基于"中气不足,溲便为之变"论治小儿遗粪症
Treatment of Children's Encopresis Based on"Deficiency of Middle-Qi Leading to Urine and Feces Change"
邓媛 1赵琼 1周鸿雲 2刘茜玮3
作者信息
- 1. 成都中医药大学临床医学院,四川成都 610075
- 2. 成都中医药大学附属医院,四川成都 610072
- 3. 北京中医药大学临床医学院,北京 100105
- 折叠
摘要
小儿遗粪症归中医"遗矢"之列,以小儿反复且不能自控地排粪为主要表现.本病病因复杂,严重影响患儿身心健康,但其机制尚未阐明,且西医缺乏根治手段.中医辨治此病有独到优势,笔者结合导师临证经验,从"中气不足,溲便为之变"的理论出发,认为中气不足、积滞不化为本病关键病机,情志不畅、气机郁结是其重要病理因素.中气大虚,枢机不利,清阳不升,固摄无权,纳化失常,虚积相合,终致魄门失约,遗粪无度.故治当补益中气,少佐消导,方以补中益气汤加减化裁,尤应调畅情志,强化如厕训练,诸法合施,疗效颇佳.
Abstract
Children's encopresis,which belongs to the"YiShi"of traditional Chinese medicine(TCM),with children's repeated and uncontrollable defecation as the main manifestation.The etiology of this disease is.complex,which seriously affects the physical and mental health of children,but its mechanism has not been clarified,and western medicine lacks the eradicating means.Traditional Chi-nese medicine has unique advantages in treating this disease.Based on the tutor's clinical experience and the theory of"deficiency of middle-Qi leading to urine and feces change",the author thinks that deficiency of middle-Qi and accumulation of diet become the key pathogenesis of this disease,emotional disorders caused by the Qi stagnation is an important pathological factor.Weakness of Qi in hu-man body leads to unfavorable Qi activity,which leads to the inability of Qi to fix and absorb,abnormal absorption of Spleen and Stom-ach,mutual influence of Qi deficiency and food accumulation,and finally leads to anal dysfunction and uncontrollable fecal excretion.Therefore,the treatment is mainly based on invigorating Qi,supplemented by stagnation,and the prescription is based on Buzhong-yiqi decoction,which should be adjusted according to the syndrome,especially adjusting emotions and strengthening toilet training.Combi-ning all methods,the effect is significant.
关键词
小儿遗粪症/中医辨治思路/中气不足/补中益气汤/临证经验Key words
Children's encopresis/Traditional Chinese medicine diagnosis and treatment ideas/Deficiency of middle-Qi/Buzhong-yiqi decoction/Clinical experience引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据