从"小肠主液"理论探析"小肠病"诊疗思路OA
Exploration of Diagnostic and Therapeutic Approaches for"Small Intestine Diseases"Based on the Theory of"Small Intestine Governing Body Fluids"
"小肠病"作为中医脏腑病的一种,威胁着人类健康.小肠化生的水液润泽经脉筋骨;表里络属的心与小肠脏腑相合,共司血液化生;同时小肠经的经脉循行特点,决定了小肠生理功能与中焦气化密切关联.本文认为"小肠病"的核心病机为水液停滞经脉,心火下移小肠,小肠清浊不分,这些可导致人体出现局部筋膜拘挛疼痛等本经经脉病候以及尿血、尿浊等"小肠病"的临床表现.基于上述病机特征,本文从通液濡经脉、运脏利水道、固气摄精微等入手确立诊治思路,挖掘"小肠主液"理论对"小肠病"的临床指导价值.
As a category of Zang-Fu organ diseases in Traditional Chinese Medicine(TCM),"Small Intestine Diseases"pose significant threats to human health.The fluids transformed by the Small Intestine moisten the meridians,tendons,and bones.The Heart and Small Intestine,interconnected through their exterior-interior relationship,jointly govern blood generation.Additionally,the meridian pathway characteristics of the Small Intestine Channel determine its physiological functions'close association with the Qi transformation of the Middle Jiao.This paper identifies the core pathogenesis of"Small Intestine Diseases"as:stagnation of body fluids in the meridians,descent of Heart Fire to the Small Intestine,and failure of the Small Intestine to separate the clear from the turbid.These pathological mechanisms may lead to clinical manifestations such as localized muscular contracture and pain along the affected meridians,as well as hematuria and turbid urine.Based on these pathogenic features,this study establishes diagnostic and therapeutic strategies centered on promoting fluid circulation to moisten meridians,regulating Zang-Fu organs to facilitate water passage,and consolidating Qi to retain essential substances.The aim is to elucidate the clinical guidance value of the"Small Intestine Governing Body Fluids"theory in managing"Small Intestine Diseases".
GUO Shengrong;YU Jiaxiang;DAI Jianyu
Liaoning University of Traditional Chinese Medicine,Shenyang,Liaoning 110847Liaoning University of Traditional Chinese Medicine,Shenyang,Liaoning 110847||Key Laboratory of Acupuncture and Moxibustion Biology,Liaoning Provincial Department of Education,Shenyang,Liaoning 110847Liaoning University of Traditional Chinese Medicine,Shenyang,Liaoning 110847||Key Laboratory of Acupuncture and Moxibustion Biology,Liaoning Provincial Department of Education,Shenyang,Liaoning 110847
医药卫生
小肠病小肠主液心火下移小便不利泌别清浊
small intestine diseasessmall intestine governing body fluidsdescent of heart firedysuriaseparation of the clear and turbid
《中医康复》 2026 (1)
72-76,5
辽宁省自然科学基金项目(2024-MS-120)
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