| 蔡洁,励雄,邵瑛.邵瑛教授治疗小儿胃强脾弱证经验撷萃[J].浙江中医药大学学报,2020,44(6):581-584. |
| 邵瑛教授治疗小儿胃强脾弱证经验撷萃 |
| Clinical Experience of Professor SHAO Ying in Treating Pediatric Strong Stomach and Weak Spleen Syndrome |
| DOI：10.16466/j.issn1005-5509.2020.06.017 |
| 中文关键词: 胃强脾弱证 疳证 小儿推拿 食疗 医案 邵瑛 临床经验 |
| 英文关键词: strong stomach and weak spleen syndrome infantile malnutrition syndrome pediatric Tuina food therapy medical case SHAO Ying clinical experience |
| 基金项目:浙江省中医药科技计划项目(2018ZT007) |
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| 中文摘要: |
| [目的]总结邵瑛教授运用小儿推拿结合食疗治疗小儿胃强脾弱证的临床经验。[方法]阐述胃强脾弱证古今定义的不同，论述邵教授对此证的认识，分析邵教授治疗小儿胃强脾弱证的原则及治疗手段，总结邵教授治疗小儿胃强脾弱证的独到见解，并附临床案例验证。[结果]邵教授总结多年临床经验，认同胃强脾弱证的古义，而否定今义。辨证论治方面，其认为胃强脾弱证主要病机为胃燥不降、脾弱不升，次要病机为肠腑燥热，并根据病情发展情况，提出胃强脾弱证是疳证前期的辨证观点。治疗以健脾理气、益胃养阴为法，便秘甚者酌加通腑，采用无痛、无副作用的小儿推拿为主要治疗手段，以食疗为辅助手段，临床上取得满意的疗效。所举案例为小儿胃强脾弱证的典型案例，邵教授以健脾理气、益胃养阴为基本治疗方法，采用小儿推拿结合食疗治疗，疗效显著。[结论]邵教授认同胃强脾弱证的古义，否定今义，并且提出胃强脾弱证是疳证前期的观点，运用小儿推拿结合食疗治疗小儿胃强脾弱证，特色突出，值得学习推广。 |
| 英文摘要: |
| [Objective] To summarize the clinical experience of Professor SHAO Ying in treating children with strong stomach and weak spleen syndrome by using pediatric Tuina combined with food therapy.[Methods] Through expounding the differences between the ancient and modern definitions of strong stomach and weak spleen syndrome， discussing Professor SHAO 's understanding of this syndrome， Professor SHAO 's principle and methods of treating children with strong stomach and weak spleen syndrome were analyzed， and her unique views on the treatment were summarized， and a clinical case was attached to verify.[Results] Based on years of clinical experience， Professor SHAO identifies strong stomach and weak spleen syndrome with the ancient meaning， and denies the present meaning.Through the thinking of discernment and treatment， Professor SHAO thinks that the main pathogenesis of strong stomach and weak spleen syndrome is that the stomach has too much dryness to fall， and the spleen is too weak to rise， and the secondary pathogenesis is intestinal dryness and heat. According to the development of the disease， it is pointed out that the strong stomach and weak spleen syndrome is the early stage of infantile malnutrition syndrome. With the principle of strengthening the spleen and regulating Qi， tonifying stomach and nourishing Yin，for those with severe constipation， the method of viscera purging should be added， Professor SHAO uses pediatric Tuina without pain and side-effect as the main treatment method， and food therapy is adopted as the auxiliary treatment method， and obtains satisfactory effect in clinic. The attached medical case was a typical case of strong stomach and weak spleen syndrome of children. With strengthening the spleen and regulating Qi， tonifying stomach and nourishing Yin as the basic treatment method， Professor SHAO adopted pediatric Tuina combined with food therapy， and the curative effect was remarkable.[Conclusion] Professor SHAO identifies strong stomach and weak spleen syndrome with the ancient meaning， and denies the present meaning. She proposes that the strong stomach and weak spleen syndrome is the early stage of infantile malnutrition syndrome， and uses pediatric Tuina combined with food therapy in the treatment of children with strong stomach and weak spleen syndrome. This clinical experience has prominent characteristics， and is worth learning and popularizing. |
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