基于“脾健不在补贵在运”思想论治小儿泄泻

Infantile diarrhea treatment based on the thought of“spleen transformation lying in regulating rather than nourishing the organ”

通过对“脾健不在补贵在运”思想的丰富内涵进行梳理总结,指出小儿脾常不足并非脾虚之意;运脾与补脾的关系以及运脾为小儿脾胃疾病治疗之法则,并进一步指导小儿泄泻的临床证治。小儿泄泻病机关键在于脾失健运,水湿下注,治疗应宗运脾之法为法则,根据辨证分型分别治以疏邪运脾、清化运脾、消食运脾、益气运脾。

By sorting out and summarizing the rich connotations of the thought of“spleen transportation lying in regulating rather than nourishing the organ”,the paper comes to a conclusion that the frequent insufficiency of the spleen in children does not necessarily mean its deficiency by discussing the relationship between regulating the spleen and nourishing it,and by arguing that reinforcing its transportation function is the treatment principle of spleen and stomach diseases in children,with a view of further guiding the clinical syndrome differentiation and treatment of the disease.It is argued that the key to its pathogenesis lies in water-damp diffusing downward due to the dysfunction of spleen in transportation,and its treatment should be based on the methods of regulating the spleen,respectively by removing pathogens,dissipating damp,resolving food stagnation and benefiting qi based on a specific syndrome differentiation.