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基于脾主困论治小儿睡眠障碍

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小儿睡眠障碍(Sleep disorder,SD)是一种在儿童期常见的发育和行为问题,是指在睡眠过程中出现的各种影响睡眠的异常表现."脾主困"是钱乙对小儿脾病诸证的概括.笔者团队认为脾运失健、气机失调是SD发生的根本因素,同时"脾主困"的病理状态下导致五脏失调引发或加重SD.基于此,文章提出以"脾主困"为理论基础,结合小儿生理、病理特征,以健脾助运为基本治则,施以苦辛并用、温清相济、消补兼施等,诸法并用,脾健气畅,五脏安和,以期为中医治疗SD提供参考.
Treatment of Pediatric Sleep Disorder Based on the Theory of Spleen Governing Exhaustion
Sleep disorder(SD)is a common developmental and behavioral problem in childhood,it refers to various abnormal manifestations that affect sleep during sleeping.The"theory of spleen governing exhaustion"is Qian Yi's summary of many symptoms of pediatric spleen disease.Our team believes that spleen dysfunction and qi imbalance are the fundamental factors for the occurrence of SD.At the same time,the pathological state of"theory of spleen governing exhaustion"in clinical practice leads to the imbalance of the five internal organs,which causes or aggravates SD.Based on this,the"theory of spleen governing exhaustion"was proposed.Treatment should consider the physiolog-ical and pathological characteristics of the children and be performed,under the guidance of"theory of spleen governing exhaustion",and the treatment is based on the fundamental principle of invigorating spleen and assisting transportation.It is applying by the combination of bit-terness and pungency,warming and cleaning,and combining multiple method,dispelling and tonifying.

sleep disorderinsomniaspleen governing exhaustionpediatrics

王燕超、郝佳、张焱

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山西中医药大学(山西 太原 030024)

山西中医药大学附属医院儿科(山西 太原 030024)

不寐 睡眠障碍 脾主困 儿科

2025

光明中医
中华中医药学会

光明中医

影响因子:0.535
ISSN:1003-8914
年,卷(期):2025.40(2)