从脾胃气化探讨衰弱的病机及治法

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【中图分类号】R255.5 【文献标志码】A 【文章编号】1007-8517（2025）15-0006-04

DOI：10. 3969/j. issn. 1007 -8517. 2025. 15. zgmzmjyyzz202515002

Explore thePathogenesis and TreatmentofFrailty based ontheTheoryof Qi Transformationof Spleenand Stomach

MA YupingHE Yanyun WU Wenbin*CHEN Chongli Hospital of Chengdu University of Traditional Chinese Medicine，Chengdu 61OO72，China

Abstract：Frailtyisacommongeriatricsyndromecharacterizedbymultiplesystemsymptoms，causedbythebody’sdecreaseof physiologicalreseeadstressesposebilityItisprocsoftmpoaryopemanentfuctioalecliofthevisrada yofitsclinicalsymptomsarecomprehensivepathologicalmanifestationsoftheweaknessoftevisceraandthedsharmonyofhefive zangorgans.Basedonthetheoryofqitransformationof spleenandstomach，thispaperbelieves thatthespleenandstomachqitransformationshouldcorespond tonatureandharmonize withtheorgans，ifthespleenandstomachqi transformationareimpaired，yin andyang willbeinthewrongorder，andthefiveorgans willbedeficient，resultinginmulti-systempathologiessuchasliverqistag nationpattem，disturbtheheartspirit，lungqiascending，descending，floatingandsinking disharmony，and kidneyessencedeficiencypaternandsoon.Fraltyislocatedinthefivezangorgans，tobalancebetweenyinandyang，thetreatmentshouldbecntered onthesplenandstomachwhileadjusting thefivezang organstostrengthenthespleenandstomachqi，andrecovertheforsofqi movement.

Keywords：Qi TransformationofSpleenand Stomach；Five ZangOrgans；Frailty；Pathogenesis；Treatment

衰弱是与增龄相关的多脏器生理储备能力减退的老年综合征[1]，是机体应激适应能力及维持自身稳态的能力下降，机体易损性增加的一种非特异性状态[2]，因其涉及骨骼肌、神经、内分泌、免疫等多系统的病理生理改变[3]，故常表现为错综复杂的多系统病证[4]，常导致一系列负性临床事件（跌倒、谵妄、感染、急性疾病、失能、死亡等）。（剩余7007字）