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 (3): 251-255.doi: 10.20274/j.cnki.issn.1674-3865.2025.03.012

• 中医应用研究 • 上一篇    下一篇

秦艳虹教授“多脏协调”辨治儿童功能性便秘临证经验

郑胜泽1, 秦艳虹2(), 张锋1   

  1. 030000 太原,山西中医药大学第一临床学院2023级中医儿科学专业研究生(郑胜泽,张锋)
    山西中医药大学附属医院儿科(秦艳虹)
  • 收稿日期:2025-02-20 修回日期:2025-04-09 出版日期:2025-06-25 上线日期:2025-06-25
  • 通讯作者: 秦艳虹 E-mail:yanhongqin121@163.com
  • 作者简介:郑胜泽(2000?),男,山西中医药大学第一临床学院2023级硕士研究生在读。研究方向:中医药防治小儿肺脾系疾病的临床研究
  • 基金资助:
    山西省研究生科研实践类项目(2023SJ264)

Professor Qin Yanhong's clinical experience in differentiated treatment of functional constipation in children with the "multi⁃organ coordination" concept

Shengze ZHENG1, Yanhong QIN2(), Feng ZHANG1   

  1. 1.The First Clinical College of Shanxi University of Chinese Medicine,Taiyuan 030000,China
    2.Affiliated Hospital of Shanxi University of Chinese Medicine,Taiyuan 030000,China
  • Received:2025-02-20 Revised:2025-04-09 Published:2025-06-25 Online:2025-06-25
  • Contact: Yanhong QIN E-mail:yanhongqin121@163.com
  • Supported by:
    Shanxi Provincial Postgraduate Scientific Research and Practical Project(2023SJ264)

摘要:

儿童功能性便秘,作为当前常见的儿童功能性胃肠疾病之一,近年来发病率呈逐年上升趋势,引发了医师与家长的高度关注。倘若这种病症长期得不到有效治疗,持续迁延不愈,不仅会引发一系列相关的胃肠系疾病,还会对患儿的生活质量产生严重影响。秦艳虹教授指出,便秘的产生,往往与多个脏腑功能的失常密切相关。这些脏腑功能的异常,最终致使大肠的传导功能出现障碍,而且各脏腑之间相互影响,互为诱因。所以,在便秘的治疗上,秦艳虹教授尤为重视辨明病情的虚实,深入探究病因病机。在治疗过程中,灵活运用“润、补、行、通”多种方法,全方位协调脏腑气机,促使肠道功能得以恢复。同时,还辅以中医特色外治法,并且格外注重对患儿及其家长进行日常调护方面的宣教,临床治疗效果显著。针对临床中常见的肠燥津亏证型,秦艳虹教授则以滋阴润燥、行气通便作为治疗的总原则,运用自拟验方“滋润通便汤”进行施治,每每都能收获极佳的治疗效果。

关键词: 功能性便秘, 肠燥津亏型, 临证经验, 儿童

Abstract:

Functional constipation in children, as one of the common functional gastrointestinal diseases in children at present, has seen a year?by?year upward trend in its incidence rate in recent years, which has drawn great attention from doctors and parents. If this condition is not effectively treated in a long period of time and persists without recovery, it will not only trigger a series of related gastrointestinal diseases but also seriously affect the quality of life of the children. Professor Qin Yanhong points out that the occurrence of constipation is often closely related to the dysfunction of multiple zang-fu organs. The abnormalities of these zang-fu organs ultimately lead to a disorder in the conduction function of the large intestine, and the zang-fu organs influence each other and are the causes of each other. Therefore, in the treatment of constipation, Professor Qin Yanhong attaches great importance to identifying the deficiency or excess of the condition and deeply exploring the etiology and pathogenesis. During the treatment process, Professor Qin flexibly applies various methods such as "moistening, tonifying, activating, and smoothing" to comprehensively coordinate the qi movement of the zang-fu organs and promote the restoration of intestinal function. At the same time, external treatment methods with traditional Chinese medicine characteristics are used as an aid, and special attention is paid to the education of the children and their parents regarding daily care. The clinical treatment effect is remarkable. For the syndrome type of intestinal dryness with fluid deficiency commonly seen in clinical practice, Professor Qin Yanhong adopts the general treatment principle of nourishing yin to moisten dryness and activating qi movement to relieve constipation, and uses the self?formulated empirical recipe "Zirun Tongbian decoction" in the treatment, which often results in excellent treatment effects.

Key words: Functional constipation, Type of intestinal dryness with fluid deficiency, Clinical experience, Child

中图分类号: