摘要
厌食是儿科常见病之一,主要表现为患儿较长时期对食物兴趣减低,食欲不振,食量减少,甚则厌恶进食等症状。临床多从运脾健脾论治。本团队认为小儿厌食与心脾关系密切,脾不和是小儿厌食基本病机,心不和是小儿厌食潜在病机,脾与心对运化均有影响。治疗小儿厌食需以运脾醒脾令脾和为基础、以养心安神使心和为佐治,圆机活法、五脏兼治,注意饮食、情志调摄。并结合临床验案阐述从心脾论治小儿厌食的临证思路。
Anorexia is one of the common pediatric diseases,mainly characterized by a long-term decrease in interest in food,loss of appetite,and even aversion to eat.Clinically,treatment is often based on the theory of nourishing and strengthening the spleen.Based on clinical observations,our team believes that there is a close relationship between pediatric anorexia and the heart and spleen.Spleen disharmony is the basic pathogenesis of pediatric anorexia,while heart disharmony is a potential pathogenesis.Both the spleen and heart have an impact on transportation and transformation.The treatment of pediatric anorexia should be based on tonifying,awakening,and harmonizing the spleen,with nourishing the heart,calming the mind,and harmonizing the heart as adjunctive treatment.Flexible adjustments should be made to the treatment method,and the five zang organs should be treated simultaneously.Attention should be paid to diet and emotional regulation.This study illustrates the clinical approach of treating pediatric anorexia from the perspective of the heart and spleen with clinical cases.
作者
王倩
闫文宏
马宁
吉晓晓
刘叶
赵靖
崔霞
WANG Qian;YAN Wenhong;MA Ning;JI Xiaoxiao;LIU Ye;ZHAO Jing;CUI Xia(Department of Pediatrics,Third Affiliated Hospital,Beijing University of Chinese Medicine,Bejing 100029;Department of Pediatrics,Shenzhen Pingshan District Mater and Child Health Hospital;Beijing University of Chinese Medicine)
出处
《现代中医临床》
2025年第4期68-71,共4页
Modern Chinese Clinical Medicine
基金
北京中医药大学一流学科建设项目(No.9001096020078)
北京中医药大学教育科学研究课题(No.XJY21087)。
关键词
脾和
心和
厌食
临床经验
spleen harmony
heart harmony
anorexia
clinical experience
