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临床用药研究2026年第2卷第1期第12-14页,pISSN 3105-6741、eISSN 3105-675X 发布者:Quest Press 发布日期:2026/4/17
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基于脾胃理论的小儿功能性腹痛的辨证规律及治疗效果研究


李永佳

达州市第一人民医院,四川达州,635000

摘要:目的:基于“脾常不足”与脾胃为后天之本理论,探讨从脾胃论治小儿常见疾病(以儿童功能性腹痛为代表)的辩证规律及临床疗效。方法:选取2024年11月—2025年10月门诊儿童功能性腹痛患儿60例,随机分为实验组与对照组各30例。对照组给予降教育、饮食调理及枯草杆菌二联活菌颗粒、匹维溴铵片等常规对症治疗;实验组在对照组基础上加用“运脾化滞法”中药基础方(党参、白术、茯苓、陈皮、枳壳、山楂、鸡内金、砂仁、甘草等),随证加减,连续治疗4周。观察指标为:①腹痛相关临床症状评分;②中医证候积分,评价总有效率。结果:在治疗4周后,实验组腹痛症状评分、中医证候积分均明显低于对照组,实验组总有效率93.33%高于对照组73.33%,且能改善纳差、腹胀、神疲乏力等脾虚夹滞相关的症状,P<0.05。结论:从脾胃论治、以运脾化滞为辨证施治核心的辨证施治方案符合小儿“脾常不足”的生理病理特点,可以明显改善儿童功能性腹痛患儿的症状和证候水平,提高总体疗效,提示脾胃理论对于小儿常见疾病有较高的临床指导价值。

关健词:脾胃理论;小儿常见疾病;辨证论治;中医儿科;临床研究
Research on the Diagnostic Patterns and Therapeutic Effects of Common Pediatric Diseases Based on the Spleen and Stomach Theory

Yongjia Li

Dazhou First People's Hospital Dazhou,Sichuan ,635000

Abstract:Objective:Based on the theories of "spleen deficiency" and the spleen-stomach as the foundation of later-nature,this study explores the diagnostic patterns and clinical efficacy of treating common pediatric diseases (represented by childhood functional abdominal pain) from the perspective of spleen-stomach. Methods:Sixty children with functional abdominal pain were selected from outpatient visits between November 2024 and October 2025 and randomly divided into an experimental group and a control group (30 cases each). The control group received health education,dietary adjustments,and conventional symptomatic treatments such as Bacillus subtilis and Enterococcus faecalis dual live bacterial granules and pinaverio bromide tablets. The experimental group was treated with the same regimen plus a traditional Chinese medicine formula(Codonopsis,Atractylodes macrocephala,Poria,Citrus reticulata,Citrus aurantium,Crataegus,Oryx cornuta,Amomum villosum,and Licorice)under the "promoting spleen and eliminating stagnation" approach,with adjustments based on individual symptoms,for 4 consecutive weeks. The observation indicators included:① abdominal pain-related clinical symptom scores;② TCM syndrome scores,and the evaluation of total effective rate. Results:showed that after 4 weeks of treatment,the experimental group had significantly lower abdominal pain symptom scores and TCM syndrome scores compared to the control group,with a total effective rate of 93.33% in the experimental group versus 73.33% in the control group. Additionally,the experimental group demonstrated improved symptoms related to spleen deficiency with stagnation,such as poor appetite,abdominal distension,andfatigue,with P < 0.05. Conclusion:The diagnostic and treatment strategy based on spleen-stomach theory,with "promoting spleen and eliminating stagnation" as the core principle,aligns with the physiological and pathological characteristics of children's "spleen deficiency." It significantly improves symptoms and syndrome levels in children with functional abdominal pain,enhances overall efficacy,and indicates the high clinical guidance value of spleen-stomach theory for common pediatric diseases.


Keywords : Spleen and Stomach Theory;Common Pediatric Diseases;Syndrome Differentiation and Treatment;Traditional Chinese Medicine Pediatrics;clinical research


参考文献
[1] 赵诗琴,董幼祺. 基于“和与运”理论治疗小儿脾胃病验案举隅[J].中国乡村医药,2026,33(03):18-19.
[2] 赵敏君,陆相朋,郑宏. 以脾胃升降理论辨治儿童单纯性肥胖症[J].中医杂志,2025,66(23):2499-2503.
[3] 刘苗苗,袁振华,张蔷,等. 基于“脾胃虚则九窍不通”观点辨治儿童腺样体肥大的思路[J].北京中医药,2025,44(11):1474-1477.
[4] 袁梓潇,石艳红. 鼻炎熏洗方雾化熏洗联合鼻炎方治疗脾胃湿热型儿童过敏性鼻炎临床研究[J].新中医,2025,57(20):77-81.
[5] 付娟,申继强,潘若筠,等. 从“脾胃气化”论治儿童原发性免疫性血小板减少症[J].江西中医药,2025,56(08):29-31+35.
[6] 赵文祎,王彩君,马芬俞. 基于脾胃理论探讨热毒壅盛型针眼的治疗经验[J].中国民间疗法,2025,33(01):13-15.
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