张嘉鑫，郭 宇，顾 然，王庆国，魏 玮*

（1.中国中医科学院望京医院脾胃病科，北京 100102；2.北京中医药大学基础医学院，北京 100029）

根据脾脑相关性从脾胃论治情志病

张嘉鑫1，郭 宇1，顾 然2，王庆国2，魏 玮1*

（1.中国中医科学院望京医院脾胃病科，北京 100102；2.北京中医药大学基础医学院，北京 100029）

魏玮教授师从国医大师路志正教授，深受路老“治中央、运四旁、怡情志、调升降、顾润燥、纳化常”之调理脾胃学术思想的影响。魏玮教授根据多年临证经验认为脾在志为思，为情志之本，二者常相互为患。故从脾胃论治情志病，具有调节、稳定情绪，防止病情演变的作用。从脾脑相关理论出发，探讨脾胃与情志之间的相互联系，为身心疾病的临床诊疗提供一个新思路。

脾；脑；脾胃；情志；学术思想

Abstract: Professor LU Zhizheng, a master of Chinese medicine, Professor WEI Wei was deeply influenced by his academic thoughts of regulating the spleen and stomach in the old ways of “governing the central government,transporting the surroundings, regulating emotions, regulating and lowering, Gurunzao and Nahua chang”.According to years of clinical experience, Professor WEI Wei thinks that over thinking is bad to spleen and spleen is in control of emotion.They interact each other.Therefore, the treatment of emotion from the spleen and stomach can regulate emotional stability, prevent the evolution of the disease.According to the spleen and brain-related theory, this article explores the spleen and stomach and the relationship between emotions, and provides a new way of thinking to clinical diagnosis and treatment of mental and physical diseases.

Keywords: spleen; brain; spleen and stomach; emotions; academic thoughts

魏玮教授师从国医大师路志正教授，继承了路老从脾胃入手调理情志病的临证思想[1]。魏师认为脑为髓海，主宰生命、精神活动。脾胃为后天之本，气血生化之源，脾胃运化产生水谷精微通过脾向上布散补髓充脑。脾藏营舍意、在志为思是脏腑情志理论重要表现，说明脾脑之间有密切联系，脾胃居中焦为枢，其升降之功为脾脑传递共同物质构建桥梁。脾脑相关性主要体现在脾藏营舍意、主思以及脾胃为枢纽的功能上，以及脾脑相关的物质基础，也进而为从脾胃论治情志病提供理论依据。从脾脑相关理论出发，探讨脾胃与情志之间的相互联系，为身心疾病的临床诊疗提供一个新思路[2-5]。现将魏师从脾胃论治情志病的临证思想总结如下。……