熊磊教授辨治小儿厌食症经验  

Professor XIONG Lei's experience in the differential diagnosis and treatment of pediatric anorexia

作　　者：杨少颖 曹婷 王博 林子涵 熊磊 YANG Shaoying;CAO Ting;WANG Bo;LIN Zihan;XIONG Lei(The First Clinical Medical College,Yunnan University of Chinese Medicine,Kunming,Yunnan,650500,China;Pediatrics Department,Zhaotong Traditional Chinese Medicine Hospital,Zhaotong,Yunnan,657000,China)

机构地区：[1]云南中医药大学第一临床医学院,云南昆明650500 [2]昭通市中医医院儿科,云南昭通657000

出　　处：《中医儿科杂志》2025年第2期26-28,共3页Journal of Pediatrics of Traditional Chinese Medicine

基　　金：岐黄学者-国家中医药领军人才支持计划(国中医药人教函[2022]6号);全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号);“中医儿科学”高水平中医药重点学科(国中医药人教函[2022]226号);兴滇人才“名医专项”(云卫人发[2022]8号)。

摘　　要：熊磊教授指出小儿厌食症是以脾胃为中心的整体失调,病变涉及肝、肾,病机为脾胃运纳失和,病理因素与湿邪、瘀血相关,从脾失健运证、脾胃积滞证、肝脾不和证、脾胃阴虚证论治,分别予醒脾化湿、健脾运脾、消积化瘀、清心平肝、健脾益气等治法,并阐释藿香与茯苓、白术与苍术、莪术与桃仁、石菖蒲与钩藤、兰花参与山土瓜等药对治疗厌食症的机制,分析其配伍特点和临床运用规律。附案例1则,以资验证。Professor XIONG Lei points out that pediatric anorexia is a holistic disorder centered on the spleen and stomach,with involvement of the liver and kidneys. The pathogenesis includes disharmony in the transportation and reception functions of the spleen and stomach,and the pathological factors are related to dampness and blood stagnation. Treatment is based on the differentiation of syndromes such as spleen dysfunction,accumulation and stagnation in the spleen and stomach,disharmony between the liver and spleen,and yin deficiency of the spleen and stomach. Corresponding treatments include awakening the spleen to resolve dampness,strengthening the spleen to promote its functions,eliminating accumulation and resolving blood stagnation,clearing the heart and calming the liver,strengthening the spleen,and replenishing qi. Furthermore,the mechanisms of treating anorexia with paired herbs such as Agastache and Poria cocos,Atractylodes macrocephala and Atractylodes lancea,Curcuma zedoaria and Peach kernel,Acorus tatarinowii and Uncaria rhynchophylla,Cymbidium goeringii and Dioscorea nipponica are explained. The characteristics of their compatibility and clinical application rules are also analyzed. A case study is presented for verification.

关 键 词：小儿厌食症 药对 临床经验 熊磊 

分 类 号：R725.7[医药卫生—儿科]