Spleen and stomach disease is a concern for most patients. However, what are the pathogenic mechanisms of spleen and stomach diseases? What are the manifestations of each disease mechanism? Most of them are not clear. Here, I would like to talk about the relationship between the pathogenesis and clinical manifestations of spleen and stomach diseases! Spleen and stomach disease is simply understood as a disease of the spleen and stomach, and a disease of the spleen and stomach is a problem of malfunction of the system associated with eating and excretion. The question is, what is the mechanism of pathogenesis? Here is a difficult area to grasp is the TCM pathogenesis, the pathogenesis of spleen and stomach disease! What does pathogenesis mean? Some people say it is equivalent to the pathology of Western medicine, the pathophysiology of Western medicine, these statements are inaccurate! The book explained as the laws of disease occurrence, development, change and its association! Personal opinion, or incomplete! And still feel close to westernization. I believe that the disease mechanism, is the law of disease occurrence, development, change and its association, but, if the connotations of endowment, etiology, gender, age, disease process, geography, climate, faith, religion, economy, culture, politics, etc. are missing, there is no need for the existence of Chinese medicine disease mechanism! Conversely, it is, endowment to political and other factors affecting the human body, the series of damage caused by the process, resulting in the production of various diseases – manifestations (to be precise, most of the diseases in Chinese medicine is the concept of symptoms signs or a group of symptoms signs! Can also be the disease of Western medicine – manifestations!) . It is important to emphasize that the TCM view of endowment is that the differences in endowment, the individual characteristics of the innate yin and yang, determine the characteristics of the five organs and six systems, which also determine the fundamental laws of disease! Only, many factors of the acquired from the cause of disease, gender, age to economic, cultural, political, etc., each factor can lead to the creation of disease, and the changes and differences in the disease mechanism is such a process! Among them, the most difficult to grasp is the human desire, this concept is very complex and difficult to predict! The concept of unpredictability and satisfaction refers to the unpredictability of desire. The basic model of this process can be explained by a mathematical algebraic model! Endowment + various unknowable factors = a disease mechanism + various unknowable factors again influence = a symptom sign (group) = Western medicine subhealth – a disease – multiple diseases (modern practical model!). . In the words of Chinese medicine, one machine for all diseases and one machine for all diseases! Therefore, the disease (manifestation) of Western medicine is accurate, the disease (manifestation) of Chinese medicine is vague; Western medicine treatment is accurate, Chinese medicine treatment is variable! I do not know, Chinese medicine has long had a very high degree of accuracy, note, not assumptions! That is, the same disease, different treatment, different disease, the same treatment! The mechanism of its generation is the algebraic model I mentioned earlier, in which the reason for the variability of disease manifestations is because of the unpredictability of various unknowable factors. That’s why there is Chinese medicine’s diagnosis and treatment, there is Chinese medicine’s individualized treatment, and there is Chinese medicine’s ten thousand prescriptions for all diseases! These are the keys that make TCM different from Western medicine. The pathology of TCM cannot be equated with the pathology of Western medicine, and the pathophysiology of TCM cannot be equated with the pathophysiology of Western medicine! In the process of clinical diagnosis and treatment of various diseases of the spleen and stomach, the conversion of primary and secondary conflicts, the conversion of light and heavy relationships, the grasp of urgent and slow steps, the differentiation of gender differences, the differentiation of age trends, etc. can all be found in the mathematical model!