基于“脾统四脏”理论以“滋生健脾法”辨治儿童矮身材探析  

Exploring the treatment for short stature in children with"the method of nourishing the spleen"based on the theory of"the spleen governing the four internal organs"

作　　者：董丹[1] 李滢 王雪峰[1] DONG Dan;LI Ying;WANG Xuefeng(Affiliated Hospital of Liaoning University of Traditional Chinese Medicine Affiliated Hospital,Shenyang 110032,China;Liaoning University of Traditional Chinese Medicine,Shenyang 110000,China)

机构地区：[1]辽宁中医药大学附属医院儿科,沈阳110032 [2]辽宁中医药大学,沈阳110000

出　　处：《中国中西医结合儿科学》2024年第5期387-391,共5页Chinese Pediatrics of Integrated Traditional and Western Medicine

基　　金：王雪峰全国名老中医药专家传承工作室建设项目(国中医药人教发[2022]75号);王雪峰辽宁省中医大师传承工作室建设项目(2022-1)。

摘　　要：儿童矮身材的病因可总结为先天禀赋不足或后天喂养失司。脾为后天之本,脾气健旺则脾脏所化生的精微物质得以输布全身,五脏六腑物质基础充足,气血充盛,小儿的生长发育才能正常。反之,脾胃功能受损,则气血化生乏源,波及他脏,导致其他脏腑功能受损,从而引起小儿生长发育迟缓。同时,小儿还具有“脾常不足”的生理状态和体质特点。因此,从脾论治儿童矮身材具有重要意义。笔者以“滋生健脾”为基本治疗原则,基于“脾统四脏”理论,列举了脾虚证、脾虚夹积证、脾虚湿盛证、脾虚肝旺证、脾胃阴虚证、肺脾气虚证、脾肾两虚证、心脾两虚证等8个临床常见的中医证候类型,归纳总结了以四君子汤为基础方加减辨治儿童矮身材的经验,为中医辨证治疗儿童矮身材提供临证参考。The causes of short stature in children can be summarized as insufficient innate endowment or improper postnatal nourishment.The spleen is the source of life after birth,and when the spleen is healthy,the nutrients it generates can be distributed throughout the body,providing sufficient material basis for the internal organs and abundant qi and blood,allowing normal growth and development of children.On the other hand,if the spleen and stomach functions are impaired,the source of qi and blood generation is lacking,which affects other organs and causes dysfunction of other internal organs,leading to delayed growth and development in children.Additionally,children have the physiological state and constitutional feature of"spleen often being insufficient".Therefore,treating childhood short stature based on the spleen is of great significance.Taking"nourishing and strengthening the spleen"as the basic treatment principle and based on the theory of"the spleen governing the four internal organs",the author lists eight common Chinese medical syndrome types:spleen deficiency,spleen deficiency with food stasis,spleen deficiency with dampness,spleen deficiency with liver hyperactivity,spleen-and stomach-yin deficiency,lung-and spleen-qi deficiency,spleen and kidney deficiency,and heart and spleen deficiency.This paper summarizes the experience in the differentiated treatment of short stature in children based on the basic formula of Sijunzi soup,aiming to provide clinical references for the treatment of short stature in children with traditional Chinese medicine.

关 键 词：矮身材 脾统四脏 儿童 

分 类 号：R339.35[医药卫生—人体生理学]