ISSN 1674-3865  CN 21-1569/R
主管:国家卫生和计划生育委员会
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

Chinese Pediatrics of Integrated Traditional and Western Medicine ›› 2021, Vol. 13 ›› Issue (6): 542-545.doi: 10.3969/j.issn.1674-3865.2021.06.022

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Treatment for functional dyspepsia in children based on the theory of "spleen dominating tiredness and spleepiness"

LI Yaqun, TIAN Yunlong, WANG Jing   

  1. Taizhou Hospital of Traditional Chinese Medicine,Taizhou 225300,China

  • Received:2021-06-25 Published:2021-12-25 Online:2021-12-25
  • Contact: WANG Jing,E-mail:tzszyyek@163.com

Abstract: Functional dyspepsia is a common disease in childhood, which belongs to the category of "anorexia","stagnation","vomitting" and "abdominal pain" in traditional Chinese medicine(TCM) according to the differentiation of main symptoms, and the TCM differential treatment has its unique advantages. Director Wang Jing is good at dealing with spleen and stomach diseases in children and performs clinical diagnosis and treatment of functional dyspepsia based on the theory of "spleen-dominating tiredness and sleepiness" from the syndrome differentiation system of Qian Yi Wu Zang. Considering the changes in the pathogenic factors of the diseases, Director Wang Jing thinks that the pathogenic factors of exogenous evil causing functional dyspepsia in children have been reduced nowadays, while the pathogenic factors such as hand-foot-mouth disease and chicken pox have increased, and such disease causes as having too much greasy and raw food and emotional diet have increased significantly. As a result, the 3 most common clinical syndromes of functional dyspepsia in modern children are dysfunction of spleen in transportation, stagnation of liver invading spleen and comorbidity of lung and spleen. The treatment principle should be to soothing liver and strengthening spleen. Based on the Director's experience, a self-made digestive mixture has been developed in the hospital to strengthen spleen and assisting the transportation. In the digestive mixture, dried tangerine peel is used to strengthen spleen and promote transportation; Poriacocos is used to strengthen spleen and removing dampness; rice sprout, and malt are used to strengthen spleen and stimulate appetite, and promote digestion and regulate stomach. For the children with liver stagnation, Shichangpu and Yujing can be added to soothe liver and relieve stagnation. If there is comorbidity of hand-foot-mouth disease, while the lung qi is being dispersed during acute stage, spleen and stomach should also be dealt with, and the empirical formula of the Director's father for measles is used in combination with the digestive mixture with modification. During the relief period, it is necessary to nourish lung and strengthen spleen, and Huangqi(Astragalus) and Baizhu(Atractylodes) are added to the mixture for treatment.

Key words:

Functional dyspepsiaComorbidity of lung and spleen, Dysfunction of spleen in transportation;Stagnation of liver invading spleen, Digestive mixture, Children