| 摘要: |
| “但当利其小便”出自《金匮要略》，小肠主液、具有泌别清浊的功能，故可通过“利小肠”以达“利小便”的目的。通过梳理古代文献探讨小肠的藏象功能，与脾、肾、心三脏密切相关。整理《金匮要略》中小肠相关的病证，可总括为水火、前后、清浊三大类。临床上运用“利小肠”的思想治疗类风湿关节炎、痔疮、肝硬化腹水、良性前列腺增生症、糖尿病肾病、功能性腹泻均取得良好的疗效。 |
| 关键词: 小肠 泌别清浊 小肠主液 利小便 |
| DOI：10.11656/j.issn.1673-9043.2026.03.02 |
| 分类号:R222.3 |
| 基金项目:国家中医药管理局第六批全国中医临床优秀人才研修项目（国中医药人教函[2025]256号）。 |
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| Discussion on the identification and treatment of small intestinal syndromes in Synopsis of the Golden Chamber based on the principle of“simply promoting urination” |
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ZHOU Jing1,2, WU Linna3, HAO Zheng4
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1.First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China;2.National Clinical Research Center for Chinese Medicine, Tianjin 300381, China;3.The First Clinical Medical School, Yunnan University of Chinese Medicine, Kunming 650500, China;4.Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China
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| Abstract: |
| The principle of “simply promoting urination” originates from Synopsis of the Golden Chamber. The small intestine governs liquids and has the function of separating the clear from the turbid. Therefore，the goal of “promoting urination” can be achieved by “regulating the small intestine”. This article explores the visceral functions of the small intestine by reviewing ancient literature，revealing its close relationship with the spleen，kidney，and heart. Syndromes related to the small intestine compiled from Synopsis of the Golden Chamber can be summarized into three major categories：water and fire，anterior and posterior，and clear and turbid. Clinically，applying the concept of “regulating the small intestine” has yielded positive therapeutic outcomes in treating rheumatoid arthritis，hemorrhoids，cirrhotic ascites，benign prostatic hyperplasia，diabetic nephropathy，and functional diarrhea. |
| Key words: small intestine separating the clear from the turbid small intestine governing liquids promoting urination |
