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 ›› 2024, Vol. 16 ›› Issue (1): 76-79.doi: 10.3969/j.issn.1674-3865.2024.01.018

• 小儿中药应用研究 • 上一篇    下一篇

辨治儿童肥胖常用药对拾撷

江锦雯, 张雪荣, 段云雁, 邓丽华   

  1. 430061 武汉,湖北中医药大学2022级中医儿科学专业研究生(江锦雯);湖北中医药大学第一临床学院儿科学教研室(张雪荣);湖北中医药大学附属医院儿科(段云雁,邓丽华)
  • 收稿日期:2023-09-19 出版日期:2024-02-25 上线日期:2024-03-13
  • 通讯作者: 张雪荣,E-mail:1251635860@qq.com

Common pair medicines in differentiated treatment for childhood obesity

JIANG Jinwen, ZHANG Xuerong, DUAN Yunyan, DENG Lihua   

  1. Hubei University of Traditional Chinese Medicine,Wuhan 430061,China
  • Received:2023-09-19 Published:2024-02-25 Online:2024-03-13
  • Contact: ZHANG Xuerong,E-mail:1251635860@qq.com

摘要: 总结张雪荣教授运用药对治疗儿童肥胖的经验。张教授认为儿童肥胖的病位主要在脾,常涉及肝肾,基本病机为脾虚湿盛,并兼有肝郁或肾阳虚,致痰湿瘀血内生留滞于肌肉腠理发为肥胖,属于本虚标实。治疗应当健脾利湿,并辅以疏肝、补肾阳,化痰活血。常用药对有荷叶与泽泻、茯苓与白术、柴胡与香橼、丹参与川芎、茯神与合欢皮、土茯苓与威灵仙。药对配伍得当,疗效明显。附验案1则以佐证。

关键词: 儿童肥胖, 药对, 临床经验

Abstract: This is to summarize Professor Zhang Xuerong's experience in the use of pair medicines in the treatment of childhood obesity.Professor Zhang believes that the disease position of childhood obesity is mainly in the spleen,often involving the liver and kidneys,and the basic pathogenesis is spleen deficiency and dampness,and has liver depression or kidney yang deficiency,causing phlegm and stasis and blood endogenous retention in muscles and tissues,which results in obesity.It belongs to deficiency in origin and excess in superficiality.The treatment should strengthening the spleen and removing dampness,supplemented by relieving liver,focus on nourishing kidney yang,resolving phlegm and activating blood.Commonly used pair medicines include lotus leaves and zeppelin,poria cocos and atractylodes,Chaihu and citron,salvia and Chuanxiong,Fushen and acacia skin,and smilax glabra and Weilingxian.The pair medicines are properly matched and the effect is obvious.One case is attached for verification.

Key words:

Childhood obesity, Pair medicines, Clinical experience