国医大师段富津教授辨治小儿疳证验案赏析  

Appreciation and analysis on the proven cases of master of Chinese medicine and Professor Duan Fujin in the treatment of infantile chronic malnutrition based on syndrome differentiation

作　　者：代金珠 胡晓阳[2] 唐仁康[2] 梁华[2] DAI Jinzhu;HU Xiaoyang;TANG Renkang;LIANG Hua(Department ofPediatrics,the First Affliated Hospital,Pediatrics,Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin150040,China;School of Basic Medicine,Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin150040,China)

机构地区：[1]黑龙江中医药大学附属第一医院儿科,黑龙江哈尔滨150040 [2]黑龙江中医药大学基础医学院,黑龙江哈尔滨150040

出　　处：《中国医药导报》2021年第11期152-155,共4页China Medical Herald

基　　金：国家中医药管理局国医大师传承工作室建设项目;黑龙江中医药大学科研基金项目(2019MS15)。

摘　　要：国医大师段富津教授(1930—2019)生前辨治小儿疳证效果显著,善用经方六君子汤、理中汤加减治疗,并研制出疗效显著的小儿温脾消积散。段富津教授指出,病因上当代儿科疳证多“因实致虚”,对此,治疗中应注意“通补兼施”,同时应要求患儿忌口,避免食积,缓复脾气。用药时重视调补脾胃,善用通腑不伤气、温脾不助火的药物,其思想和经验值得推广实践。本文通过对三则验案进行分析,展示段富津教授的临证思路和辨证方法,以期为临床上治疗小儿疳证的辨证论治提供参考。Professor Duan Fujin(1930—2019),a master of Chinese medicine,had a significant effect in treating infantile chronic malnutrition.He made good use of classical prescriptions Liujunzi Decoction and Lizhong Decoction for modified treatment,and developed a remarkable curative effect of Xiao’er Wenpi Xiaoji Powder.Professor Duan Fujin pointed out that the etiology of contemporary infantile chronic malnutrition is mostly because of“deficiency resulted from excess”.For this,attention should be paid to“dredging and elimination in combination”.At the same time,children should be required to avoid food accumulation and slowly recover spleen qi.He paid attention to invigorating spleen and stomach when taking medicine,and made good use of medicine that can clear the organs without hurting qi,and warm the spleen without helping fire.His ideas and experience are worthy of promotion and practice.This article analyzes 3 proven cases to show Professor Duan Fujin’s clinical thoughts and differentiation methods,in order to provide references for the clinical treatment of infantile chronic malnutrition based on syndrome differentiation.

关 键 词：段富津 儿科 疳证 小儿温脾消积散 

分 类 号：R272.4[医药卫生—中医儿科学]