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What does the spleen control in the five internal organs?
It is suggested that if you want to study medicine, you should look at the basic theory of traditional Chinese medicine. (2) Physiological function of spleen.

1. Spleen governs transport and transformation: transport, that is, transport, that is, digestion and absorption. Spleen governs transport and transformation, which means that spleen has the function of transforming Shui Gu into essence.

Micro, and transmit fine substances to organs and tissues of the whole body. In fact, spleen is the digestion and absorption of nutrients.

And transport functions:

The digestion of food and drink, the absorption and transfer of nutrients all involve the spleen and stomach, liver and gallbladder, large intestine and other viscera.

Spleen plays a leading role in complex physiological activities: the transport function of spleen mainly depends on clearing spleen and warming spleen yang.

Function: Spleen should promote health. "When one accepts Shui Gu, one's temper will rise" (Appendix to Tibetan Classics and Medical Three-Character Classics), "Spleen will rise and be good at grinding" (four sages of the heart source), and Shui Gu entered the stomach because of spleen yang. Therefore, "the spleen has one point of yang, which can be eliminated;"

Spleen has ten-tenths of yang, which can be eliminated by ten-tenths "(Yi Yuan). Generally speaking, the transport function of the spleen is called transporting Shui Gu.

In other words, it includes transportation in Shui Gu and transportation of water and liquid.

(1) Yunhua Shui Gu: Shui Gu, which refers to all kinds of diets. Spleen transport into Shui Gu refers to digestion and absorption of food and drink by spleen.

Use. The process of spleen transporting Shui Gu is as follows: First, the food and drink digested by the stomach are discharged from the small intestine and pass through the spleen.

The function of abrasive particles to promote digestion makes it become Shui Gu subtle (also known as Shui Gu essence); The second is to absorb subtle Shui Gu and transfer it to the whole body;

The third is to inject Shui Gu's subtle heart and lungs into vital substances such as qi and blood. In short, the spleen governs Shui Gu, including digestion.

Shui Gu, an important physiological function of absorbing and transmitting the subtle and transforming it into qi and blood. Digestion of stomach, food and drink after eating.

Absorption is actually carried out in the stomach and small intestine. "Spleen governs transport and transformation, stomach accepts food, and water and grain govern" (Jing Zangxiang)

Class "). The stomach receives Shui Gu, initially digests food and drinks, and then moves down to the small intestine through the pylorus for further digestion. Single stroke

Only by relying on the grinding and digestive functions of the spleen can Shui Gu be transformed into subtle. "Spleen kill Shui Gu's reason is not to grind it.

The power of the pestle can also be sucked away by the air, but the food will not fall down. When food enters the stomach, it is full of gas and quality, and the quality wants to drain, and the gas wants to rise.

Stomach qi fumigation, half temperament, temper unchanged, then stomach qi helps, the essence of food can be left to qualitative

Qi, it is ordered to go, pylorus opens and goes to its dregs "("Medical Description "quoted" Medical Guide "). '

After the food is digested and absorbed, its delicate Shui Gu is transferred to the lung through the spleen and scattered essence, and is injected into the heart from the lung.

Pulse condition turns into qi and blood, and then it is transported to the whole body through meridians, nourishing the internal organs, limbs and bones, as well as fur, tendons and veins.

Tissues and organs "diet precedes the stomach, and once the spleen and stomach are transported, they are subtly lost to the lungs, and lung qi spreads the dirty qi of all people."

The small intestine of the people's congress is also a melting pot for the spleen and stomach to divide gold (First Edition of Medical Rights). In short, internal organs need to maintain normal physiological activities.

The subtlety of Shui Gu lies in the transportation of the spleen. Because diet Shui Gu is the necessary nutrition to maintain life activities after birth.

The main source of matter is also the material basis for generating qi and blood. The transportation and transformation of dietary Shui Gu is dominated by the spleen, so the spleen is the back.

The foundation of heaven is the source of qi and blood biochemistry. Therefore, as the saying goes, "once you have this body, you are endowed with the spirit of five grains. The spirit of five grains enters the stomach, and it is excreted in the five internal organs, producing qi and harmony."

It is said that the essence of the day after tomorrow lies in the spleen, and the essence of manpower lies in the blood of the five internal organs.

Heaven theory). But "the five flavors of population are hidden in the stomach, and the spleen exercises its essence" (Su Wen Bing Qi Lun), people take Shui Gu as the foundation.

Spleen and stomach are the sea of water valley, so they are the foundation of the day after tomorrow and the source of qi and blood biochemistry. This theory has the following advantages in health preservation and disease prevention.

Important guiding significance.

Spleen has a strong transport function, which is customarily called "spleen healthy transport". Only when the spleen is healthy can the digestion and absorption function of the body be improved.

Only in this way can we be healthy, provide sufficient nutrition for the generation of qi, blood and body fluids, and fully nourish the viscera and tissues of the whole body.

Raise, in order to maintain normal physiological activities. On the other hand, if the spleen loses its health, the digestion and absorption function of the body will be abnormal because of it.

Abdominal distension, loose stool, loss of appetite, burnout, emaciation, deficiency of qi and blood will occur.

(2) Water-dampness transport: Water-dampness transport, also known as water-liquid transport, refers to the absorption and transport of water and liquid by the spleen, and regulates the body's water-liquid replacement.

Xie's function is that the spleen cooperates with lung, kidney, triple energizer, bladder and other viscera to regulate and maintain the balance of water and liquid metabolism in human body. spleen

The transportation of water and moisture is the key link to regulate the metabolism of water and liquid in human body. In the process of water-liquid metabolism, the spleen is responsible for transporting the essence of Shui Gu.

