基于脾阴学说辨治儿童功能性胃肠病  

Treating childhood functional gastrointestinal disorders based on the theory of spleen-yin deficiency

作　　者：干桂玲 田雪 王富慧 刘薇薇[2] GAN Guiling;TIAN Xue;WANG Fuhui;LIU Weiwei(Graduate School,Tianjin University of Traditional Chinese Medicine,Tianjin,300193,China;Department of Pediatrics,The Second Affiliated Hospital of Tianjin University of TCM,Tianjin,300250,China)

机构地区：[1]天津中医药大学研究生院,天津300193 [2]天津中医药大学第二附属医院儿科,天津300250

出　　处：《中医儿科杂志》2024年第5期78-81,共4页Journal of Pediatrics of Traditional Chinese Medicine

基　　金：国家自然基金青年基金项目(82004420);天津市教委科研自然科学计划项目(2021ZD024)。

摘　　要：功能性胃肠病的发生与五脏功能失调有关,其中脾阴亏虚,气机升降及濡润功能失常是其病机关键。小儿肠胃脆薄,易耗伤脾阴,脾阴亏虚可致中焦气机不畅、虚火内生和脾胃失濡,故当以补脾养阴为治疗原则,临床予药物以甘味为基础,包括甘淡、甘寒、酸甘3类,同时配伍淡利渗湿之品,使补脾而无生他邪,达到增强脾濡润全身脏腑和脾主运化功能的目的。附案例1则,以资验证。The occurrence of functional gastrointestinal disorders(FGIDs)is related to the dysfunction of the five internal organs,among which spleen-yin deficiency and the disruption of qi movement and nourishing functions are the crucial pathogenesis.Children's gastrointestinal system is delicate and prone to consume spleen-yin.Spleen-yin deficiency can lead to the obstruction of qi movement in the middle-jiao,the generation of internal deficient fire,and the loss of nourishment to the spleen and stomach.Therefore,reinforcing spleen and nourishing yin should be the principle of treatment.Clinically,sweet-flavored herbs,including mildly sweet,sweet-cold,and sour-sweet types,serve as the foundation,with the addition of herbs that can mildly drain dampness,thereby reinforcing the spleen without generating other pathogens.This approach aims to enhance the spleen's ability to nourish the whole body's viscera and its function of transportation and transformation.A case study is presented for verification.

关 键 词：功能性胃肠病 儿童 脾阴学说 中医辨治 

分 类 号：R256.3[医药卫生—中医内科学]