运脾化滞法在婴幼儿便秘治疗中的应用

Application of spleen activating and food stagnancy resolving therapy in infantile constipation

婴幼儿便秘临床用润肠通便药常不能收到满意疗效,或者停药后不能自主排便,严重者后期服用润肠通便药也不能促进排便,久而久之,形成顽固性便秘,影响患儿生长发育。笔者认为,婴幼儿便秘多与饮食喂养不当致脾运失常、滞结肠腑,大肠传导迟滞有关,治疗注重恢复脾胃运化功能,有助于提高临床疗效。治法以运脾化滞促肠动为主,辅以升降活血、柔润滋养,并注意慎用泻下。同时列举典型病例说明运脾化滞法在婴幼儿便秘治疗中的具体应用。

It is commonly seen that therapy of moistening the intestines to loose the bowels fails to make good therapeutic effects on infantile constipation, or even does not work after being used for long. Infantile constipation relates mostly to disorder of spleen transportation and transformation and food stagnation in intestines. In order to enhance therapeutic effect, more importance should be attached to activating spleen. Spleen activating and food stagnancy resolving therapy should be used in chief and Qi regulating, blood moving, nourishing and moistening therapy in secondary. Purgation therapy should be used with great care, One proved case is listed to illustrate the application of spleen activating and food stagnancy resolving therapy in infantile constipation.