国医大师刘祖贻基于“气阳主用”治疗小儿痫病  

National TCM master LIU Zuyi treating pediatric epilepsy based on the principle of "emphasizing the crucial roles of qi and yang"

作　　者：辛凤 刘芳[2] 周胜强 刘祖贻[3] XIN Feng;LIU Fang;ZHOU Shengqiang;LIU Zuyi(Hunan University of Chinese Medicine,Changsha,Hunan 410208,China;The Hospital of Hunan Academy of Chinese Medicine,Changsha,Hunan 410006,China;Hunan Academy of Chinese Medicine,Changsha,Hunan 410006,China)

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]湖南省中医药研究院附属医院,湖南长沙410006 [3]湖南省中医药研究院,湖南长沙410006

出　　处：《湖南中医药大学学报》2024年第5期719-723,共5页Journal of Hunan University of Chinese Medicine

基　　金：国家中医药管理局“刘祖贻国医大师传承工作室建设项目”。

摘　　要：小儿痫病是小儿常见神志病之一。国医大师刘祖贻认为,脾肾亏虚、心神失养为痫病病机之本,风痰为病机之标。脾虚生痰,痰扰元神;肾阳虚衰,酿生痰浊;肝风夹痰,蒙蔽脑窍;心神失养,神机失用均可导致小儿痫病发生。论治痫病重在攻补兼顾,以补为主。气阳在小儿痫病的治疗中发挥关键作用,刘祖贻教授提出“气阳主用”学术观点,治以健脾助运化、温肾济水火、调肝止风动、养心以开窍。并附验案1则加以阐明。Pediatric epilepsy is one of the common mental disorders in children.LIU Zuyi,the National TCM master,believes that the deficiency of spleen and kidney and lack of nourishment in the heart spirit are the root pathogenesis of epilepsy,and wind and phlegm are the tip.The spleen deficiency leads to the formation of phlegm which disturbs the original spirit;the kidney yang deficiency results in phlegm turbidity;the liver wind complicated with phlegm blocks the brain and orifices;and lack of nourishment in the heart spirit causes dysfunction of the vital activity,all of which can lead to the occurrence of pediatric epilepsy.As for the treatment,attention should be paid to both reinforcing healthy qi and removing pathogenic factors,with the predominance of the former.Qi and yang play crucial roles in the treatment of pediatric epilepsy.Proposing the academic viewpoint of"emphasizing the crucial roles of qi and yang",Professor LIU usually treats this disease with methods such as strengthening the spleen to promote the transportation and transformation,warming the kidney and regulating and harmonizing yin and yang,regulating the liver to extinguish the stirred wind,and nourishing the heart and opening the orifices.A successful medical case is provided for illustration.

关 键 词：刘祖贻 小儿痫病 气阳主用 脾肾亏虚 心神失养 风痰 

分 类 号：R272[医药卫生—中医儿科学]