李乃庚辨治小儿脾胃疾病经验探析
L I Naigeng′s Experience on Treating Sp leen and Stom ach Diseases in Children
DOI:10.13192/j.issn.1000-1719.2021.12.009
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1.南京中医药大学附属盐城市中医院,江苏 盐城 224001
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袁洋, 陈光明, 徐玲, 等. 李乃庚辨治小儿脾胃疾病经验探析[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.12.009
YUAN Yang, CHEN Guangming, XU Ling, et al. L I Naigeng′s Experience on Treating Sp leen and Stom ach Diseases in Children[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.12.009
袁洋, 陈光明, 徐玲, 等. 李乃庚辨治小儿脾胃疾病经验探析[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.12.009 DOI:
YUAN Yang, CHEN Guangming, XU Ling, et al. L I Naigeng′s Experience on Treating Sp leen and Stom ach Diseases in Children[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.12.009 DOI:
李乃庚教授从事幼科50余载,在辨治小儿脾胃疾病过程中积累了丰富的经验。如今小儿常恣食肥甘厚味,李老认为厚味负重易伤阴,尤其易引起脾、胃阴不足而致病;小儿食积日久或过食肥甘易生胃肠瘀热滋生他病。李老治疗小儿脾胃疾病时用药常立足于祛邪,其中下法、消法为常用之法;消积擅用莪术、大黄两药,旨在通腑,使邪有出路,在临证时根据大黄不同炮制之药效选择使用,将大黄分大、中、小三个不同用量,大黄大剂量以攻为主,小剂量以补为主。李老认为诸疳皆因脾胃病所起,故治疗以健运脾胃为大法,饮食调养时顾护脾胃;治疗小儿脾胃疾病时方法多种多样,擅用外治疗法,法简而效宏。李老认为小儿常存“气阴不足”,其病因有空调饮冷、过食肥甘、滥用抗生素及激素等,临证擅用“护阳益阴法”治疗小儿脾胃病。该文总结了李乃庚教授辨治小儿脾胃疾病临证经验,浅析了李乃庚教授“护阳益阴理论”“胃肠瘀热理论”等学术思想。附典型医案1例以佐证。
Professor LI Naigeng has been engaged in pediatrics formore than 50 years, and has accumulated rich experience in the process of syndrome differentiation and treatmentof children′s spleen and stomach diseases. Nowadays, children often prefer meat to vegetarianism. Professor LIbelieves that eating toomuch meat, fishy and greasy food can easily damage Yin, especially spleen and stomach Yin deficiency. Overeatingmeat, sweet food and fried food are easy to produce gastrointestinal heat stasis and other diseases. In the treatment of children′s spleen and stomach diseases, drugs are based on eliminating pathogenic factors, and dredgingmethod and eliminatingmethod are commonly used. Eliminatingmedicine is good at using Ezhu (zedoary turmeric) and Dahuang (rhubarb) in order to dredge the bowels andmake the evil have away out. Professor LIchose to use Dahuang (rhubarb) according to the efficacy of different processed products, and Dahuang (rhubarb) was divided into three different doses: large, me-dium and small doses. Dahuang (rhubarb) ismainly used for attack in large doses, and tonic in small doses. Professor LIbelieves that all kinds of infantilemalnutrition syndrome are caused by spleen and stomach diseases, and so the treatment is to invigorate the spleen and stomach, and take care of the spleen and stomach during diet. Professor LIis good at treating children′s spleen and stomach diseaseswith external therapy, themethod is simple and the effect is obvious. Professor LI believes that children often suffer from deficiency of Qi and Yin. The causes include blowing air conditioning, eating cold drinks, overeating fat and sweet food, and abusing antibiotics and hormones. Professor LIis good atusing "protecting Yang and benefiting Yin" to treat spleen and stomach diseases in children. This paper summarized Professor LI Naigeng′s clinical experience in the treatment of children′s spleen and stomach diseases, and analyzed Professor LINaigeng′s academic thoughts of "protecting Yang and benefiting Yin" and "gastrointestinal blood stasis and heat theory". One case of typicalmedical cases was attached.
小儿脾胃疾病治疗名医经验李乃庚
childrenspleen and stomach diseasetreatmentexperience of famous doctorsLI Naigeng
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