脾约对治疗小儿久咳的启示

Piyue in Pediatric Chronic Cough

张仲景《伤寒论》首提脾约证,乃开治疗脾阴虚之先河。咳嗽的病因不外乎内外两端,外因多为风寒之邪袭肺,内因多责之于脾虚。小儿久咳为儿科常见病症,四季可见,以冬春季多发,常在季节交替或天气变化时发作。通过分析小儿的生理、病理特点,嗜食辛辣,肥甘厚味等不良的饮食习惯及临床症状表现,作者认为小儿久咳与脾阴虚关系密切,同时可兼有腑气不通等症状表现,并提出滋阴通腑法治疗小儿久咳。

Piyue （constipation due to spleen Yin deficiency） was originally read in Shanghanlun and with the first treatment of spleen Yin deficiency. The main external pathogenic factor of pediatric chronic cough is wind - cold attacking lung while the in- ternal is mainly spleen Yin deficiency. As the common disease in pediatric department, the chronic cough can attack around the whole year especially in spring and winter while the seasons alternate or the weather varies. According to children＇s physiological and pathological features, their indulgence of spicy, sweet and fatty food, as well as their clinical syndrome, the writer hold the idea that pediatric chronic cough has close relation with spleen Yin deficiency, many of which can also show the blocking Fu Qi. As conclusion, it＇s wise to treat pediatric chronic cough following the principal of nourishing Yin and unblocking Fu.