摘要
“脾主散精”即脾为精微布散之枢纽。脂质属于中医学“膏脂”范畴,认为脂质借助载脂蛋白运转代谢与“脾主散精”密切相关;合成载脂蛋白的肝脏与中医脾藏系统关系密切。脾不散精、膏脂转输障碍是脾虚血脂异常的病理机制,健脾化湿是其治疗原则。健脾化湿的现代医学内涵可能是指通过影响脂质代谢中肝脏的功能恢复,促进脂质代谢,从而降低血液中异常沉积血脂水平。
The traditional theory of"the spleen governs the dispersion of essence"refers to the spleen′s pivotal role in distributing refined nutrients throughout the body.In traditional Chinese medicine(TCM),lipids are categorized under"gaozhi(膏脂)",and their transportation and metabolism via apolipoproteins are believed to be closely related to the spleen′s dispersing function.The liver,which synthesizes apolipoproteins,is functionally linked to the spleen system in TCM.Impaired dispersion of essence by the spleen and disrupted transportation of gaozhi constitute the pathological mechanism of dyslipidemia due to spleen deficiency.Strengthening the spleen and resolving dampness is the core therapeutic principle.From the perspective of modern medicine,this may involve promoting hepatic functional recovery related to lipid metabolism,thereby enhancing lipid processing and reducing the levels of abnormally accumulated lipids in the bloodstream.
作者
刘诗佳
王义国
张启明
LIU Shijia;WANG Yiguo;ZHANG Qiming(The First Clinical Medical College,Shandong University of Traditional Chinese Medicine,Jinan,250014;Medical Experiment Center,China Academy of Chinese Medical Sciences)
出处
《中医杂志》
北大核心
2025年第10期981-986,共6页
Journal of Traditional Chinese Medicine
基金
国家重点研发计划(2019YFC1711700)。
关键词
血脂异常
脾主散精
健脾化湿
dyslipidemia
spleen governs the dispersion of essence
strengthening the spleen and resolving dampness
