[1]周婉婷,戴铭,韦秋凤,等.中医从“脾”论治鼓胀研究概述[J].西部中医药,2026,39(08):21-24.[doi:10.12174/j.issn.2096-9600.2026.08.06]
　ZHOU Wanting,DAI Ming,WEI Qiufeng,et al.Research Overview on the Treatment of Tympanites from the Spleen in TCM[J].Western Journal of Traditional Chinese Medicine,2026,39(08):21-24.[doi:10.12174/j.issn.2096-9600.2026.08.06]
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中医从“脾”论治鼓胀研究概述()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
39
期数:
2026年08期
页码:
21-24
栏目:
学术探讨
出版日期:
2026-07-29

文章信息/Info

Title:
Research Overview on the Treatment of Tympanites from the Spleen in TCM
作者:
周婉婷, 戴铭, 韦秋凤, 邹思婷, 陆裕进
广西中医药大学，广西 南宁 530020
Author(s):
ZHOU Wanting, DAI Ming, WEI Qiufeng, ZOU Siting, LU Yujin
Guangxi University of Chinese Medicine， Nanning 530020， China
关键词:
鼓胀; 从脾论治; 证治规律
Keywords:
tympanites; spleen-based treatment; laws of syndrome-based diagnosis and treatment
分类号:
R256
DOI:
10.12174/j.issn.2096-9600.2026.08.06
文献标志码:
A
摘要:
文章梳理近20余年中医从“脾”论治鼓胀的相关文献，系统分析其证治规律与学术特点。研究发现，鼓胀发病与脾脏功能失调密切相关，其病因病机复杂多样，多由酒食不节、情志失调、劳欲过度、虫毒感染及外感六淫等因素诱发，核心病机为脾失健运，致水湿内停、气滞血瘀。临床治疗以治脾为根本，确立健脾、实脾为基本大法，通过补脾气、调中州、化湿邪以恢复脾之运化功能，最终实现消胀除满之效；方药运用方面，以补气调中、健脾祛湿类药物为主，彰显扶正祛邪、标本兼顾的治疗思路。研究表明，从脾论治鼓胀具备坚实的理论基础与临床指导价值，健脾法贯穿于该病治疗全过程，可为临床辨治鼓胀提供系统的理论依据与用药参考。
Abstract:
This article reviews the literature on the treatment of tympanites from the perspective of the spleen in traditional Chinese medicine over the past two decades, and systematically analyzes its syndrome differentiation and treatment regularities as well as academic characteristics. Studies have found that the onset of tympanites is closely related to spleen dysfunction. Its etiology and pathogenesis are complex and diverse, often triggered by factors such as intemperance of alcohol and diet, emotional dysregulation, overwork and excessive sexual activity, parasitic infection, and invasion by the six exogenous pathogenic factors. The core pathogenesis is the failure of the spleen to transport and transform, leading to internal retention of water-dampness, Qi stagnation, and blood stasis. Clinical treatment takes treating the spleen as the fundamental approach, establishing strengthening the spleen and consolidating the spleen as the basic therapeutic principles. By supplementing spleen Qi, regulating the middle burner (spleen and stomach), and resolving dampness, it restores the transportation and transformation function of the spleen, ultimately achieving the effect of reducing distension and relieving fullness. In terms of medicinal application, drugs that supplement Qi and regulate the middle burner, as well as strengthen the spleen and eliminate dampness, are primarily used, reflecting a therapeutic approach that supports healthy Qi to eliminate pathogenic factors and addresses both the root and manifestations of the disease. Studies have shown that treating tympanites from the spleen has a solid theoretical basis and clinical guiding value. The method of strengthening the spleen runs through the entire treatment process of this disease, providing a systematic theoretical basis and medication reference for clinical differentiation and treatment of tympanites.

相似文献/References:

[1]王欢,何其函,李思思,等.从脾论治桥本甲状腺炎[J].西部中医药,2023,36(08):45.[doi:10.12174/j.issn.2096-9600.2023.08.12]
　WANG Huan,HE Qihan,LI Sisi,et al.Treatment of Hashimoto′s Thyroiditis from Spleen[J].Western Journal of Traditional Chinese Medicine,2023,36(08):45.[doi:10.12174/j.issn.2096-9600.2023.08.12]

备注/Memo

备注/Memo:
国家重点研发计划（N2019YFC1709200，2019YFC1709203）；中医学广西一流学科（桂教科研〔2018〕12号）。周婉婷（1994—），女，硕士学位，医师。研究方向：中医经典理论（名方）与各家学说的临床运用研究。
更新日期/Last Update: 2026-08-15