Ideas of Traditional Chinese Medicine Treatment of Pancreatic Endocrine and Exocrine Co-Morbidities from the Attributes of Zang-Fu Organs of Pancreas
10.13288/j.11-2166/r.2025.02.008
- VernacularTitle:从胰腺脏腑属性论胰腺内外分泌共病的中医证治思路
- Author:
Yulin LENG
1
;
Jiacheng YIN
1
;
Xianglong LI
1
;
Jiahong ZHANG
1
;
Yi SU
1
;
Hong GAO
1
;
Chunguang XIE
1
;
Xiaoxu FU
1
Author Information
1. Affiliated Hospital of Chengdu University of Traditional Chinese Medicine，Chengdu，610072
- Publication Type:Journal Article
- Keywords:
pancreas;
homogeny of spleen and pancrea;
extraordinary fu-organ;
endocrine;
exocrine
- From:
Journal of Traditional Chinese Medicine
2025;66(2):145-149
- CountryChina
- Language:Chinese
-
Abstract:
Based on advancements in modern medical research regarding the intricate connection between the endocrine and exocrine functions of the pancreas， as well as the relationship between pancreatic functions and traditional Chinese medicine （TCM） spleen system， this paper discussed the categorization of the pancreas. It is proposed that the pancreas is neither a true zang organ nor a fu organ， but possessed the attributes of an extraordinary fu-organ and can be classified under the spleen. The spleen governs transportation and transformation， ascent of the clear and dispersion of essence， which encompasses the endocrine and exocrine functions， and pancreatic enzymes and glucose-regulating hormones form the material basis for the spleen's function of dispersing essence. Diseases of the pancreas exhibit characteristics of both zang-organ deficiency and fu-organ excess， so treatment should simultaneously supplement zang-organ disease and regulate fu-organ disease when pancreas showing endocrine and exocrine co-morbidities， with focus on restoring the pancreas （spleen）'s dispersing essence function. Therapeutic strategies include supplementing spleen qi， nourishing spleen yin to strengthen spleen earth， unblocking spleen collaterals， raising spleen yang， and removing spleen turbidity to support the spleen's dispersing essence function， so as to replenish the essential qi of zang-fu organs， ensure their distribution throughout the body， and improve the endocrine and exocrine functions of the pancreas.
