The concept of the Zangxiang attribution of spleen in traditional Chinese medicine: implications for clinical practice and research

Yi-Qin Huang, Qi-Ming Zhang
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Abstract

Both traditional Chinese medicine (TCM) and modern medicine have the concept of spleen. The description of the spleen of the same name in the two disciplines is roughly identical in shape and position, but it is different in functional connotation. The immune, hematopoietic and blood regulation functions of the anatomical spleen in modern medicine cannot match the functions of the spleen in TCM, such as transportation, transformation, commanding bleeding, and dominating muscle and limbs. The spleen is a different organ in TCM and modern medicine. From the function perspective, this paper establishes the relationship between the spleen and the five zang-organs (It refers to the internal organs of the human body.) of TCM. The author believes that the immune and hematopoietic functions of the spleen in modern medicine should belong to the kidney of TCM, and the function of regulating the blood volume of the spleen in modern medicine should belong to the heart of TCM. By establishing the relationship between TCM and modern medicine of the spleen, we hope to provide a new method of TCM treatment for the clinical treatment of spleen-related diseases and provide new ideas for the modernization of the theory of Zangxiang (The physiological function and pathological changes of zang-fu organs are manifested in external signs.) of TCM.
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中医脾藏象归因的概念:对临床实践和研究的启示
中医和现代医学都有脾的概念。两门学科对同名脾的描述在形状和位置上大致相同,但在功能内涵上有所不同。现代医学解剖脾的免疫、造血、血液调节等功能,与中医脾的运化、转化、指挥出血、支配肌肉、四肢等功能无法匹配。脾在中医和现代医学中是一个不同的器官。本文从功能的角度,建立了脾与中医五脏(指人体脏腑)的关系。笔者认为,现代医学中脾的免疫、造血功能应属于中医之肾,现代医学中脾的调节血容量功能应属于中医之心。我们希望通过建立中医与现代脾医学的关系,为脾相关疾病的临床治疗提供一种新的中医治疗方法,并为中医脏腑理论(脏腑的生理功能和病理变化表现在外在体征上)的现代化提供新的思路。
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