儿童再发性腹痛四法

Four methods for treating recurrent abdominal pain in children

再发性腹痛是儿科常见的消化系统疾病。正确判断病因病机对该病的诊治具有重要意义。文章总结了汪受传教授治疗儿童再发性腹痛的经验,认为腹痛临证首须辨病,排除器质性疾病后方可从寒热、虚实的整体角度辨证。治疗重在“理气”,并根据患儿不同证候特点采用行气通络、散寒温脾、消导助运、清胃和中四法,取得满意疗效。

Recurrent abdominal pain is a common digestive disease among children.Accurate identification of etiology and pathogenesis is essential for the diagnosis and treatment of this disease.This paper summarizes Professor WANG Shouchuan’s experience in treating recurrent abdominal pain in children.He proposed primary diseases of this disease should be identified first,syndrome differentiation is conducted by taking cold,heat,deficiency and excess into account holistically after excluding organic diseases.Basic principle of treatment is‘regulating qi’.According to the characteristics of different syndromes,four methods including promoting qi to dredge collaterals,dispersing cold and warming spleen,removing accumulation and helping digestion,clearing heat and calming stomach are adopted,which has significant clinical effects.