中文摘要：

探讨脾瘅病名、病因病机、治则方药及其转归预后，并结合现代医学研究，认为脾瘅相当于无“消渴”症状的肥胖型2型糖尿病。脾瘅源于肥胖，转为消渴，其中中满内热为关键病机。积极防治脾瘅，对于预防糖尿病的发生、减少其并发症的出现、延缓其进展具有重要意义。

英文摘要：

Through arranging the name, etiological factor, pathogenesis, therapeutical principle, prescription and prognosis of spleen pyretic abundance, the author believed that spleen pyretic abundance was equivalent to type 2 diabetes without wasting -thirst but obesity. Spleen pyretic abundance came from adipositas, and transformed into diabetes. Abdominal flatulence and calor internus were its critical pathogenesis. So spleen pyretic abundance should be prevented and cured as soon as possible in order to avoid pathogenetic condition developing.