基于中焦枢纽探析《千金方》儿科病症下法应用  

Exploration on the application of purgative therapy for pediatric diseases in Qian Jin Fang based on the pivot theory of middle Jiao

作　　者：董斐[1] 薛旭升 谷晓红[1,2,3] DONG Fei;XUE Xusheng;GU Xiaohong(Institute of Chinese Medicine Epidemic Disease,Beijing University of Chinese Medicine,Beijing 100029,China;Institute of SUN Simiao,Beijing University of Chinese Medicine,Tongchuan 602300,China;School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学中医疫病研究院,北京100029 [2]北京中医药大学孙思邈研究院,陕西铜川602300 [3]北京中医药大学中医学院,北京100029

出　　处：《中华中医药杂志》2025年第1期28-32,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家中医药管理局高水平中医药重点学科建设项目——北京中医药大学中医疫病学(No.zyyzdxk-2023264);国家中医药管理局中医药创新团队及人才支持计划项目(No.ZYYCXTD-C-202006);铜川市中医药传承创新发展示范试点项目孙思邈学术体系传承项目。

摘　　要：文章通过对《备急千金要方》《千金翼方》(下文合称《千金方》)儿科病症论述进行研究,分析其对儿科病证运用下法的特色,归纳《千金方》儿科病症诊治的特点——以中焦为枢,结合胃肠积热等现代中医儿科学术观点,提出“调中焦、利枢转”的儿科病症防治基本原则。通过药物治疗、饮食调养、按摩和针灸等多种方法的综合运用,可以有效地调理脾胃功能、恢复中焦的正常运化、促进小儿的健康成长。同时文章提出“定版本-通全貌-探线索-启新知”的中医经典文献“考古”研究思路,古为今用,为孙思邈传承研究提供新模式。This article studies the discussion of pediatric diseases in Beiji Qianjin Yao Fang and Qianjin Yi Fang(hereinafter collectively referred to as Qian Jin Fang),analyzes its characteristics of using purgative medthod for pediatric diseases and syndromes,and summarizes the characteristics of diagnosis and treatment of pediatric diseases in Qian Jin Fangtaking middle jiao as the pivot.Combining with modern academic viewpoints of pediatrics of traditional Chinese medicine such as syndrome of accumulated heat in stomach and intestine,it proposes the basic principle of prevention and treatment of pediatric diseases,which is ‘regulating and facilitating the middle jiao'.Through the comprehensive application of various methods such as drug treatment,diet conditioning,massage,and acupuncture,it can effectively regulate the spleen and stomach function,restore the normal transportation and transformation of the middle jiao,and promote the healthy growth of children.At the same time,this article proposes the ‘archaeological' research idea of ‘determining the version-understanding the whole picture-exploring cluesgaining new knowledge' for classic Chinese medicine literature,making the past serve the present,and providing a new model for the inheritance and research of SUN Simiao.

关 键 词：《备急千金要方》 《千金翼方》 儿科 下法 中焦 

分 类 号：R272[医药卫生—中医儿科学]