‘脾統血’의 槪念과 機轉에 관한 考察

A Study on the Concept and Mechanism of ‘The Pi Controls the blood(脾統血)’

Objectives : This study was done to investigate the formation process of the ‘The Spleen controls the blood(脾統血)’ concept, to clarify what this concept means and the mechanism of its physiology. Methods : Contents including ‘Controlling blood(統血)’ and ‘Binding blood(攝血)’ were searched and analyzed in medical classics. Previous researches were applied. Results & Conclusions : The concept of ‘Controlling blood’ could be defined as the control of blood movement. This means that it sends blood to where it’s needed, and inhibits flow from where it’s excessive. ‘The Spleen controls the blood’ was not used as a physiologic term in early books like Huangdineijing(黃帝內經). It was first used in the 13C, then widely after the 16C. The mechanism of ‘Controlling blood’ could be classified as the function of ‘Production’, ‘Distribution’, and ‘Adjustment’ of blood. ‘Production’ of blood can reduce blood fever(血熱) and blood stasis(瘀血), and prevent bleeding. ‘Distribution’ of blood can reduce the symptoms raised by lack of blood in the five viscera and body. ‘Adjustment’ of blood means maintaining homeostasis and stability of the human body. Pi can adjust blood flow and prevent blood from being imbalanced.