Discussion of the function of "wind medicine" in the treatment of chronic fatigue syndrome from the "spleen governs Kun" theory
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摘要: 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。Abstract: 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".
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[1] 钱乙. 小儿药证直诀[M]. 北京: 中国中医药出版社, 2012: 2-2.
[2] 阳和平, 陈竹, 彭玉, 等. 脾主困理论在彭玉教授治疗小儿厌食症的应用[J]. 中国民族民间医药, 2019, 28(5): 56-57. https://www.cnki.com.cn/Article/CJFDTOTAL-MZMJ201905019.htm
[3] 袁俊辉, 吴泽湘. 从"脾主困"浅谈七味白术散加减治疗小儿腹痛(肠系膜淋巴结肿大)的体会[J]. 中国民间疗法, 2021, 29(9): 7-9. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMJL202109003.htm
[4] 李亚群, 田云龙, 王靖. 从"脾主困"论治儿童功能性消化不良[J]. 中国中西医结合儿科学, 2021, 13(6): 542-545. doi: 10.3969/j.issn.1674-3865.2021.06.022
[5] 赵敏, 陈召起, 罗天帮, 等. 国医大师张磊治疗慢性疲劳综合征经验[J]. 中医学报, 2023, 38(5): 1021-1026. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZK202305021.htm
[6] Fukuda K, Straus SE, Hickie I, et al. The chronic fatigue syndrome: a comprehensive approach to its definition and study. International Chronic Fatigue Syndrome Study Group[J]. Ann Intern Med, 1994, 121(12): 953-959. doi: 10.7326/0003-4819-121-12-199412150-00009
[7] 葛晶晶. 试析"困"[J]. 现代语文(语言研究版), 2017(9): 30-33. https://www.cnki.com.cn/Article/CJFDTOTAL-YWLY201709008.htm
[8] 张山雷. 小儿药证直诀笺正[M]. 上海: 上海卫生出版社, 1958: 8-8.
[9] 万全. 万密斋医学全书[M]. 北京: 中国中医药出版社, 2015: 477-477.
[10] 童云. 浅谈"脾主困"与"脾主湿"[J]. 中医临床研究, 2018, 10(32): 9-10. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYLY201832005.htm
[11] 程引, 张治国. "脾实"与"泻脾"探讨[J]. 中国中医基础医学杂志, 2021, 27(4): 533-535. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJC202104001.htm
[12] 张会永, 崔家鹏, 杨关林. 从《内经》脾病"脉道不利"探讨"从脾论治"冠心病[J]. 中国中医基础医学杂志, 2013, 19(11): 1256-1258. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJC201311006.htm
[13] Branzoli F, Adanyeguh I, Wiehler A. A neuro-metabolic account of why daylong cognitive work alters the control of economic decisions[J]. Curr Biol, 2022, 32(16): 3564-3575. e5. doi: 10.1016/j.cub.2022.07.010
[14] 李宝丽, 唐方. 试述中医对慢性疲劳综合征的认识与辨证论治[J]. 浙江中医杂志, 2007, 434(5): 255-257. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJZZ200705004.htm
[15] 王家琪. 基于理论研究及数据挖掘的脾证相关理论及治疗方药规律的研究[D]. 沈阳: 辽宁中医药大学, 2019.
[16] 蔡云, 景欣悦, 甘可, 等. 风药名考[J]. 世界科学技术-中医药现代化, 2019, 21(12): 2659-2663. https://www.cnki.com.cn/Article/CJFDTOTAL-SJKX201912018.htm
[17] 李冀, 王晓雨, 庞宇航, 等. 东垣倡风药在脾胃病中的运用溯源[J]. 中医药学报, 2021, 49(9): 96-98. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYXB202109020.htm
[18] 李杲. 脾胃论[M]. 北京: 人民卫生出版社, 2005: 12-12.
[19] 马菲, 张建宾, 马永利, 等. 中医药治疗慢性疲劳综合征的作用机制研究进展[J]. 中医外治杂志, 2020, 29(5): 73-76. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYWZ202005038.htm
[20] 刘庆银, 张伟. 张伟教授运用风药经验[J]. 长春中医药大学学报, 2016, 32(5): 932-934. https://www.cnki.com.cn/Article/CJFDTOTAL-CZXX201605018.htm
[21] 张凤琴. 补中益气汤临床应用举隅[J]. 中国校医, 2016, 30(9): 649-649. https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI201609005.htm
[22] 方艳琳. 欧阳新主任医师治疗慢性疲劳综合症经验[J]. 湖南中医杂志, 2011, 27(4): 34-35. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZO201104018.htm
[23] 罗美. 古今名医方论[M]. 北京: 中国医药科技出版社, 2012: 40-40.
[24] 汪机. 外科理例[M]. 北京: 中国中医药出版社, 2010: 22-22.
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