原晓风基于“三焦气化”理论从“肺-脾-肾”病机轴论治小儿单纯性肥胖

Professor Yuan Xiaofeng's experience based on"Gasification of the triple w armer"theory in treating simple obesity in children from pathogenesis axis of"Lung-spleen-kidney"

总结原晓风教授治疗小儿单纯性肥胖的诊疗经验。在临床诊治时,原教授总结其基本病机为“肺-脾-肾”三焦通路不畅、痰湿内停,认为小儿单纯性肥胖的发生与多种因素导致的三焦气化功能失调有关,使痰邪瘀滞体内,发为肥胖。三焦气化功能的正常运行主要赖之肺之宣发、脾之升清、肾之蒸腾,故治疗时应辨证施治,明辨三焦病机后予以“开宣肺气”、“健脾调中”、“温肾利下”等不同治则,并同时提倡科学的养护方法和饮食运动习惯,内外治法相结合,取得了良好的临床疗效。

This article summarizes Professor Yuan Xiaofeng’s experience in the treatment of simple obesity in children.In clinical diagnosis and treatment,Professor Yuan summarized its basic pathogenesis as“the access of the triple warmer including lung,spleen and kidney is obstructed,and phlegm remains in the body”,and believed that the occurrence of simple obesity in children is related to the dysfunction of triple warmer pneumatization caused by a variety of factors,so that phlegm and pathogenic stasis in the body,resulting in obesity.The normal operation of the gasification function of the triple warmer mainly depends on the promulgation function of lung,the ascending lucidity function of spleen and the transpiration function of the kidney,so the treatment should be dialectical treatment,after distinguishing the pathogenesis of gasification of the triple warmer,we should give different treatment principles such as“Opening and distributing lung qi”,“Strengthening the spleen and regulating middle warmer”and“Warming the kidney and promoting lower warmer circulation”.At the same time,it advocates the scientific maintenance method,diet and exercise habits,and the combination of internal and external treatment,and has obtained good clinical effect.