国医大师丁樱教授从"脏腑别通"理论辨治小儿遗尿症OA

[Objective]To explore the clinical experience of National Traditional Chinese Medicine(TCM)Master Professor DING Ying in treating pediatric enuresis based on the zang-fu Organ Extraordinary Connection Theory.[Methods]This article applies this theory to explain the correlation between pediatric enuresis and the theory from the perspectives of the heart and gallbladder,lung and bladder,spleen and small intestine,and kidney and sanjiao(triple energizer).[Results]It proposes that dysfunction in any of these interconnected pairs—such as heart-gallbladder imbalance leading to mental disturbance,lung qi dysfunction causing loss of bladder restraint,impaired spleen transport affecting small intestine fluid regulation,or kidney yang deficiency resulting in sanjiao disharmony-can lead to pediatric enuresis.Consequently,more precise treatment methods are suggested:nourishing heart spirit and regulating gallbladder qi;supplementing lung qi and warming the bladder;strengthening spleen qi and regulating the small intestine;and tonifying kidney qi and unblocking the sanjiao.[Conclusion]These methods have demonstrated significant clinical efficacy,greatly enriching the clinical reasoning of TCM for pediatric enuresis.This article summarizes the clinical insights and experience as follows.