贾六金教授基于“脾苦湿”论治小儿特应性皮炎经验

doi:10.20274/j.cnki.issn.1674-3865.2026.01.009

中国中西医结合儿科学 ›› 2026, Vol. 18 ›› Issue (1): 45-49.doi: 10.20274/j.cnki.issn.1674-3865.2026.01.009

贾六金教授基于“脾苦湿”论治小儿特应性皮炎经验

薛静囡¹, 杨庆¹, 张焱²(), 贾六金³

030024 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（薛静囡，杨庆）
030024 太原，山西中医药大学第一临床学院儿科教研室（张焱）
030000 太原，山西中医药大学附属医院国医堂（贾六金）

收稿日期:2025-08-06 修回日期:2025-10-18 出版日期:2026-02-25 上线日期:2026-02-25
通讯作者: 张焱 E-mail:sxzyek@126.com
作者简介:薛静囡（1999-），女，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：中医药防治小儿脾系疾病
基金资助:
山西省科技厅基础研究计划项目(202303021221164)

Professor Jia Liujin's experience in treating atopic dermatitis in children based on the theory of "spleen bitterness and dampness"

Jingnan XUE¹, Qing YANG¹, Yan ZHANG²(), Liujin JIA³

^1.First Clinical College of Shanxi University of Traditional Chinese Medicine, Taiyuan 030024，China
^2.Shanxi University of Traditional Chinese Medicine Affiliated Hospital，Taiyuan 030000，China

Received:2025-08-06 Revised:2025-10-18 Published:2026-02-25 Online:2026-02-25
Contact: Yan ZHANG E-mail:sxzyek@126.com
Supported by:
Shanxi Provincial Department of Science and Technology Basic Research Program Project(202303021221164)

摘要/Abstract

摘要：

总结贾六金教授基于《内经》“脾苦湿”理论辨治小儿特应性皮炎的临床经验。他构建了“湿热为核心，脾虚为根本”的病机框架，认为小儿脾常不足，水湿内生是发病的根源；湿邪郁久化热或火热内生，湿热蕴结是本病的病机表现；内外合邪是特应性皮炎缠绵难愈、反复发作的因素；瘀血形成是病久演变的结果。治疗方面，主张“健脾助运，顾护其本”，“清热燥湿，贯穿始终”，“调摄养护，注重预防”，以“苦燥旺脾”为纲，创制六妙汤（苍术、黄柏、怀牛膝、薏苡仁、金银花，苦参）为基础方以清热燥湿健脾，标本同治，并依分期灵活化裁：急性期加祛风止痒之品，慢性期佐养血活血之属，始终顾护脾胃。其辨治思路体现了“健脾燥湿贯穿始终，分期论治兼顾标本”的中医特色，为特应性皮炎的治疗提供了新路径。

关键词: 特应性皮炎, 清热燥湿, 名医经验, 儿童

Abstract:

Summarize Professor Jia Liujin's clinical experience in treating atopic dermatitis in children based on the theory of "spleen bitterness and dampness" in the Inner Classic. He establishes a pathogenesis framework of "dampness-heat as the core and spleen deficiency as the root", believing that the spleen of children is often insufficient and the internal generation of water and dampness is the root cause of the disease. The pathogenesis of this disease is manifested by the long-term accumulation of dampness transforming into heat or the internal generation of heat and the stagnation of dampness and heat. The combination of internal and external pathogenic factors is a factor that makes atopic dermatitis difficult to cure and prone to recurrence. The formation of blood stasis is the result of the long-term evolution of illness. In terms of treatment, Professor Jia advocates "strengthening the spleen to promote transportation, protecting the root cause", "clearing heat and drying dampness throughout the process", and "regulating and nourishing, emphasizing prevention". With "drying spleen with bitterness" as the guiding principle, Liumiao decoction (Atractylodes, Phellodendron amurense, Achyranthes bidentata, Coix seed, honeysuckle, Sophora sophora) is created as the basic formula to clear heat, dry dampness and strengthen the spleen, treating both symptoms and root causes, and flexibly adjusting the formula according to the stages. During the acute stage, add wind-dispelling and anti-itching products; during the chronic stage, supplement with blood-nourishing and blood-activating herbs; always take care of the spleen and stomach. The diagnostic and therapeutic approach of Professor Jia embodies the traditional Chinese medicine characteristics of "strengthening the spleen and drying dampness throughout the process, treating in stages while taking into account both the symptoms and the root causes", providing a new path for the treatment of atopic dermatitis.

Key words: Atopic dermatitis, Clearing heat and drying dampness, Famous doctor experience, Child

中图分类号:

R272

薛静囡, 杨庆, 张焱, 贾六金. 贾六金教授基于“脾苦湿”论治小儿特应性皮炎经验[J]. 中国中西医结合儿科学, 2026, 18(1): 45-49.

Jingnan XUE, Qing YANG, Yan ZHANG, Liujin JIA. Professor Jia Liujin's experience in treating atopic dermatitis in children based on the theory of "spleen bitterness and dampness"[J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2026, 18(1): 45-49.

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贾六金教授基于“脾苦湿”论治小儿特应性皮炎经验

Professor Jia Liujin's experience in treating atopic dermatitis in children based on the theory of "spleen bitterness and dampness"

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