从小儿疳证用药看《辅行诀》对《黄帝内经》脾病理论的继承与发展  

Inheritance and development of spleen disease theory in Huangdi Neijing from the perspective of infantile malnutrition treatment in Fuxing Jue

作　　者：黄鸿凯 朱凯欣 古继红 Huang Hongkai;Zhu Kaixin;Gu Jihong(Traditional Chinese Medicine Department,Guangzhou Yuexiu District Children's Hospital,Guangzhou 511011,China;Guangzhou Yuexiu District Children's Hospital,Guangzhou 511011,China;Neijing Teaching and Research Room,School of Basic Medicine,Guangzhou University of Chinese Medicine,Guangzhou 510000,China)

机构地区：[1]广州市越秀区儿童医院中医科,广州511011 [2]广州市越秀区儿童医院,广州511011 [3]广州中医药大学基础医学院内经教研室,广州510000

出　　处：《国际医药卫生导报》2025年第7期1062-1064,共3页International Medicine and Health Guidance News

基　　金：2020年广东省教学课题(305)。

摘　　要：本文运用《辅行诀》中的“汤液经法图”理论,分析小儿疳证指南中的指导方药,发现其组方都遵循辛味泻脾、甘味补脾和苦味燥脾的药物定位原则,更好地传承及丰富了《黄帝内经》的苦欲补泻理论,提示疳证及其兼证可按照五味补泻理论精简用药,为小儿其他疾病组方用药提供更客观的理论依据。Applying the theory of"Tangye Jingfa Tu"in Fuxing Jue,we analyze the guiding drugs in the infantile malnutrition syndrome guidelines,and find out that all the combinations follow the principle of drug positioning for treating spleen with pungent flavor for purgation,sweet flavor for tonification,and bitter flavor for drying,which better inherits and enriches the theory of"bitter desire for tonification and purgation"in Huangdi Neijing.It also suggests that infantile malnutrition and its concurrent symptoms can be treated with simplified medications based on the theory of five flavors for tonification and purgation,and provides more objective theoretical basis for the prescription of other pediatric diseases.

关 键 词：疳证 辅行诀 汤液经法图 黄帝内经 补脾 儿童 

分 类 号：R272[医药卫生—中医儿科学]