从朱丹溪“六郁”理论探讨学龄期儿童肥胖症  

Exploring obesity in school-aged children from the perspective of ZHU Danxi's“six types of stagnation”theory

作　　者：陈淼 桑杲(指导) CHEN Miao;SANG Gao(The Second Clinical Medical College,Zhejiang Chinese Medical University,Hangzhou,Zhejiang,310053,China;不详)

机构地区：[1]浙江中医药大学第二临床医学院,浙江杭州310053 [2]不详

出　　处：《中医儿科杂志》2025年第2期11-14,共4页Journal of Pediatrics of Traditional Chinese Medicine

摘　　要：从朱丹溪“六郁”理论出发,结合学龄阶段儿童心理、饮食及生活习惯特点,探讨“六郁”与学龄期儿童肥胖症的关系。学龄期儿童承受来自学业、家庭的压力,情绪波动较大,情志过极,损害气机,易生气郁,故该时期儿童肥胖症以气郁为首因,同时可兼有食郁、痰郁、热郁、湿郁、血郁为患。治疗上,总结“理气开郁,调畅情志”“抑胃泄热,消食除胀”“健脾化痰,除湿散满”“散瘀祛浊,兼顾气阴”的治则治法,以期指导临床用药。Based on ZHU Danxi's“six types of stagnation”theory and considering the psychological,dietary,and lifestyle characteristics of school-aged children,this paper explores the relationship between the“six types of stagnation”and obesity in this age group.School-aged children often face academic and familial pressures,leading to significant emotional fluctuations and excessive emotional stress,which can impair the flow of qi and easily result in qi stagnation.Therefore,qi stagnation is considered the primary cause of obesity in this period,often accompanied by food stagnation,phlegm stagnation,heat stagnation,damp stagnation,and blood stagnation.In terms of treatment,the principles of“regulating qi to relieve stagnation and harmonizing emotions”,“suppressing the stomach to clear heat and promoting digestion to relieve bloating”,“strengthening the spleen to resolve phlegm and eliminating dampness to reduce fullness”,and“dispelling stasis and turbidity while balancing qi and yin”are summarized to guide clinical medication.

关 键 词：学龄期儿童 朱丹溪 六郁 肥胖症 

分 类 号：R723.14[医药卫生—儿科]