基于“脾主涎”理论探索脾气虚证本质研究的启示  

Research revelation on exploring the essence of spleen qi deficiency syndrome based on the theory of’spleen controlling salivary secretion’

作　　者：林传权[1] LIN Chuan-quan(Guangzhou University of Chinese Medicine,Guangzhou 510405,China)

机构地区：[1]广州中医药大学,广州510405

出　　处：《中华中医药杂志》2020年第11期5370-5374,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(No.81973723,No.81403297)。

摘　　要：基于"脾主涎"理论运用唾液淀粉酶活性比值反映脾气虚证特征是证候本质研究的范例,其成果有目共睹,尤其为证候客观指标选择、负荷试验理论运用、多方面对照观察及多指标合参等研究思路提供了宝贵经验。但是,脾气虚证本质研究仍面临尚未取得实质性突破、对临床诊疗指导意义仍有限的现状。笔者认为脾气虚证研究的突破在于重拾中医"整体观"、理性评价证候微观指标,切勿在"还原论"思维局限下误入"求证式"的研究模式;目前应优先开展"病机辨识"研究,运用"病机辨识"认识疾病的动态变化,并找出"不变"的规律并加以归纳运用,最终提高中医诊疗效果。Based on the theory of‘spleen controlling salivary secretion’,observing the characteristics of spleen qi deficiency syndrome(SDS)by the salivary amylase activity ratio is a good example of the studies on exploring essence of syndromes.The results enlightened us,especially in the reasonable selection of syndrome indicators,application of load test theory,multiple comparisons and conjoin analysis of multi-index.However,there is little advance in the study leading to difficult to effectively guide clinical diagnosis and treatment.The author strongly suggest that the‘holistic view’of TCM should be paid more attention and the microscopic index should be reasonably evaluated in the exploring essence of SDS,in order to be away from the research mode of‘verification’due to the guidance of‘reductionism’.At present,the research of‘pathogenesis identification’should be preferentially carried out,the dynamic change of disease should be detected,and then the characteristic regulations could be found out and put into practice,to effectively improve the diagnostic and therapeutic efficacy of TCM.

关 键 词：脾主涎 证候 脾气虚证 唾液淀粉酶 证候研究 

分 类 号：R241[医药卫生—中医诊断学]