[1]王宪正,汪受传.从“脾健不在补贵在运”论治小儿脾胃病[J].中医儿科杂志,2019,15(03):4-7.[doi:10.16840/j.issn1673-4297.2019.03.02]
 WANG Xianzheng,WANG Shouchuan.Differential treatment of children's spleen and stomach diseases from “activating outweighs reinforcing on function of the spleen”[J].Journal of Pediatrics of Traditional Chinese Medicine,2019,15(03):4-7.[doi:10.16840/j.issn1673-4297.2019.03.02]
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从“脾健不在补贵在运”论治小儿脾胃病
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《中医儿科杂志》[ISSN:/CN:62-1176/R]

卷:
15
期数:
2019年03期
页码:
4-7
栏目:
名家论坛
出版日期:
2019-05-25

文章信息/Info

Title:
Differential treatment of children's spleen and stomach diseases from “activating outweighs reinforcing on function of the spleen”
作者:
王宪正 汪受传
南京中医药大学附属医院儿科, 江苏 南京 210029
Author(s):
WANG Xianzheng WANG Shouchuan
Department of Pediatrics, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, 210029, China
关键词:
脾胃病小儿补脾运脾临床经验江育仁
Keywords:
spleen and stomach diseaseschildrenreinforcing the spleenactivating the spleenclinical experienceJIANG Yuren
分类号:
R249
DOI:
10.16840/j.issn1673-4297.2019.03.02
摘要:
江育仁教授提出"脾健不在补贵在运"的理论观点,分析了补脾和运脾治疗儿科脾胃病的法则。认为单纯补脾有助热生变和碍胃减纳的弊端,而运脾法有助于消除影响脾运的各种病理因素,恢复小儿脾主运化的生理功能,更符合当今临床小儿脾胃病以脾失健运为主的病机,故治疗儿科脾胃病当以运脾为主。按照脾胃病各个证候的特点,运脾法又可具体分为燥湿运脾法、消食运脾法、理气运脾法和温阳运脾法,以及补运兼施的益气助运法和养阴助运法。将运脾法应用于小儿厌食症、小儿泄泻、小儿缺铁性贫血及小儿疳证等儿科常见脾胃病的治疗,取得了较好的疗效。对运脾法的探索研究,无论对江育仁教授学术思想的理解还是儿科理论和临床的发展均具有重大而深远的意义。
Abstract:
Professor JIANG Yuren proposed the theoretical viewpoints of "activating outweighs reinforcing on function of the spleen" and analysed the laws of reinforcing the spleen and activating the spleen in the treatment of children's spleen and stomach diseases.He holds that reinforcing the spleen alone has the drawbacks of contributing to heat generating deterioration and impeding stomach reception,while activating the spleen is helpful to eliminate all kinds of pathological factors affecting the spleen transportation,and to restore the physiological function of spleen governing transportation and transformation in children,which is more consistent with the present clinical pathogenesis of dysfunction of the spleen in transport of spleen and stomach diseases in children,so the treatment should focus on activating the spleen.According to the characteristics of each syndrome of spleen and stomach disease,activating the spleen can be concretely divided into the following methods,including eliminating dampness to activate the spleen,promoting digestion to activate the spleen,regulating the flow of qi to activate the spleen,warming yang to activate the spleen as well as employing both activating and reinforcing such as replenishing qi to support activating and nourishing yin to support activating.The method of activating the spleen was applied to the treatment of common pediatric diseases of spleen and stomach,such as anorexia,diarrhea,iron-deficiency anemia and infantile malnutrition,which has obtained good curative effect.It is of great and far-reaching significance to explore and study activating the spleen method for both understanding of professor JIANG Yuren's academic thought and the development of pediatric theory and clinical practice.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目:全国名中医工作室建设项目(国中医药办人教函[2018]119号)。
作者简介:王宪正(1990-),男,在读博士研究生。研究方向:小儿肺系、脾系疾病研究。
更新日期/Last Update: 1900-01-01