Li Dongyuan spleen theory of shallow knowledge (two)

Zhu Xianglin Ezhou of hubei province hospital of traditional Chinese medicine

China's traditional Chinese medicine to

        Spleen dysfunction pathological mechanism

        Because "Yin qi from foot to head, and the downward cycle arm to finger tip; sun be the spirit to the head in his hands, and down to the foot, so the yue Yang disease, upside down; Yin disease, descending on the pole and" (" plain question · too theory of Yin and Yang Ming "). If diet LaoJuan harming, the subsidence, temper on inverse stomach gas, lift disorders and disease. Li Dongyuan said, if the "damage of spleen, qi, under or the downward over time cannot rise, is autumn/winter without spring and summer, is a growth since the gas and all diseases that use in coming to kill, or how long rise not fall also disease". "Laziness is addicted to lying, limbs don't accept the card, diarrhea stool". If gastric estrangement, often under the impassability, stomach heat, gas heat chests, are born internal heat, "big stomach trouble is shortness of breath, spirit and less heat, fire and show up alone sometimes burn to his face". Spleen disease and stomach disease can influence each other, "gastric disease, spleen without appeal to both suffer... it is also to disease.... the spleen disease already, the stomach can't walk alone fluid, also how to disease". Ran in spleen imbalance contradictions, the main contradiction is spleen rose, so secretly hair dry, Yin fire "stomach diseases both attack cannot nourish, reason was completely fu qi, Yang tao to no, Yin fire dry", the spleen and stomach deficiency, fu alongwith, nothing is situated on the five internal organs, its tissues and organs as well as of disease. The so-called "valley of spleen and stomach multiply by Yin fire, both block and dirty gas, fresh air is not rose, nine orifices for adverse".

        Emphysematous function of five zang-organs each are not identical, as disease clinical symptoms are also different. If due to internal injury taste, lifting imbalance, cause and nine orifices of the limbs of zang-fu organs and meridians lesions, although its syndrome complex, but it reflects the vitality with Yin fire characteristics of contradiction, this view, runs through the whole theory and practice in the lee.

        If spleen rose qing, displaced and lung disease. East slope, said: "eating into the stomach, its gas upward, to lose heart, to nourish the skin of energizer cou justified its feet"; If temper not up and downstream, "nothing is situated on the cardiopulmonary, skin without Yang, lost its RongWei armor, so Yang points between the fur is weak, but see the wind is cold, or the Yin cold, sunny, there was also of evil" (" the theory of internal and external injury distinguishes the humbug "). If the spleen wet trapped, QingYang don't rise, lung displaced, lung health is insufficient, "and see lung disease, sprinkle some of the evil cold, miserably miserably, complexion is bad and discord, sun be the spirit does not stretch so is also". If the nasty temper, valley gas shall not be floating, Yin fire rush, the descending, lost lung "hot gas is high and that the vexed, for headaches, pulse hong for thirsty".

        Pixu (spleen deficient) cannot rise, qi can't zi in the heart, blood, heart, "the mind, and disease called 悗, heart and confused and annoyed 悗 nervous also, fresh air is not up, not polluted gas, QingZhuo coherent. In chest, make the whole body blood inverse chaos." Heart bleeding keep fresh air is not up, Yin fire don't dive is polluted air drop, this also is a kind of lifting disorder. Heart the main body of the blood, the heart 悗 craft, and influence in the whole body blood also disorderly. For the visible "from time to time by the water, or suitable to break, suddenly and violently under more than" (li Gao copy of the LAN room cabinet. People's medical publishing house 1957); Or "feet no, nasty stomach gas, in the fire of the sanjiao (triple energizer) and heart to the lungs, the pulp into the chest, HuoZhu overflow, pupil up" (" LanBao cache "), so a cataract eye disease, etc.

        Li Dongyuan think spleen Yang qing also and provided with spring litres is complementary to each other. Valley "stomach gas, gas, energy, qi a also a bile rise, although different name, just the stomach gas is rising", means less a bravery Yang qi lai gastric qi to im, and the ascending function effect of the liver and helps the rise and fall of spleen and stomach function. So said "little YangHang spring of life, the root of evil also, radix bupleuri, less to make the right move, germinal Yang Ming qi", if "bile fails to rise, the dinner plates drain intestinal Pi mixed".

        Kidney, "is the essence of the first body is born, not the stomach gas can't zi", if the spleen loss litres of qing, "the kidney of taste nasty damp block below, Yin fire, to make ZhengZheng and hot, the head, near the fur, and hot" (" the theory of internal and external injury distinguishes the humbug "). Temper subsidence, rush on between kidney Yin fire boiling, is one of the pathogenesis of internal heat. Or moisture mean by kidney, pixu (spleen deficient) "is spent weakness, bone to bone impotent, empty, a bone marrow foot can't shoe", because the kidneys reproductive, menstruation, if "spleen and stomach have losses, in the kidney, with phase fire, forced under hot and humid, the leakage is more than" (LanBao cache). This is lienal lose up clear, effect on renal lesions.

        To sum up, according to all that spleen rose clear, the strength is insufficient, affect related viscera function recession; At the same time, Yin fire to move again, do not fall to polluted air, affect the viscera function disorder. But in lifting disorders of contradiction, spleen rose qing is main aspect of contradiction; So in the contradiction of qi and Yin fire, qi deficiency is the main contradiction; Therefore, involving the viscera function disorder of recession and contradiction, the function of recession is main aspect of contradiction, this is known as the east slope of the basic pathological point of view.

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