摘要
小儿肠痉挛的病因病机是饮食不慎、受凉或情志不畅等因素导致脾失健运,中焦气机升降失常,经脉气血瘀滞,不通则痛。刘永业老师临证中注重辨其寒热虚实及伴随的全身情况,随病情而异,常将本病分为以下几种证型辨治,乳食积滞证以消食导滞,行气止痛为治则,采用保和丸加减治疗,中焦虚寒证以温中散寒,行气止痛为治则,采用理中汤加减治疗,脾胃积热证以清热通便,行气止痛为治则,采用承气汤加减治疗,肝气郁结证以疏肝理气,和胃止痛为治则,采用柴胡疏肝散加减治疗。
The etiology and pathogenesis of infantile enterospasm lie in improper diet, cold attack or depressed feelings which leads to malfunction of the spleen to transport, abnormal ascending and descending of the middle energizer qi, stagnated qi and blood in the meridians and thus stagnation leads to pain. Professor Liu makes a point of differentiating the cold, heat, deficiency and excess and the accompanying general condition. Based on the conditions, he categorized this disease into the following syn- dromes for the treatment. Syndrome of milk-food stagnation should be treated with the principle of digesting food and promoting digestion, moving qi and resolving blood, with modified Baohe Pill for the treatment. Syndrome of deficient cold in the middle energizer should t^e treated with the principle of warming the interior and dispelling cold, activating qi to stop pain, with modified Lizhnng Decoction for the treatment. Syndrome of heat accumulation in the spleen and stomach should be treated with the princi- ple of clearing heat and inducing defecation, activating qi to stop pain, with modified Chengqi Decoction. Syndrome of liver qi depression shouht be treated with the principle of dispersing liver and regulating qi, harmonizing stomach to stop pain, with modi- fied Chaihu Shugan Powder.
出处
《河南中医》
2015年第11期2618-2619,共2页
Henan Traditional Chinese Medicine
关键词
小儿肠痉挛
刘永业
保和丸
理中汤
承气汤
柴胡疏肝散
infantile enterospasm
Liu Yongye
Baohe Pill
Lizhong Decoction
Chengqi Decoction
Chaihu Shugan Powder
