历代医家对小儿腹痛的认识与治疗  

Understanding and Treatment of Pediatric Abdominal Pain by Medical Practitioners of All Ages

作　　者：李璇 蔡莉莉 郑子琦 胡思源[1] LI Xuan;CAI Lili;ZHENG Ziqi;HU Siyuan(First Teaching Hospital of Tianjin University of TCM/National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300193,China)

机构地区：[1]天津中医药大学第一附属医院/国家中医针灸临床医学研究中心,天津300193

出　　处：《西部中医药》2025年第2期36-39,共4页Western Journal of Traditional Chinese Medicine

基　　金：国家科技重大专项(民口)课题(2020ZX09201-008)。

摘　　要：对不同时期中医学家辨治小儿腹痛的经验进行小结,指出先秦两汉至南北朝时期、隋唐时期、宋金元时期、明清时期及近代对小儿腹痛的认识及治疗虽然各有不同,但也有交叉。腹痛的总体病因主要包括腹部中寒,瘀血内阻,乳食积滞,脾胃虚寒,胃肠结热,痰邪阻滞;主要病机为脾胃气滞,不通则痛;基本治则以调理气机为主。By briefing the medical practitioners'experience in differentiating and treating pediatric abdominal pain through the ages,their understanding and treatment of pediatric abdominal pain varied but intersected from pre-Qin and Han dynasty(221-205BC)to Southern and Northern dynasties(420-589AD),the Sui and Tang period(581-907AD),and the Song,Jin and Yuan dynasties(960-1279AD),the Ming(1368-1644)and Qing(1644-1911)dynasties,and modern times.The general etiology of abdominal pain mainly covered cold in the abdomen,internal obstruction of blood stasis,dyspepsia,spleen and stomach cold,heat binding in stomach and the bowel,phlegm evil obstructing,and the main pathogenesis lied in Qi stagnation of spleen and stomach,obstruction resulting in pain,and the basic therapeutic principles were regulating Qi movement.

关 键 词：腹痛 儿童 历史沿革 病因病机 辨证治疗 

分 类 号：R256.33[医药卫生—中医内科学]