[1]张同军,王明明.健脾养胃护肝法治疗小儿脾胃病思路探析[J].陕西中医,2021,(4):502-505.[doi:DOI:10.3969/j.issn.1000-7369.2020.04.026]
 ZHANG Tongjun,WANG Mingming.Exploration and analysis of thoughts on treating infantile Spleen and Stomach diseases by strengthening the spleen and stomach and protecting Liver[J].,2021,(4):502-505.[doi:DOI:10.3969/j.issn.1000-7369.2020.04.026]
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健脾养胃护肝法治疗小儿脾胃病思路探析
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2021年4期
页码:
502-505
栏目:
学术探讨
出版日期:
2021-04-05

文章信息/Info

Title:
Exploration and analysis of thoughts on treating infantile Spleen and Stomach diseases by strengthening the spleen and stomach and protecting Liver
作者:
张同军王明明
(南京中医药大学,江苏 南京 210000)
Author(s):
ZHANG TongjunWANG Mingming
(Nanjing University of Chinese Medicine,Nanjing 210000,China)
关键词:
小儿 脾胃病 健脾养胃护肝法 治疗 脾常不足 补脾
Keywords:
Children Spleen and stomach disease Invigorating the spleenNourishing the stomach and protecting the liver Treatment Spleen insufficiency Nourishing spleen
分类号:
R 256.3
DOI:
DOI:10.3969/j.issn.1000-7369.2020.04.026
文献标志码:
A
摘要:
目的:对健脾养胃护肝法治疗小儿脾胃病的思路进行探析。方法:根据小儿脾胃生理、病理特点、病因病机总结治疗方法,并对健脾养胃护肝法治疗小儿脾胃病的观点进行分析,并附验案佐证。结果:小儿脾胃具有“脾常不足”的生理特点,病理特点为易寒易热、易虚易实。小儿脾胃疾病的诱因多由喂养不当、久病损伤或先天不足,其主要病机为脾失健运、脾湿胃燥、脾化胃纳等功能失调,脾胃受损后会衍生许多相关疾病。将治疗脾胃疾病的总的治疗方法归纳为健脾养胃护肝法,并可根据患儿的具体病情分为多种治法如健脾、运脾、补脾、泻肝、疏肝、清胃、和胃、降逆等。并根据上述治疗方法可应用于鹅口疮、腹痛、厌食症等病症的治疗中,且获得验证。结论:对小儿脾胃病采用健脾养胃护肝法治疗,具有显著的效果。
Abstract:
Objective:To explore the ideas of strengthening the spleen,nourishing the stomach and protecting the liver to treat children with spleen and stomach diseases.Methods:Summarize the treatment methods based on the physiology and pathological characteristics of children's spleen and stomach,etiology and pathogenesis,and analyze the viewpoints of strengthening the spleen and nourishing the stomach and protecting the liver to treat children's spleen and stomach diseases,and attaching evidence.Results: The spleen and stomach in children have the physiological characteristics of “spleen insufficiency”,and the pathological characteristics are easy to cold and easy to heat,easy to be weak and hard.The causes of spleen and stomach diseases in children are mostly improper feeding,chronic injury or congenital insufficiency.The main pathogenesis is dysfunction of the spleen,dampness of the spleen,dryness of the spleen and stomach,and spleen and stomach.The general treatment methods for the treatment of spleen and stomach diseases are summarized as strengthening the spleen,nourishing the stomach and protecting the liver,and can be divided into a variety of treatment methods such as strengthening the spleen,mobilizing the spleen,strengthening the spleen,purging the liver,soothing the liver,and clearing Stomach,Stomach,Jiangni,etc.And according to the above treatment method,it can be applied to the treatment of thrush,abdominal pain,anorexia and other diseases,and has been verified.Conclusion:The method of strengthening the spleen and nourishing the stomach and protecting the liver is used to treat children with spleen and stomach disease,which has a significant effect.

