摘要
通过剖析“脾为之卫”理论内涵并结合古代医家之言及西医学研究成果,从小儿特应性皮炎临床常见的脾虚证型入手,从脾主运化以养脏腑及脾与卫气的关系等多个方面深入探讨小儿特应性皮炎与“脾为之卫”理论相关的病因、病机、证候表现,并提出“脾为之卫”理论对患儿禀赋的影响。对于小儿以脾虚证为主的特应性皮炎通过健脾以恢复“脾为之卫”的生理功能。在小儿特应性皮炎的发病过程中,了解小儿生理特点、注重后天喂养方式以求未病先防;调整饮食结构,积极采用正确治法,内外治相合以求既病防变;重视体质因素,强调恢复期保健,减少不良刺激以求瘥后防复。肯定了调脾对治疗该病的积极作用和重要临床意义,为临床治疗提供了新思路。
By analyzing the theoretical connotation of“spleen as the defense”and combining the words of ancient medical experts and modern medical research results,starting from the common spleen deficiency syndrome types in pediatric atopic dermatitis,this article deeply explores the etiology,pathogenesis,and syndrome manifestations related to pediatric atopic dermatitis and the theory of“spleen as the defense”from multiple aspects such as the spleen's role in regulating and nourishing organs and the relationship between the spleen and the wei-defensive qi.The influence of the theory of“spleen as the defense”on the endowment of sick children is also put forward.For atopic dermatitis in children mainly characterized by spleen deficiency syndrome,the physiological function of“spleen as the defense”is restored by strengthening the spleen.In the process of developing atopic dermatitis in children,it is important to understand the physiological characteristics of children and pay attention to postnatal feeding methods to prevent disease before it occurs;adjust the dietary structure,actively adopt correct treatment methods,and achieve a combination of internal and external treatment to prevent disease progression;pay attention to physical factors,emphasize health care during the recovery period,reduce adverse stimuli in order to prevent recurrence.The positive role and important clinical significance of regulating the spleen in the treatment of this disease have been affirmed,providing new ideas for the clinical treatment of atopic dermatitis in children.
作者
赵祺
王海
ZHAO Qi;WANG Hai(No.1 Clinical School,Heilongjiang University of Chinese Medicine,Harbin,Heilongjiang,150006,China;Pediatrics,No.1 Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin,Heilongjiang,150006,China)
出处
《中医儿科杂志》
2024年第5期13-16,共4页
Journal of Pediatrics of Traditional Chinese Medicine
关键词
脾为之卫
特应性皮炎
小儿
脾虚
卫气
spleen as the defense
atopic dermatitis
children
spleen deficiency
wei-defensive qi
