Spleen and stomach disease is one of the common and frequent diseases of human beings, and its occurrence is closely related to external evil, poor diet, emotional factors, and the weakness of the spleen and stomach, and emotional factors have become an important pathogenic factor that cannot be ignored. Su Wen – Tian Yuan Ji Da Lun said: “People have five organs to transform five qi, to produce happiness, anger, sadness and fear.” Su Wen – pain theory “all diseases are born in the qi, anger is qi up, happy is qi slow, sad is qi, fear is qi down, scared is qi chaos, thinking is qi knot.” Emotional and mental activities depend on the fullness of the essence of the internal organs and the smooth flow of qi and blood, and the spleen and stomach are the source of qi and blood biochemistry and the pivot of qi elevation, so if the emotional and mental disorders are out of order, the spleen and stomach qi elevation and elevation will be out of order, and the corresponding clinical evidence will occur. 1. The pathogenesis of emotional disorders is that “thinking leads to qi stagnation”. Excessive thinking injures the spleen, which leads to qi stagnation, derangement of elevation, and derangement of transportation and transformation. The Su Wen – pain theory “think then the heart has stored, the gods have returned, the right qi stay and not return, so the qi knot carry on.” Worry and thought hurt the spleen, spleen is damaged, the transport and transformation is not strong, the stomach and internal organs lose harmony, the Qi is not smooth, the development of fullness, “Jing Yue Quanshu – fullness” “anger storm injury, liver gas is not flat and gangrene”, the spleen loss of health and transportation, food stopping difficult to transform, the stomach loss and descent, vomiting, the Qi is not conducive, the fluid loss of cloth and breeding phlegm, phlegm and gas blocked in the esophagus, gradually choking, Qi stagnation The heart and spleen can be formed as a result of the deficiency of the heart and spleen. ”Anger leads to Qi upward”, too much anger leads to too much drainage of Liver Qi, Qi upward, and even blood with Qi, and go upward. The liver is responsible for draining and regulating the flow of qi and blood, thus regulating emotional and mental activities. Anger hurts the liver, and liver disease is the first to spread to the spleen and earth. If the liver loses its detoxification, the stomach will be offended by the transverse flow, the spleen will lose its health and movement, the stomach will be blocked, and the stomach will lose its harmony and descend and become painful. Shen’s Zun Sheng Book – Stomach Pain” “stomach pain, evil dry stomach disease. Only liver qi multiplied for especially, to the wood nature of violence, and is also grams.” Abdominal pain caused by disorders of emotion and will, loss of liver control, and obstruction of qi. “If anger is violently touched, the two hypochondrium will first hurt and then enter the abdomen.” The spleen and stomach is deficient, and because of the influence of emotions, worry and anger, nervousness, resulting in liver qi stagnation, transverse rebellion by the spleen, transportation and transformation is not normal, the small intestine can not be divided into clear and turbid, and become diarrhea, “Jing Yue Quanshu – diarrhea” “where the anger will make diarrhea, must first to anger when holding food, resulting in injury to the spleen and stomach, so but some offense, that is, with the touch and hair, this liver and spleen two organs of the disease, cover to liver wood grams earth, spleen temper injury And so.” If the liver qi is stagnant, the liver qi is stagnant, and the qi is not drained, the qi is not smooth and the fluid is not distributed and the phlegm grows, if the liver qi rides on the lung and stomach and causes the stomach qi to carry phlegm upward, it can also move the diaphragm and cause erratic. The ancient and modern medical unification book – cough reversal door “where there is a depression and anger, and can not perform its will, more cough reversal of the evidence.” When Qi is stagnant for a long time, blood flow is not smooth, and blood stasis is generated internally, so the condition is always lingering and difficult to be cured. In addition, “sadness is the Qi elimination”, “the lung is the main pivot of Qi, the spleen is the source of vitality”, sadness and worry injury to the lung and lead to lung deficiency, lung Qi deficiency involved in the spleen (son disease offending mother), lung and large intestine, lung Qi deficiency, lung loss of suction, fluid can not reach down, pushing the weak, then the stool is difficult and astringent Weakness. “The kidney is injured by fear, and the kidney is deficient in steam and dampness, which affects the transport function of the spleen. 2, clinical diagnosis and prescription: excessive thinking, dark depletion of yin and blood, and loss of spleen qi, Gui Spleen Tang plus or minus; spleen deficiency and liver depression, depression and anger, not enough drainage, loss of wood to drain qi congestion and stagnation, free remote san plus or minus; violent anger too much drainage, cross-reverse spleen and stomach, liver and spleen (stomach) disharmony, Chai Hu sparing liver san plus or minus; liver qi is not comfortable, cross-reverse offending spleen, spleen loss of healthy diarrhea, painful diarrhea to add or minus; liver qi long depression, can turn fire and hurt yin, liver decoction or Dan For prolonged depression of liver qi, it may cause fire and injury to yin, and can be reduced by adding Danjiania Yi Yao San. Drug use: Gan pine, “the compendium of materia medica” records: “Gan pine aromatic, very open spleen depression, less added to the spleen and stomach medicine, very awaken the spleen”. Acacia bark, relieving depression and tranquilizing the mind, “the preparation of this herb” is recorded: lychee kernel “disperses stagnant gas, ward off cold, treating stomach and epigastric pain, women’s qi and blood pain.” Bupleurum and Aromatic Herb unblocks the liver and relieves depression; Green Bark moves Qi and relieves pain; Peppermint and Neem both dissipate liver depression and clear the heat of depression. The liver body yin with yang, dredging liver qi medicine is mostly pungent, warm and dry, in order to prevent depletion of liver yin, use citron, Buddha’s hand and other dredging liver qi without hurting yin, also with white peony to nourish blood and soften the liver, to protect liver yin. In addition, qi is the handsome of blood, if qi moves, blood moves; if qi is stagnant, blood stagnates, so yujin, rose hips and Chuanxiong can be used to de-stress the liver, move qi and activate blood. However, the disease is complicated by emotion and will, the liver is not draining, the qi is not normal, draining too much or not enough can affect the spleen and stomach qi and transportation, so the treatment from the liver should protect the body of the liver and regulate the use of the liver. The principle of combining the two methods of detoxification and convergence reflects the two-way regulation of the liver in the pathological state. If the liver draining function is normal, the Qi will be smooth and the stomach will be peaceful, that is to say, “treating the liver can calm the stomach”. Of course, it is not always the emotion that hurts the liver or the abnormal discharge of liver qi that leads to spleen and stomach disease. If the spleen and stomach are weak, the emotion is out of balance, the middle jiao is not able to transport and transform, and the qi is stagnant, it can also affect the discharge of the liver, that is, “the earth is congested and the wood is depressed”, then we should cultivate the earth to drain the wood. 3, pay attention to the control of emotions with emotions According to the theory of the five elements, to control emotions with emotions, to control emotions with emotions, “to overcome thoughts with anger, to relieve worries with joy”, but when applying, we need to pay attention to the intensity and conditions of emotional stimulation. In addition, according to the different emotional factors of the patient, guidance, comfort and scientific explanation are given, and the normalization of liver and gallbladder drainage is conducive to the improvement and even healing of the disease. Therefore, spleen and stomach diseases must pay attention to emotional factors, and the treatment needs to regulate the emotions and relax the qi, so that the spleen and stomach can rise and fall in an orderly manner, and the qi and blood can run as normal, then the disease will be dispelled.