摘要
钱乙重视脏腑辨证,尤其强调调治脾胃在小儿病证中的重要性,其重视脾胃的学术思想在《小儿药证直诀》一书中有着充分体现。钱乙总结小儿脾病病机为"脾主困",他重视五行生克制化在脏腑辨证的应用,例如在小儿咳嗽病治疗时,通过培土生金、调治脾胃而获效。钱乙重视小儿病因,在诊法上除脉诊外,又扩充了"目内证""面上证"等诊法。《小儿药证直诀》上篇所述小儿脾胃病诸多病证,均体现出脾主困的病机;中篇所载医案23则,近半数与调补脾胃相关;下篇所载方剂中调补脾胃的有48首,补益方剂如益黄散、异功散、白术散等,攻邪方剂如泻黄散、白饼子等。在攻邪方剂中,又有峻下、缓下、微下等区分,攻邪常以蜂蜜、米面糊丸,并用米饮等调服以顾护胃气。在小儿斑疹类疾病中,钱乙更提出饮食慎口等调护原则。
QIAN Yi paied attention to Zang Fu differentiation, he emphasized the importance of regulating spleen and stomach in children＇s disease. QIAN Yi＇s academic thought about spleen-stomach had written in the book of Key to Therapeutics of children＇s Diseases. QIAN Yi summarized the pathogenesis of children＇s spleen disease as ＂spleen trapped＂ . He emphasized the application of ＂five elements＂ in the differentiation of Zangfu organs. For example, when treating cough, he treated spleen instead of treating flung, because spleen is the mother of flung. QIAN Yi invented the ＂internal evidence the facial evidence＂ as new diagnostic methods. The pathogenesis of spleen trapped was reflected in all the spleen disease in the book of Key to Therapeutics of Children＇s Diseases. Half of the 23 cases in the book were related with treatment of regulating the spleen. There were 48 prescriptions which were regulating the spleen, such as Yihuang Powder, Y/gong Powder, Baizhu Powder, Xiehuang Powder. In children with typhus diseases, QIAN Yi proposed diet careful nursing principles.
出处
《辽宁中医药大学学报》
CAS
2017年第9期71-73,共3页
Journal of Liaoning University of Traditional Chinese Medicine
基金
国家重点基础研究发展计划(973计划)资助项目(2013CB531700)
关键词
阎孝忠
脾主运化
脏象
疮疹
脾主湿
从脾论治
YAN Xiaozhong
spleen governs movement and transformation
Zang-xiang
sore
spleen governs dampness
treatment from spleen