At the same time, the water (body fluid) needed by the human body is transported to all tissues of the whole body through the heart and lungs to nourish the body.

Moisturizing effect, and timely transfer the water of various tissues and organs to the kidney, and form urine through the gasification of the kidney.

To the bladder, excreted, so as to maintain the balance of water and liquid metabolism in the body. The spleen is in the middle jiao, which is the hinge of the ascending and descending of human qi, so

It plays an important pivotal role in the process of water-liquid metabolism in human body. Therefore, the spleen's function of transporting water and dampness is vigorous, which can not only make the body

Tissue paper is fully wetted by water and liquid, and does not cause excessive moisture and retention. On the other hand, if the transport function of the spleen is abnormal,

It will inevitably lead to water stagnation in the body, resulting in wet, phlegm and other pathological products, and even edema. So: "All wet.

Swelling the spleen "("Su Wenzhi Zhen Da Lun "). This is the root of spleen deficiency and dampness, spleen deficiency and phlegm, and spleen edema.

Occurrence mechanism.

The functions of spleen transporting Shui Gu and transporting water and dampness are interrelated and influenced each other, which is a kind of dysfunction.

On the other hand, it will lead to dysfunction, so they often meet pathologically.

2. Spleen governs blood: Spleen governs blood, which refers to the blood-producing function of spleen. Unified blood is unified control. spleen

Controlling blood means that the spleen has the function of controlling blood, so that blood runs in the meridians without overflowing the veins.

(1) Spleen governs blood production: Spleen is the acquired foundation and the source of qi and blood biochemistry. Spleen transports the essence of Shui Gu, which is the main substance for producing blood.

Qualitative basis. Therefore, Zhang Jingyue said: "Blood ... comes from a steady stream and is biochemical in the spleen" (Jingluequanshu Blood Syndrome). Spleen-activating Shui Gu

Subtle, blood is generated by gasification. Spleen is healthy, the source of metaplasia is sufficient, and qi and blood are sufficient. If the spleen is unhealthy,

Lack of blood-producing substances leads to blood deficiency, such as dizziness, pale face, lips, tongue, fingernails and so on.

Q) Spleen governs blood: "Spleen governs the blood of various meridians" ("Essentials of Famous Doctors"), "The blood of human internal organs depends entirely on spleen."

(Shen Zhu Jingui Yao Lu, Volume 16). Temper can control the whole body blood and make it run normally without spilling blood.

The function of regulating blood of spleen is realized by the function of qi sucking blood. Spleen is the source of qi and blood biochemistry, qi is handsome blood, and blood moves with qi. splenic

If the transport and transformation function is vigorous, the qi and blood will be full, and qi can suck blood; Strong qi, strong fixation, blood will not escape from the pulse.

Bleeding phenomenon. On the contrary, if the function of spleen transport and transformation is decreased and the source of metaplasia is insufficient, the qi and blood will be deficient, and the qi deficiency will lead to loss of absorption and blood will leave the pulse.

Road, leading to bleeding: it can be seen that the spleen governs blood, which is actually a concrete embodiment of the effect of qi on blood. The so-called "spleen governs blood vessels"

Otherwise, the meaning of blood will be popular with temper "("Medicine Blood "). But regulating spleen blood is also closely related to spleen yang. "Spleen system blood, blood.

The movement of the spleen depends entirely on the spleen. Spleen yang deficiency can't control blood (blood syndrome theory and pathogenesis of viscera). Yang loses health due to spleen.

Qi deficiency can't control blood, and blood can't return to meridians, which leads to bleeding. It is called spleen can't control blood, which is clinically manifested as subcutaneous bleeding and defecation.

Blood, hematuria, metrorrhagia, etc. , especially the lower bleeding.

Spleen can not only produce blood, but also suck blood, which has the dual function of producing blood. Therefore, it is said, "Blood governs wind and spleen is deficient."

Can't draw blood; Spleen turns into blood, spleen deficiency can't be transported, and blood has no owner, so it falls into a wrong path "("synopsis of the golden chamber, wing volume 2 ").

3。 Spleen governing ascending Qing: ascending fingers and ascending hair; Clear refers to subtle substances. Spleen governing ascending Qing means that spleen has the ability to subtly influence Shui Gu.

And other nutrients are absorbed and transported to the heart, lungs and leaders, and then transformed into qi and blood through the actions of the heart and lungs to nourish the whole body and maintain health.

The position of human internal organs is relatively constant. This transportation function is characterized by rising, so it is said that "temper dominates rising"

Ascension is mainly subtle substances, so it is said that "spleen governs ascending". The increase of spleen is contrary to the decrease of gastric turbidity. Spleen suitability

Ascension is healthy, and stomach health is harmonious. It is a pair of contradictions that spleen-qi dominates ascending and stomach-qi dominates descending, which are both opposite and unified.

1.* * * Complete the digestion, absorption and distribution of food and beverage. On the other hand, maintain the ups and downs of viscera and harmonious balance.

An important factor that the position of human internal organs is relatively constant. The rise of temper can keep the position of internal organs unchanged and will not sag. Spleen ascending and clearing

Normal function, Shui Gu subtle nutrients can be absorbed and distributed normally, full of qi and blood, full of vitality. At the same time,

A rising temper can prevent entrails from sagging. The spleen is not clear, Shui Gu is not lucky, and qi and blood are passive.

Symptoms such as mental fatigue, dizziness and diarrhea may occur. Depression of spleen-qi (also called depression of middle qi) can be seen as long-term diarrhea, rectocele and even internal obstruction.

Dirty and drooping, etc.