ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2025, Vol. 17 ›› Issue (2): 154-158.doi: 10.20274/j.cnki.issn.1674-3865.2025.02.012

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二地抑熟汤治疗女童性早熟的方证分析

杨洋, 陈竹, 陈娜, 肖苹, 娄会, 冷家会
  

  1. 550003 贵阳,贵州中医药大学第二附属医院儿科(杨洋,陈竹,陈娜),风湿免疫科(冷家会);510120 广州,广东省中医院儿科(肖苹);554300 贵州 铜仁,铜仁市中医院儿科(娄会)

  • 收稿日期:2024-08-24 出版日期:2025-04-25 上线日期:2025-04-25
  • 通讯作者: 陈竹,E-mail:918236355@qq.com

Analysis of the formulae for the treatment of precocious puberty in girls with Erdi Yishu soup

YANG Yang1,CHEN Zhu1,CHEN Na1,XIAO Ping2,LOU Hui3,LENG Jiahui1

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  1. 1The Second Affiliated Hospital of Guizhou University of TCM,Guiyang 550003,China;2Guangdong Provincial Hospital of TCM,Guangzhou 510120,China;3Tongren Hospital of TCM,Tongren 554300,China
  • Received:2024-08-24 Published:2025-04-25 Online:2025-04-25
  • Contact: CHEN Zhu,E-mail:918236355@qq.com
  • Supported by:
    贵州省卫生健康委科学技术基金项目(gzwkj2022 400)

摘要: 二地抑熟汤是陈竹教授根据多年临床经验,结合当代小儿饮食特点所立,用于治疗女童性早熟之肝肾阴虚、脾虚夹湿化热证疗效颇丰,本文从性、位、势、证4个维度对二地抑熟汤进行全面分析。二地抑熟汤方性甘苦、寒凉,苦寒泻火,辛寒为制,甘寒凉润生津,能解阴虚火旺、湿热内盛之患;方位在肾及肝脾,可消肝肾之阴郁,解脾湿之困。方势为向上宣散,走中焦化湿清热理中,向下补肝肾之阴,上中下三焦同治,脏腑协调,气血阴液畅通流行。方证为肝肾阴虚、脾虚夹湿化热之证。二地抑熟汤治疗性早熟的现代药理机制包括抑制中枢、调节性激素、降糖、降脂等方面。本文通过对二地抑熟汤的方证进行分析,对其临床应用及现代化发展提供参考。


关键词: 性早熟, 二地抑熟汤, 方证分析, 女童

Abstract: Erdi Yishu soup is made based on many years of clinical experience of Professor Chen Zhu and the characteristics of the contemporary diet of children,which is used for the treatment of precocious puberty(PP) in girls with yin deficiency of kidney and liver and spleen deficiency with dampness and heat syndrome,and has achieved significant effect.In this paper,we comprehensively analyze Erdi Yishu soup from the four dimensions of property,specific part,tendency and syndrome.The property of Erdi Yishu soup is sweet,bitter,cold and cool:the bitter and cold is for reducing fire,the hot and cold for inhibiting,and the sweet and cold for generating fluid,which can solve the problem of deficiency of yin and excess of fire and excessive dampness and heat inside.The specific part is in the kidney,liver and spleen,which can relieve yin depression in the liver and kidney,and solve the trouble of dampness in the spleen.The tendency is upwardly declaring and dispersing,focusing on the middle jiao to remove dampness,clear heat and regulate the middle,and downwardly tonifying the yin of the liver and kidney,so that the upper,middle and lower jiao can be treated together,which results in the coordination of zang fu and smooth flow of yin fluids of qi and blood.The syndrome is the yin deficiency of the liver and kidney and spleen deficiency with dampness and heat.The modern pharmacological mechanism of Erdi Yishu soup for the treatment of precocious puberty includes such aspects as inhibition of central nervous system,regulation of sex hormones,and reduction in glucose and lipid.This paper analyzes the syndrome of the formula of Erdi Yishu soup to provide reference for its clinical application and modern development.

Key words: Precocious puberty, Erdi Yishu soup, Analysis of the formula;Girl child