从“脾虚肝旺”论治轻度胃肠炎伴婴幼儿良性惊厥

Treatment of BICE based on the theory of“spleen deficiency and liver excess”

轻度胃肠炎伴婴幼儿良性惊厥(BICE)表现为泄泻伴惊风发作,泄泻病位在脾,惊风病位主要在肝。本文结合BICE的临床特点及古代文献关于泄泻伴发惊风的记载,认为BICE是一种轻度的“慢惊风”,其病机为脾虚肝旺。治疗当遵循“急则治标,缓则治本”的原则,发作期止泻定惊,缓解期补脾柔肝。尽管目前中医药治疗BICE的文献报道较少,但从“脾虚肝旺”论治BICE仍不失为其立论角度之一。

Benign infantile convulsions associated with mild gastroenteritis(BICE)is characterized by diarrhea and convulsions,with diarrhea mainly affecting the spleen and convulsions mainly affecting the liver.This paper combines the clinical features of BICE with the records of diarrhea and convulsions in ancient literature,and concludes that BICE is a mild form of""slow convulsions"with spleen deficiency and liver excess as its pathogenesis.Treatment should follow the principle of"treating symptoms promptly and addressing the root cause gradually",stopping diarrhea and controlling convulsions during the acute phase,and nourishing the spleen and soothing the liver during the remission phase.Although there are few literature reports on the treatment of BICE with traditional Chinese medicine,the theory of"spleen deficiency and liver excess"remains one of the important perspectives in the treatment of BICE.