《内经》脾主四时理论探讨

就《内经》脾主四时理论从其发生渊源、理论内涵以及临床指导意义三方面进行了初步探讨。提出脾主四时理论由来于五行学说，首见在《管子》，奠定在《黄帝内经》，是古代五行时空配属关系的体现，在《内经》的四时五脏阴阳理论中得以全面确立；其理论内涵包括脾主四时之中以及四季之末两大学说，并在土生万物特性中得以统一；突出体现于张仲景、李东垣和叶天士等相关的脾胃思想之中，对中医脾胃学说的发展以及中医临床运用具有重要指导意义。

Theoretic Discussion on "Spleen Governing Four Seasons" in "Internal Classic"

It makes primary discussion on ＂spleen governing four seasons＂ in ＂Internal Classic＂ from 3 aspects of origin, connotation and clinical guiding meaning, putting forward that it comes from ＂five elements theory＂ , firstly seen in ＂Guanzi＂ , founded in ＂Yellow Emperor＇s Internal Classic＂ , is the embodiment of assigned relationship of space and time of ancient five elements, completely established in the theory of four-season five-organ, Yin and Yang in ＂Internal Classic＂; its connotation includes 2 big doctrines in spleen governing four seasons and the end of them, unified in the feature of soil producing everything; it is specifically embodied in concerned spleen and stomach thought of Zhang Zhongjing, Li Dongheng and Ye Tianshi; it is of great guide meaning to develop TCM spleen and stomach doctrine and clinical application.