基于藏象时空观探析“脾主时”的内涵及临床意义  

The Connotation and Clinical Significance of“Spleen Governs Time”based on the Zangxiang(藏象)Time-space View

作　　者：王若冲 马淑然 孙一珂 秦雨筱 温佳雨 张亚雯 高冉 刘雷蕾 MA Shuran;SUN Yike;QIN Yuxiao;WEN Jiayu;ZHANG Yawen;GAO Ran;LIU Leilei(School of Traditional Chinese Medicine Beijing Universityof Chinese Medicine(Liangxiang Campus),Beijing,102488)

机构地区：[1]北京中医药大学中医学院,北京市102488

出　　处：《中医杂志》2024年第2期121-127,共7页Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(82274385,82104706);北京中医药大学揭榜挂帅项目(2023-JYB-JBQN-042)。

摘　　要：“脾主时”理论存在不同的观点,至今仍为藏象学说研究的热点。基于藏象时空观发现脾主时理论形成的思维方式为时空逻辑,认为不同脾主时的时间观均是基于脾属土居中央的空间观而形成,并发展出时空逻辑统一的脏时理论。以藏象时空观为指导,对脾属土居中央的方位特性进行溯源,结合四时五脏论、五时五脏论、六时六脏论、八时八脏论,探析不同时空逻辑下脾主时的理论内涵及其临床应用。There are different views on the theory of“spleen governs time”,which is still a hot spot in the study of Zangxiang(藏象)theory.Based on Zangxiang time-space view,it is found that the thinking mode of the spleen governing time theory follows space-time logic.It is believed that the different time views of the spleen governing time are all formed based on the space view that the spleen belongs to earth and resides in the center,and the zang time theory is developed with the unified time and space logic.Guided by Zangxiang time-space view,the origin of the spleen belonging to earth and residing in the center is traced,and the theoretical connotation and its clinical application of spleen governing time under different time-space logic are explored with reference to the four season and five zang theory,five season and five zang theory,six season and six zang theory,and eight season and eight zang theory.

关 键 词：脾 藏象时空观 《黄帝内经》 脾主四时 脾主长夏 运气学说 

分 类 号：R223.1[医药卫生—中医基础理论]