结合证素预测试论小儿“定期清热积”

Cleaning up children’s heat accumulation regularly based on the prediction of syndrome element differentiation

中医治未病在儿科领域尤为值得重视。小儿“积常有”理论及其衍生的“定期清积”疗法对儿科治未病有极强的指导意义,但该体系尚未完善。基于证素辨证原理的证素预测是完善该体系的重要工具,文章结合证素预测,试论小儿“积常有”体系中最常见的“热积”及其疗法。结果发现,热积往往伴有阴虚,且在热积于心肝时易传变为肝阳上亢,因此清热时需兼顾滋阴、潜阳。小儿肺脏娇嫩,难调而易伤,热积于肺则肺气愈损,更易受外邪侵袭,发为呼吸道感染,因此定期清肺之积热有助于预防反复呼吸道感染;心气未充易受惊吓,而肝气未实易发抽风,热积于心肝的证素预测方向亦为阳亢,故而定期清心肝之积热有助于预防小儿急惊风;胃肠亦稚幼而未臻成熟,易为饮食所伤,食积则化热,故定期清胃肠之积热有助于预防积滞、呕吐、腹泻等疾病。定期清积热符合小儿的生理特点和病理特性,能够指导临床未病先防和既病防变,其在“苗期”即进行干预的思想能达到“四两拨千斤”之功效,有利于充分调动小儿机体自身的抗病功能,取得最佳疗效,对儿童中医健康管理的整体构建不无裨益。

TCM preventive treatment is particularly worthy of attention in the field of pediatrics.The theory of children often have accumulation and the clean up accumulation regularly therapy have strong guiding significance for pediatric treatment,but the system has not yet been perfected.Pattern element prediction based on the principle of pattern element differentiation is an important tool to improve the system,and this paper discusses the most common heat accumulation and its therapy in the children often have accumulation system based on pattern element prediction.The results showed that heat accumulation was often accompanied by Yin(阴)deficiency,and when heat accumulated in the heart and liver,it was easy to spread into hyperactivity of liver Yang(阳),so it was necessary to take into account the nourishment of Yin and the latenuy of Yang at the same time.Children’s lungs are delicate,difficult to adjust and easy to hurt,and the heat accumulated in the lungs will cause the lung Qi(气)to be damaged,and it is more susceptible to the invasion of external evils,resulting in respiratory tract infections.Therefore,regular clearing of accumulated heat in the lungs can help prevent recurrent respiratory tract infections.If the heart Qi is not full,it is easy to be frightened,and the liver Qi is not real,and the predicted direction of the syndrome elements of heat accumulation in the heart and liver is also impotence,so regularly clearing the heat accumulation of the heart and liver can help prevent children from having convulsions.The gastrointestinal tract is also immature,which is easy to be injured by food,and food accumulation will turn into heat,so regularly clearing stomach and intestine heat can help prevent stagnation,vomiting,diarrhea and other diseases.Regularly clearing heat accumulation is in line with the physiological characteristics and pathological characteristics of children,and can guide the clinical preventive treatment of disease and preventing the change of the existing disease,and its idea of intervention in the seedling stage is very effective,which is conducive to fully mobilizing the anti-disease function of the children’s body and achieving the best curative effect,which is beneficial to the overall construction of children’s TCM health management.