基于升降浮沉药性理论探讨四逆散在儿童情志病中的应用  

Application of Sini Powder in treating children's emotional diseases based on the medicinal property theory of ascending,descending,floating,and sinking

作　　者：郭建波 邢鑫鑫 韩阳飞 宋丽娜[1] 张伟[1] GUO Jianbo;XING Xinxin;HAN Yangfei;SONG Li'na;ZHANG Wei(Department of Pediatrics,The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin,Heilongjiang 150040,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

出　　处：《湖南中医药大学学报》2024年第12期2294-2298,共5页Journal of Hunan University of Chinese Medicine

基　　金：黑龙江省中医药科研项目(ZHY2023-214);黑龙江省第二批省级名中医药专家传承工作室建设项目(黑中医药科教函[2021]24号)。

摘　　要：从升降浮沉药性理论探讨四逆散方义及其所主之病因病机,并探析四逆散在儿童情志病中的应用原则。儿童情志病常由先天禀赋不足、外感六淫、他病累及、情志失调等而引发,尤与情志因素密切相关。其病机为情志内伤,气机升降失序,故治疗上注重调理气机,燮理阴阳,当辨药性之阴阳,以治人身之阴阳;察药性之升降,以调人身之升降。本研究通过文献综述和临床观察,在掌握儿童情志病发病特点和临床表现基础上,明确升降失调系儿童情志病之渊薮,依药性之升降浮沉而辨证治之。附临床案例分析,以期为临床辨证论治提供参考。This paper aims to explore the formula significance of Sini Powder and the etiology and pathogenesis of its major indications based on the medicinal property theory of ascending,descending,floating,and sinking,as well as the application principles of Sini Powder in treating children's emotional diseases.Children's emotional diseases are often triggered by factors such as inadequate innate endowment,six exogenous pathogenic factors,involvement by other diseases,and emotional imbalance,with a particularly close correlation to emotional factors.The pathogenesis is characterized by internal injury due to abnormal emotions bringing on disordered qi movement in ascending and descending.Therefore,the treatment focuses on regulating qi movement and harmonizing yin and yang.It is essential to differentiate the yin and yang properties of medicines to balance yin and yang of the human body,and to identify the ascending and descending properties of medicines to adjust the corresponding functions in the human body.Through literature review and clinical observation,this study has grasped the characteristics of the onset and clinical manifestations of children's emotional diseases.Based on this understanding,it is clearly identified that the disordered qi movement in ascending and descending is the root cause of these disorders.Consequently,the treatment is administered based on the identification of ascending,descending,floating,and sinking properties of medicines.Furthermore,a clinical case analysis is included to provide reference for the clinical pattern identification and treatment of these disorders.

关 键 词：儿童情志病 四逆散 升降浮沉 药性理论 临床应用 

分 类 号：R277.7[医药卫生—中医学]