| 王宇皓,陈珏颖,商艳芸,等.质和量角度的小儿少阳体质探讨[J].浙江中医药大学学报,2020,44(9):865-867. |
| 质和量角度的小儿少阳体质探讨 |
| Discussion of the Shaoyang Constitution of Children from the Perspective of Quality and Quantity |
| DOI：10.16466/j.issn1005-5509.2020.09.006 |
| 中文关键词: 小儿体质 质和量 少阳 稚阴稚阳 纯阳 生理特点 发病特点 |
| 英文关键词: children's constitution quality and quantity Shaoyang immature Yin and Yang pure Yang physiological characteristics clinical characteristics |
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| 中文摘要: |
| [目的]探讨三种小儿体质学说的形成发展及特点，进而从质和量的角度来阐述小儿之体属少阳之说的本质及其病理生理特点，并且指导临床用药。[方法]通过相关文献检索，查阅历代儿科典籍，概述小儿体质学说的源流及特点，并结合小儿临床表现，研究几种小儿体质学说的实质内涵，进而重点从质和量的角度深入剖析小儿少阳体质的生理特点及发病特点，并在此基础上提出临床用药原则。[结果]小儿体质是历代医家研究的重点，阐述小儿体质的学说大概有三种，纯阳、稚阴稚阳以及少阳，这些看似对立的观点事实上是从不同侧面对小儿体质的表达，纯阳言质，稚阳言量，少阳统括质量。小儿体质从生理而言符合少阳为生发之阳的特点，少阳容易化寒化热、化虚化实的特点正与小儿易寒易热、易虚易实的病理变化相符。从对临床用药的指导意义上来看，从其量而言则不可过寒，从其质而言则不可过热，应当兼顾质和量，故应遵从清补调中、中病即止、重视早期诊治的几个原则。[结论]从质和量的角度探讨小儿体质的问题，最终从少阳体质的角度来统一认识，为理解历代各流派医家对小儿体质认识提供了一种思路，有利于更深刻地整体把握小儿体质，并对儿科临床用药具有指导意义，应不断探索研究。 |
| 英文摘要: |
| [Objective]To explore the formation， development and characteristics of three theories of children's constitution， explain the Shaoyang constitution of children and physiology and pathology from the perspective of quality and quantity， so as to guide clinical drug use. [Methods]Through searching and consulting pediatric classical literatures of past dynasties， the origin and characteristics of several theories of children's constitution were studied and the connotation of children constitution theory was researched combining with the clinical feature. Then， the physiological and pathological characteristics of Shaoyang constitution of children were analyzed from the perspective of quality and quantity. On this basis， the principle of clinical drug use was put forward.[Results]The constitution of children has been the focus of medical researchers throughout the ages. There are three theories about children's constitution: Pure Yang， immature Yin and Yang， and Shaoyang.These seemingly opposing views are actually the expression of children's constitution from different aspects. Pure Yang speaks of quality， immature Yin and Yang speaks of quantity， Shaoyang embraces quality and quantity. Children's constitution physiologically conforms to the characteristics of Shaoyang for the flourishing Yang.Shaoyang is easy to get cold and heat， and easy to get deficiency and excess， and its characteristics are consistent with the pathological changes of children.From the point of view of the guidance of clinical medication， its quantity must not be too cold and its quality must not be too hot. Attention should be paid to both quality and quantity， so the principles should include: Clearing and nourishing to adjust the middle-Jiao， stopping treatment as soon as the disease relieved and emphasizing on early diagnosis and treatment.[Conclusion]It provides a way to understand the understanding of children's constitution by various schools of constitutions in the past dynasties， to discuss the problem of children's constitution from the perspective of quality and quantity， and finally to unify the understanding from the perspective of Shaoyang constitution， which is conducive to a more profound overall grasp of children's constitution， and has a guiding significance for pediatric clinical medication， which should be explored and studied constantly. |
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