彭玉教授基于“肺降肝升”理论辨治小儿呃逆经验  

Professor PENG Yu's experience in treating pediatric eructation based on the theory of"lung descends qi and liver rises qi"

作　　者：吴昊 张翠玲 庞平 吴敏 陈颖钰 黄敬 彭玉(指导) WU Hao;ZHANG Cuiling;PANG Ping;WU Min;CHEN Yingyu;HUANG Jing;PENG Yu(Graduate School,Guizhou University of Traditional Chinese Medicine,Guiyang,Guizhou,550001,China;Department of Pediatrics,The Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine,Guiyang,Guizhou,550001,China;不详)

机构地区：[1]贵州中医药大学研究生院,贵州贵阳550001 [2]贵州中医药大学第二附属医院儿科,贵州贵阳550001 [3]不详

出　　处：《中医儿科杂志》2024年第3期18-21,共4页Journal of Pediatrics of Traditional Chinese Medicine

基　　金：全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号);贵州省“十四五”中医药、民族医药重点建设学科(黔中医药函[2021]95号-6)。

摘　　要：肺肝为气机升降之统领,肺降肝升相互为用,肺金肝木又相互克制,共同维护人体气机的平衡调顺,在脾胃气机升降中起到了重要的作用。小儿肺脾本不足,若病后肺降失和,无以镇肝,土虚木易乘之,脾胃升降失职,胃气上逆则为呃。彭玉教授秉承《黄帝内经》“肺降肝升”思想,治疗脾胃病时尤重肝肺气机升降。临证通过察色观症,从肺肝升降论治小儿呃逆,应用经验方运脾降逆散宣肺疏肝、和胃降逆,如此则中焦气运调畅,呃逆可止。附验案1则,以资验证。Lung and liver are the leaders of qi lifting and lowering.Lung lowers and liver rises,assisting each other to complete the cycle of qi.Lung belongs to gold,liver belongs to wood,according to the theory of five elements,gold restains wood,so the lung and liver restrain each other to maintain the balance of the human body's qi and play an important role in the lifting and lowering of the qi of the spleen and stomach.Children with lung and spleen deficiency may experience postoperative disharmony in the lungs,which cannot be used to calm the liver.This can be easily exacerbated by soil deficiency and wood deficiency,as well as dysfunction of the spleen and stomach.If the stomach qi is reversed,it is called hiccups.Professor PENG Yu adheres to the idea of"lung descends qi and liver rises qi"in Inner Canon of Huangdi,and pays particular attention to the lifing and lowering of liver and lung qi when treating spleen and stomach diseases.The treatment of pediatric eructation is based on the theory of elevation of the lung and liver by observing the symptoms and applying the empirical formula of Yunpi Jiangni San(运降逆散)to promote the lungs,dredge the liver,harmonise the stomach and lower the reversal of the stomach.One experimental case is presented to show professor PENG's thinking of clinical diagnosis and treatment,and the characteristics of prescription and medication.

关 键 词：小儿 呃逆 肺降肝升 宣肺疏肝、和胃降逆 临床经验 彭玉 

分 类 号：R256.31[医药卫生—中医内科学]