参考文献/References:

[1] 方立静,董幼祺.董幼祺教授运用升清运脾法调治小儿热恋伤阴型病毒性肠炎临证经验[J].浙江中医学院学报,2018,42(2):111-113.
[2] 王元元,刘晓鹰.刘晓鹰教授“扶中”外治法治疗儿科疾病临床经验浅析[J].中国针灸,2020,40(1):75-78.
[3] 王雪玲,黄 斌,许尤佳.许尤佳“治未病”思想在小儿疾病防治中的应用[J].长春中医药大学学报,2018,34(3):470-473.
[4] 施建邦.儿科临床常见病与经方应用[J].中医儿科医学杂志,2004,6(1):59-62.
[5] 赖东兰,许 华.从“肝脾相关”辨治儿科疾病[J].山东中医药大学学报,2017,41(3):207-210.
[6] 郑 惠,黄淑玲.基于“肝常有余,脾常不足”理论探讨小儿痛风治疗思路[J].中国中医急症,2020,29(1):105-108.
[7] 周 江,魏玉苹,赵 琼,等.“转磨说”与小儿常见脾胃病证治[J].四川中医,2020,38(10):38-40.
[8] 庄曦柔,谢 静.浅议《幼科发挥》中调脾胃思想[J].湖南中医杂志,2020,36(9):122-123.
[9] 孙轶秋,韩新民.江育仁教授“运脾学说”治疗小儿厌食的 临床研究与指导意义[J].中国中西医结合儿科学,2011,3(3):193-195.
[10] 汪受传.中医药学术传承发扬的路径与实践[C]//熊 磊:中 华中医药学会儿科分会第三十一次学术大会论文汇编.昆 明:中华中医药学会儿科分会,2014:6.
[11] 许宝才,陈 伟,方 昉,等.邱根祥教授诊治小儿脾胃病学术特色探析[J].中医儿科杂志,2020,16(4):26-30.
[12] 郑 惠,黄淑玲.基于“肝常有余,脾常不足”理论探讨小儿痛风治疗思路[J].中国中医急症,2020,29(1):105-108.
[13] 刘签兴,路志正.国医大师路志正调理脾胃法治疗儿科疾病3则[J].世界中西医结合杂志,2020,15(4):39-41,59.
[14] 张晓乐,王 翠,李小波,等.基于“五神脏”理论指导五心宁心汤从“心神”论治入睡困难型不寐临床研究[J].陕西中医,2020,41(5):65-67.
[15] 张 婷,孙贵香,肖 丹,等.从钱乙“脾主困”思想论析调治脾胃对儿童亚健康的防治意义[J].江西中医药大学学报,2019,31(4):12-13,17.
[16] 童 云.浅谈“脾主困”与“脾主湿”[J].中医临床研究,2018,10(32):9-10.
[17] 罗春蕾,许 莉,沈佳颖,等.倪菊秀从肝论治小儿脾胃病经验[J].辽宁中医杂志,2017,44(2):254-255.
[18] 张吉丹,顼志兵.健脾消胀方脐部敷贴治疗脓毒症胃肠功能障碍理论研究[J].陕西中医,2019,40(12):1745-1748.
[19] 王 雪,赵 燕,扈新刚,等.从中医肝主疏泄理论谈疏肝解郁法在情志病中的应用[J].环球中医药,2019,12(3):366-370.
[20] 刘晓鹰,涂一世.调治脾胃 倡导“抑木扶土”——倪珠英教授小儿脾胃病学术思想之一[A].中华中医药学会儿科分会.第25届全国中医儿科学术研讨会暨中医药高等教育儿科教学研究会会议学术论文集[C].中华中医药学会儿科分会:中华中医药学会,2008:3.

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备注/Memo

备注/Memo:
基金项目:江苏省中医药管理局基金资助项目(JD201846)
更新日期/Last Update: 2021-04-09