基于脾阴学说探讨小儿功能性便秘的反复发作  

Discussion on the Recurrence of Children's Functional Constipation Based on the Theory of Spleen Yin

作　　者：刘芳[1] 白晓红[1] LIU Fang;BAI Xiaohong(Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang,110032)

机构地区：[1]辽宁中医药大学附属医院,辽宁省沈阳市110032

出　　处：《中医杂志》2020年第24期2159-2162,共4页Journal of Traditional Chinese Medicine

基　　金：辽宁省中医药临床学(专)科能力建设项目(LNZYXZK201913);国家中医药管理局第四批全国中医(临床、基础)优秀临床人才研修项目。

摘　　要：小儿功能性便秘是儿科常见消化系统疾病,其反复发作是临床治疗难点之一。认为功能性便秘的发生与五脏功能失调有关,但脾脏尤为重要。脾居中央,脾阴亏虚,其升降枢纽和濡润功能失常是功能性便秘反复发作的病机关键,重视滋补脾阴可从根本上缓解脾濡润全身脏腑和脾主运化的功能失调,治疗上宜以甘淡、甘酸、甘寒为主,以滋补脾阴兼补益脾气为原则。Children's functional constipation is a common digestive disease in pediatrics,and its recurrence is one of the difficulties in clinical treatment.It is believed that the occurrence of functional constipation is related to the dysfunction of the five internal organs,but the spleen is particularly important.The spleen is located in the center,and when the spleen yin is insufficiency,the dysfunction of its ascending and descending and moisturizing become the key to the pathogenesis of recurrent functional constipation.We should pay attention to nourishing spleen yin to fundamentally alleviate the dysfunction of the spleen moisturizing the body's viscera and spleen governing transportation.The treatment should be mainly based on drugs of sweetness,sweetness and sourness,and sweetness and coldness,with the principle of nourishing spleen-yin and tonifying spleen qi.

关 键 词：功能性便秘 儿童 脾阴学说 滋补脾阴 补益脾气 

分 类 号：R272[医药卫生—中医儿科学]