| 引用本文: |
吉晓晓, 崔霞, 马宁, 张宁, 刘叶, 赵靖, 白雪.基于“少阳为枢”理论探讨四逆散在儿科的临床运用[J].湖南中医药大学学报,2024,44(9):1672-1676[点击复制] |
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| 基于“少阳为枢”理论探讨四逆散在儿科的临床运用 |
| 吉晓晓,崔霞,马宁,张宁,刘叶,赵靖,白雪 |
| (北京中医药大学第三临床医学院, 北京 100029;北京中医药大学第三附属医院, 北京 100029) |
| 摘要: |
| 小儿之体，阴阳二气稚嫩，尚未成熟，在生长发育过程中，小儿随着阳气的升发，不断建立新的阴阳平衡状态。“少阳学说”可以全面阐述小儿的生理特性和病理特点，强调少阳在阴阳交会、表里转换、脏腑协调、生长发育以及情志调节等方面的关键枢纽作用。“少阳为枢”作为“少阳学说”的核心理论，可体现小儿生长发育中的动态平衡。若少阳枢机正常，则阴平阳秘，五脏安和；若少阳枢机不利，则阴阳失衡，脏腑失和，气机郁滞，疾病由生。四逆散作为调和少阳枢机的经典方剂，通过疏肝解郁、升阳降逆，调节小儿气机，促进阴阳平衡。在儿科临床多种疾病中运用四逆散可疏利枢机，助枢纽功能恢复，附验案一则以供临床参考。 |
| 关键词: 少阳 少阳为枢 郁滞 四逆散 调节气机 |
| DOI：10.3969/j.issn.1674-070X.2024.09.018 |
| 投稿时间：2024-05-05 |
| 基金项目:北京中医药大学一流学科建设项目（90010961020078）。 |
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| Clinical application of Sini Powder in pediatrics based on "Shaoyang as the pivot" |
| JI Xiaoxiao, CUI Xia, MA Ning, ZHANG Ning, LIU Ye, ZHAO Jing, BAI Xue |
| (Beijing University of Chinese Medicine, Beijing 100029, China;The Third Hospital of Beijing University of Chinese Medicine, Beijing 100029, China) |
| Abstract: |
| The body of a child is characterized by immature yin qi and yang qi that are yet to reach full maturity. During the growth and development of children, as their yang qi rises, they continuously establish new states of yin-yang balance. The "Shaoyang theory" comprehensively elucidates the physiological and pathological characteristics of children, emphasizing the pivotal role of Shaoyang in aspects such as intersection of yin and yang, the transition between the exterior and interior, the coordination of the zang-fu organs, growth and development, as well as emotional regulation. "Shaoyang as the pivot" serves as the core theory of the "Shaoyang theory", reflecting the dynamic balance in children's growth and development. When the Shaoyang pivot is functioning normally, yin and yang are balanced, and the five zang-organs are harmonious. However, if the Shaoyang pivot is impaired, there will be an imbalance between yin and yang, disharmony among zang-fu organs, and constraint and stagnation of the qi movement, leading to diseases. As a classic formula for regulating the Shaoyang pivot, Sini Powder can regulate children's qi movement by soothing the liver and relieving depression, raising yang and down-regulating qi, thereby promoting the balance of yin and yang. The application of Sini Powder in various diseases in pediatric clinical practice can dredge and regulate the pivot, aiding in restoring its function. A verified medical record is provided for clinical reference. |
| Key words: Shaoyang Shaoyang as the pivot constraint and stagnation Sini Powder regulating qi movement |
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