从“三有余、四不足”论小儿汗证

Discussion on the pediatric hyperhidrosis from the theory of three excess and four deficiency

"三有余、四不足"是明代万全提出的关于小儿生理特点的学说,以此为据,对各型小儿汗证的病因病机及治疗进行了论述,指出汗证与五脏密切相关。临床诊治中,当结合小儿"三有余、四不足"的特点,辨证施治,不应拘于自汗与盗汗,亦不拘于单一脏腑。

The theory of three excess and four deficiency,put forward by Wanquan in Ming dynasty,elaborated the physiological and pathological features of children. On this basis,this paper will discuss the etiology,pathology and treatment of various types of pediatric hyperhidrosis to come to the conclusion that the pediatric hyperhidrosis is closely related to the five zang-organs. In clinical,we should make a treatment based on syndrome differentiation according to the features of three excess and four deficiency of children. Don＇t stick too precisely to spontaneous sweating or night sweating and a single isolated organ.