汪受传教授治疗小儿疳证经验
Professor WANG Shouchuan’s experience in the treatment of infantile malnutrition syndrome
DOI:10.16840/j.issn1673-4297.2022.03.03
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1.南京中医药大学附属医院儿科,江苏 南京 210029
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仇群芳, 戴启刚, 汪受传. 汪受传教授治疗小儿疳证经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16840/j.issn1673-4297.2022.03.03
QIU Qunfang, DAI Qigang, WANG Shouchuan. Professor WANG Shouchuan’s experience in the treatment of infantile malnutrition syndrome[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16840/j.issn1673-4297.2022.03.03
仇群芳, 戴启刚, 汪受传. 汪受传教授治疗小儿疳证经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16840/j.issn1673-4297.2022.03.03 DOI:
QIU Qunfang, DAI Qigang, WANG Shouchuan. Professor WANG Shouchuan’s experience in the treatment of infantile malnutrition syndrome[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16840/j.issn1673-4297.2022.03.03 DOI:
汪受传教授认为小儿疳证的主要病机是脾胃功能受损,运化失司,气血津液亏耗,生化乏源,根据病情的轻重与不同的阶段分为疳气、疳积、干疳3型。疳气以脾失健运为主,予资生丸健脾助运;疳气日久,脾失健运,水谷不行,气血不畅,化生疳积,证属本虚标实,予肥儿丸合消疳理脾汤消积理脾,和中清热,消补兼施;疳积日久,脾不能转输精微,脏腑失于濡养,气血干涸,化生干疳,选用八珍汤补益气血、诱导开胃。汪教授治疗小儿疳证以顾护脾胃为本,根据病情的标本虚实辨证施治,临床疗效显著。附验案2则,以资验证。
Professor WANG Shouchuan holds that the main pathogenesis of infantile malnutrition syndrome is the functional impairment of spleen and stomach which leads to dysfunction of transportation and transformation, loss of qi, blood and body fluid, and insufficiency of the source of generation and transformation as well. According to the severity and different stages of the condition, it is divided into 3 types including mild infantile malnutrition, mild infantile malnutrition with accumulation and dryness infantile malnutrition. Mild infantile malnutrition focuses on dysfunction of spleen, and thus Zisheng Wan(资生丸)is given to invigorate spleen and assist transportation. Mild infantile malnutrition with accumulation is generated and transformed by prolonged mild infantile malnutrition causing dysfunction of spleen resulting in retention of food and unsmooth circulation of qi and blood, which pertains to deficiency in the origin and excess in the manifestation, and thus Fei’er Wan(肥儿丸)combined with Xiaogan Lipi Tang(消疳理脾汤)is given to resolve food retention, regulating spleen, harmonizing stomach and spleen to clear away heat, by simultaneous use of dispersing and nourishing method. Dryness infantile malnutrition is generated and transformed by prolonged mild infantile malnutrition with accumulation causing spleen failure to transport cereal nutrient, loss of nourishment in viscera and dryout in qi and blood, and thus Bazhen Tang(八珍汤)is used selectively to invigorate qi, blood and induce appetite. Taking protecting the spleen and stomach as the basis for treating infantile malnutrition syndrome, professor WANG performs treatment based on syndrome differentiation in manifestation and origin as well as deficiency and excess according to the condition, whereby achieving marked clinical efficacy. Two proven cases are attached for verification.
疳证小儿辨证论治临床经验汪受传
infantile malnutrition syndromechildrentreatment based on syndrome differentiationclinical experienceWANG Shouchuan
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