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<article xsi:noNamespaceSchemaLocation="http://jats.nlm.nih.gov/publishing/1.1/xsd/JATS-journalpublishing1-mathml3.xsd" dtd-version="1.1" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><front><journal-meta><journal-id journal-id-type="publisher-id">JCNR</journal-id><journal-title-group><journal-title>Journal of Clinical and Nursing Research</journal-title></journal-title-group><issn>2208-3685</issn><eissn>2208-3693</eissn><publisher><publisher-name>Bio-Byword Scientific Publishing Pty. Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.26689/jcnr.v10i6.15553</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title>Based on the Theory of “Spleen Governing Time”, the Clinical Treatment Guidelines for Menstrual Diarrhea are Explored</title><url>https://artdesignp.com/journal/JCNR/10/6/10.26689/jcnr.v10i6.15553</url><author>YangZiyi,FanYingfang,YangXin,QuXiaohui</author><pub-date pub-type="publication-year"><year>2026</year></pub-date><volume>10</volume><issue>6</issue><history><date date-type="pub"><published-time>2026-06-30</published-time></date></history><abstract>Menstrual diarrhea is a common periodic gynecological disorder characterized mainly by loose stools and increased frequency during or before and after menstruation, which seriously affects the physical and mental health of women. “Spleen governs time” comes from “Yellow Emperor’s Inner Canon”, presenting the core ideas of “spleen governs long summer” and “spleen does not govern time”, emphasizing the physiological characteristics and pathological tendencies of the spleen in specific seasons. Based on the connotation of the theory of “spleen governing time”, and in combination with the pathogenesis characteristics of menstrual diarrhea, which is characterized by “spleen deficiency as the root, excessive dampness as the symptom, and aggravation during menstruation”, this paper explores the clinical treatment principles and the application of prescriptions based on this theory, providing new ideas and theoretical basis for the traditional Chinese medicine treatment of menstrual diarrhea.</abstract><keywords/></article-meta></front><body/><back><ref-list><ref id="B1" content-type="article"><label>1</label><element-citation publication-type="journal"><p>Zhang L, Zuo X, 2025, “The Theory of Spleen Governing Time” and the Construction and Clinical Application of the Essence of Spleen Storage in the Huangdi Neijing. Chinese Journal of Ethnic and Folk Medicine, 34(05): 1–4.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B2" content-type="article"><label>2</label><element-citation publication-type="journal"><p>Shen F, Liu L, Han Y, 2022, Professor Han Yanhua’s Method of Warming the Uterus and Strengthening the Spleen for the Treatment of Diarrhea During Menstruation. Shi Zhen Chinese Medicine, 33(06): 1428–1429.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B3" content-type="article"><label>3</label><element-citation publication-type="journal"><p>Dong Y, Sun Y, Wang H, et al., 2018, Discussion on Etiology and Pathogenesis of Menstrual Diarrhea. Jiangxi Journal of Traditional Chinese Medicine, 49(12): 9–11.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B4" content-type="article"><label>4</label><element-citation publication-type="journal"><p>Zheng Z, Pan H, Li H, 2018, 3 Cases of Li Hongmei, Chief Physician, in the Treatment of Menstrual Diarrhea. Guangxi Journal of Traditional Chinese Medicine, 41(03): 42–43.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B5" content-type="article"><label>5</label><element-citation publication-type="journal"><p>Xu M, 2016, Clinical Study on the Treatment of Diarrhea-Predominant Irritable Bowel Syndrome (Spleen Deficiency Type) Using Box Moxibustion Based on the Theory of “Spleen Governing Time”, thesis, Chengdu University of Traditional Chinese Medicine.</p><pub-id pub-id-type="doi"/></element-citation></ref><ref id="B6" content-type="article"><label>6</label><element-citation publication-type="journal"><p>Diao Y, Wu K, 2016, Case of the Famous Doctor, a Kind Woman Treated for Spleen Disease. China’s Basic Medical Journal of Traditional Chinese Medicine, 22(04): 456–457.</p><pub-id pub-id-type="doi"/></element-citation></ref></ref-list></back></article>
