《幼科发挥》治疗小儿黄疸思想探微
Exploring the treatment thoughts of infantile jaundice in Youke Fahui
黄煜 1周智 1田娅玲 1董晓斐1
作者信息
- 1. 湖南中医药大学第一临床中医学院,湖南 长沙 410007
- 折叠
摘要
在《幼科发挥》中,万全对小儿黄疸的诊治认识承袭钱乙对"胃怯""胃不和"所致小儿黄疸的学术思想,同时在此基础上进一步提出湿热食积、郁蒸脾胃,或脾胃虚弱、湿邪内聚而发黄的观点,强调"调理脾胃者,医中之王道,节戒饮食者却病之良方";在论治小儿黄疸方面,立足于小儿禀赋特性,因人而异,慎苦寒清泄,并将"重脾胃而慎苦寒清泄,调理饮食以固脾胃,小儿用药贵在和平"的思想贯穿始终,同时更要时时顾护脾胃,重在健脾助运以祛湿清热,以达到退黄的效果.
Abstract
In Youke Fahui,WAN Quan's understanding of the diagnosis and treatment of infantile jaundice in-herited QIAN Yi's academic thoughts regarding jaundice in infants caused by"stomach deficiency"and"dishar-mony of the stomach."On this basis,WAN Quan further proposed that damp-heat and food stagnation can lead to the suppression of spleen and stomach,or that spleen and stomach weakness can result in internal accumulation of dampness and subsequent jaundice.He emphasized that"regulating the spleen and stomach is the golden rule in medicine,and moderation in diet is the best prescription for preventing disease."In treating infantile jaundice,WAN Quan focused on the innate characteristics of infants,treated each case individually,and cautioned against the exces-sive use of bitter-cold herbs for purging.Throughout his treatment approach,he adhered to the principles of"empha-sizing the spleen and stomach while cautiously using bitter-cold purging,regulating diet to strengthen the spleen and stomach,and using medications that are gentle and harmless for infants."Additionally,he always prioritized protec-ting the spleen and stomach,strengthening spleen and promoting digestion in order to remove dampness and clear heat,so as to achieve the effect of jaundice regression.
关键词
《幼科发挥》/万全/小儿黄疸/理论探讨Key words
Youke Fahui/WAN Quan/infantile jaundice/theoretical exploration引用本文复制引用
基金项目
湖南中医药大学中医学国内一流建设学科项目(4901-020000200207)
欧正武名医工作室资助项目(全国中医药人教函[2012]149号)
出版年
2024
国家科技期刊平台
NSTL
万方数据