chronic fatigue syndrome,CFS)病机与“脾实证”相合,论治在于祛邪解困、通调气血,风药在CFS的治疗中起到了升举清阳、疏肝理脾、宣散祛湿等多方面的点睛之用。本文通过分析风药在CFS治疗中的作用,使“脾主困”理论的指导意义得以阐发,并为临床治疗脾实证提供参考。

QIAN Yi's theory of "spleen governs Kun" originated from Huangdi Neijing and has influenced future generations. This theory mainly focuses on the concept of "Spleen Shi syndrome" which is increasingly common nowadays, but has not been widely applied in clinical treatment. The pathogenesis of chronic fatigue syndrome(CFS) corresponds with "Spleen Shi syndrome", and its treatment should focus on dispelling pathogenic factors, resolving stagnation, and regulating Qi and blood flow. "Wind medicine" in the treatment of CFS play a vital role in elevating the clear Yang, promoting liver and spleen function, and dispelling dampness. By analyzing the role of "wind medicine" in treating CFS, the guiding significance of the "spleen governs Kun" theory is explained further, which can also provide insights for the clinical treatment of "Spleen Shi syndrome".