程燕教授治疗小儿功能性便秘经验

Professor CHENG Yan’s experience in the treatment of functional constipation in children

总结程燕教授内外合治小儿功能性便秘的经验。程教授认为小儿功能性便秘以本虚标实为主,实证以食积肠燥证为主,治以消食化滞、行气泄热,虚证以气血亏虚证为主,治以益气健脾、行气润肠,并注重固护脾胃。慎用寒凉药物,中病即止,给病邪以出路。同时指导家长予患儿排便前肛周护理、合理饮食喂养、建立良好的排便习惯、正确的按摩方式及适当的运动。附验案1则,以资验证。

This paper summarizes professor CHENG Yan’s experience in the treatment of functional constipation in children.Professor CHENG holds that functional constipation in children is predominately deficiency in origin and excess in superficiality,the excess syndrome focuses on intestinal dryness due to food retention syndrome,so the treatment is relieving food retention to resolve stagnation and promoting qi to purge heat;the deficiency syndrome centers on deficiency and consumption of both qi and blood syndrome,so the treatment is replenishing qi to invigorate spleen and promoting qi to moisten intestines,and great importance is attached to consolidating and protecting spleen and stomach.Cold and cool medicinals should be used with caution and stop medication with the disappearance of the symptoms,giving the pathogenic factors a way out.Meanwhile,parents should be guided to give children patients perianal care before defecation,reasonable diet feeding,develop ment of good defecation habits,correct massage methods and proper exercise.One proved case is attached for verification.