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 ›› 2026, Vol. 18 ›› Issue (2): 152-156.doi: 10.20274/j.cnki.issn.1674-3865.2026.02.012

• 中医应用研究 • 上一篇    下一篇

从瘀论治小儿遗尿经验浅析

吴宇焓1, 原丹1(), 黄鑫鑫1, 陈映龙1, 柯滢滢2, 林倩2, 曾诗仪2   

  1. 350001 福建 福州,福建中医药大学附属福州中医院儿科(吴宇焓,原丹,黄鑫鑫,陈映龙)
    350122 福建 福州,福建中医药大学中医儿科学专业研究生(柯滢滢,林倩,曾诗仪)
  • 收稿日期:2025-09-12 修回日期:2025-11-29 出版日期:2026-04-25 上线日期:2026-04-25
  • 通讯作者: 原丹 E-mail:522398229@qq.com
  • 作者简介:吴宇焓(2000-),男,福建中医药大学2023级硕士研究生在读。研究方向:中医药防治小儿肺系、脾胃系病
  • 基金资助:
    国家中医药管理局国家中医优势专科建设项目(国中医药医政函〔2024〕90号)

Exploration of Professor Yuan Dan's experience in treating infantile enuresis from the perspective of blood stasis

Yuhan WU1, Dan YUAN1(), Xinxin HUANG1, Yinglong CHEN1, Yingying KE2, Qian LIN2, Shiyi ZENG2   

  1. 1.Fuzhou Traditional Chinese Medicine Hospital,Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350001,China
    2.Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China
  • Received:2025-09-12 Revised:2025-11-29 Published:2026-04-25 Online:2026-04-25
  • Contact: Dan YUAN E-mail:522398229@qq.com
  • Supported by:
    National Administration of Traditional Chinese Medicine Project for the Construction of TCM Specialty Centers of Excellence

摘要:

中医认为小儿遗尿核心病机为“膀胱不约”,与三焦、肺、脾、肾等脏腑相关,也有医家提出小儿遗尿病机与“心、肝”关系密切,众多医家治疗上各有侧重,这提示小儿遗尿的发生是脏腑相互影响,津液代谢异常所致,与人体整体观相关。原丹教授从事儿科临床多载,基于各家经验与多年小儿遗尿治疗经验,提出小儿遗尿应与“内瘀”关系密切,衍生出通络行气血、调肝疏三焦、温阳促气化为核心的辨证治疗思路,并辅以补益、固涩等治疗,瘥后防复。

关键词: 遗尿, 痰瘀互结, 调肝法, 温阳化气法, 名医经验, 儿童

Abstract:

According to traditional Chinese medicine, the core pathogenesis of infantile enuresis is "incoordination of the bladder", which is related to the triple burner, lung, spleen, and kidney organs. Some doctors also suggest that the pathogenesis of infantile enuresis is closely related to the "heart and liver". Many doctors have different treatment focuses. This indicates that the occurrence of infantile enuresis is caused by the mutual influence of internal organs and abnormal metabolism of body fluids, and is related to the holistic view of the human body. Professor Yuan Dan has been engaged in pediatric clinical practice for many years. Based on the experiences of various experts and his own years of treatment experience for infantile enuresis, he proposed that infantile enuresis should be closely related to "internal stasis". This led to the development of a core therapeutic thinking centered on "unblocking meridians to promote qi and blood circulation", "regulating the liver and regulating the triple burner", "warming yang to promote qi transformation", and other treatments, along with supplementation and consolidation. Prevent recurrence after recovery.

Key words: Enuresis, Interference between phlegm and blood, Regulation of the liver method, Warming the yang and promoting qi flow method, Experience of renowned doctors, Child

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