Exploring the Idea and Clinical Application of Treating Spleen and Stomach Diseases with Heart-spleen Related Theory based on Five-viscera Related Theory
Starting from the origin of heart and spleen related theories and the analysis of the relationship between heart and spleen,this paper explores the causes,pathogenesis and treatment methods of spleen and stomach diseases based on heart and spleen related theories,and concludes that the heart and spleen related theories sprouted in the Qin and Han dynasties,developed in the Jin and Tang dynasties,and flourished in the Song and Yuan dynasties,perfected in the Ming and Qing dynasties,and matured in modern times.In terms of mutual relationships,the heart and spleen are related through meridians,five elements,Qi and blood,and spiritual emotions,and have been verified in the brain-gut axis theory in modern research.In terms of etiology and pathogenesis,fire failure and earth deficiency,heart fire invading the spleen,heart-spleen deficiency,and heart-stomach disharmony are the most common pathogenesis of spleen and stomach disorders in the theory of heart-spleen correlation.In clinical treatment,the core therapeutic methods for each pathogenesis can be benefiting the fire and replenishing the earth,removing the heart-fire to support the spleen,tonifying the heart to strengthen the spleen,and regulating the heart to tranquilize the spleen,respectively.In terms of medication,Fuzi(Aconiti lateralis radix praeparata),dried ginger,Guizhi(cinnamomi ramulus),and Zhigancao(glycyrrhizae radix et rhizoma praeparata cum melle)are used to warm and replenish the heart yang,Huangqi(Astragali radix)and Huanglian(Coptidis rhizoma)coptis are used to nourish the spleen and reduce fire,Huangqi,ginseng,longan,and Danggui(Angelicae sinensis radix)are applied to replenish the heart and spleen,and Shouwuteng(Polygoni multiflori caulis),Meiguihua(rosae rugosae flos)and Hehuanpi(Albiziae cortex)are used to nourish the mind and calm the spleen and stomach.
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