儿科临床运用理中汤探析

Analysis on the Clinical Application of Lizhong Decoction in Pediatrics

理中汤是《伤寒论》中极具代表性的方剂,以其温中散寒,健脾燥湿之功广泛运用于临床。小儿由于素体肺脾两虚,卫外不固,容易感受外邪,又饮食不节,易伤及脾胃。脾胃本升清降浊,脾胃运化功能失司,则寒湿内生,故临床上由于脾胃虚寒导致泄泻、腹痛、腹胀、喘咳、汗证等病者多见。本文通过分析理中汤的应用机理,探讨理中汤在小儿常见疾病中的辨证使用。

Lizhong decoction is representative prescription in Shanghan Lun, and is widely applied in clinical practice with its effect on warming spleen and stomach for dispelling cold, strengthening spleen for eliminating dampness. Children due to the ferrite defi-ciency of both lung and spleen, Wei is not solid, is easy to feel evils, and the improper diet easily caused injuries to the spleen and stomach. The spleen and the stomach or clear and descending the turbid, spleen and stomach transportation capabilities lost, which led to cold and wet and endogenous, so spleen and stomache deficiency caused clinical diarrhea, abdominal pain,abdominal disten-sion, panting and cough, sweating and so sick. In this paper, through the analysis of the application mechanism of the theory, the ar-ticle discussed the use of Lizhong decoction in the treatment of pediatric common diseases.