【摘要】 《肝脾不调证中医诊疗专家共识(2023)》由中华中医药学会脾胃病分会于2020年11月在北京牵头成立了肝脾不调证中医诊疗专家共识起草小组。小组成员依据循证医学的原理，广泛搜集循证资料，参考国内外共识制定方法，并先后组织国内脾胃病专家就肝脾不调证的诊断标准、临床治疗、疗效标准、预防调摄、中医证候现代研究进展等一系列关键问题进行总结讨论，形成本共识初稿。在中华中医药学会2017版《肝脾不调证中医诊疗专家共识意见》的基础上，本轮共识依据中医临床诊疗术语及其修订版对肝脾不调证的概念与历史沿革进行更加详细和规范性表述，将肝脾不调证分为“责在肝”和“责在脾”两大类进行辨证论治。同时对古代医家对肝脾不调证的相关理论和经典医案以及肝脾不调证相关现代研究成果进行系统挖掘整理，使其能更好地反映肝脾不调证理论与临床诊治的全貌。更多还原

【Abstract】 The "Expert consensus on traditional Chinese medicine diagnosis and treatment of liver and spleen imbalance syndrome(2023)" was established by the Spleen and Stomach Disease Branch of the Chinese Association of Traditional Chinese Medicine in Beijing in November 2020, leading the drafting group of the consensus on traditional Chinese medicine diagnosis and treatment of liver and spleen imbalance syndrome. Based on the principles of evidence-based medicine, the group extensively collected evidence-based materials and referred to methods for developing domestic and international consensus. They successively organized Chinese experts in spleen and stomach diseases to summarize and discuss a series of key issues regarding the diagnostic criteria, clinical treatment, efficacy standards, prevention and adjustment, and modern research progress in traditional Chinese medicine syndromes for liver and spleen dysfunction syndrome. This effort culminated in the drafting of this consensus. Building upon the 2017 version of the "Consensus on traditional Chinese medicine diagnosis and treatment of liver and spleen disorders" issued by Chinese Association of Traditional Chinese Medicine, this round of consensus provides a more detailed and standardized elaboration of the concept and historical evolution of liver and spleen disorders based on clinical terminology and its revised version. Liver and spleen disorders are divided into two categories, namely "responsibility lies with the liver" and "responsibility lies with the spleen" to guide syndrome differentiation and treatment. Additionally, the consensus systematically explores and organizes the related theories and classical medical cases of liver and spleen imbalance syndrome from ancient medical texts, as well as relevant findings from modern research, to provide a clearer and more complete representation of the theoretical foundation and clinical practices concerning liver and spleen imbalance syndrome.更多还原