小儿脾脾泄泻的中医药临床研究进展及李秀亮教授治疗本病的经验

【作者】 李陈；

【导师】 李秀亮；

【作者基本信息】 成都中医药大学 ， 中医儿科学， 2001， 硕士

【摘要】 本文包括“小儿脾虚泄泻中医药临床研究进展”和“李秀亮教授治疗小儿脾虚泄泻的经验”两部分。前一部分，论述了小儿脾虚泄泻在病因、病机、证本质、诊断、分型、内治、外治、食疗几方面的中医药临床研究进展情况。并通过从多学科、多角度对本病的探讨，预示了其中医药临床研究的发展趋势。后一部分，总结了李秀亮教授诊治本病的丰富经验和新观点。强调了其主要病因为：体质因素、饮食失宜、情志失调、用药不慎；主要病机为：脾胃虚损，湿浊下注。提出基本证型为：脾气虚型、脾阳虚型、脾阴虚型。并将辨证特色归为：首重面部望诊，必审饮食大便。治疗特色归为：(1)健脾化湿，贵在运脾醒脾；(2)健脾止泻，贵在升阳举陷； (3)温中健脾，勿忘温肾助阳；(4)固护脾阴，勿忘酸甘化阴。更多还原

【Abstract】 The dissertation relating to the infantile Spleen-deficiency diarrhea is composed of two parts. The first part deals with the advance of clinic research on etiological factor, pathogenesis, Zheng essentials, diagnosis, Zheng type, oral medicine, external treatment and food therapy about this kind of diarrhea. Furthermore, it predicts a tendency to vards the development of clinic research on different sciences and angles. The second part sums up professor Li Xiouliang’s rich experience and new points of view in this disease. Especially it emphasizes that the chief etiological factors are the constitution factor, unsuitableness of eating and drinking, disorder of emotion and drug abuse; that the chief pathogenesis is weakness of Spleen and Stomach accompanying with downward flow of Dampness. It proposes that Prime Zheng of this disease consists of Qi- Deficiency of Spleen, Yang-Deficiency of Spleen and Yin-Deficiency of Spleen. The characteristics of differentiation of symptom and signs are inspecting face and inquiring into food and stool. The characteristics of therapy are summarized as follows: (1) Activating Spleen with fragrant medicine to invigorate Spleen to eliminate Dampness. (2) Ascending Yang and Qi to strengthen Spleen to check diarrhea. (3) Invigorating Kidney-Yang to warm and strengthen Spleen. (4) Using sour and sweet Herbs can nourish Yin to strengthen Spleen-Yin.更多还原