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基于厚土清肠法辨证施治小儿湿疹OA

Treatment of Infantile Eczema Based on Syndrome Differentiation Using the Strengthening the Spleen and Clearing Intestine Method

中文摘要英文摘要

为深入传承与发扬名中医特色诊疗精髓,此文系统梳理并研习李树君主任的医学思想及皮肤病诊疗临床经验,重点挖掘其辨证施治小儿湿疹的特色理念与实践路径,总结出两大核心着手思路及一套治疗方法:其一,秉持"厚土养后天"理念,从调理脾胃功能入手,通过健运中焦以充养正气,为肌肤健康奠定根基;其二,遵循"清肠护皮毛"原则,注重疏通肠道积滞,借由清利肠腑以净化气机,实现表里同调.在具体治法上,采用化裁后的参苓白术散内服以健脾渗湿,搭配自拟中药洗剂外用以祛风止痒,内外合治共奏良效.文中详细阐述了李树君主任"厚土清肠法"的辨证依据、施治特点及理论渊源,并附典型医案1则,为临床诊疗提供参考与借鉴.

To further inherit and promote the essence of the characteristic diagnosis and treatment of renowned traditional Chinese medicine practitioners,this paper systematically sorted out and studied Director Li Shujun's medical thoughts and clinical experience in the diagnosis and treatment of skin diseases.It focuses on exploring his characteristic concepts and practical approaches to syndrome differentiation and treatment of infantile eczema,and summarizes two core ideas and a set of therapeutic methods as follows:Firstly,adhering to the concept of"fortifying the spleen to nourish the acquired constitution",starting with regulating the function of the spleen and stomach,strengthening the middle jiao to replenish healthy qi,so as to lay a foundation for skin health.Secondly,following the principle of"clearing the intestines to protect the skin and hair",paying attention to removing intestinal stagnation,purifying the qi activity by clearing the intestines,so as to achieve simultaneous regulation of the exterior and interior.In terms of specific therapeutic methods,modified Shenling Baizhu powder is administered orally to invigorate the spleen and eliminate dampness,combined with a self-made Chinese herbal lotion for external use to dispel wind and relieve itching.The combined internal and external treatment has achieved satisfactory efficacy.This paper elaborated on the syndrome differentiation basis,therapeutic characteristics and theoretical origin of Director Li Shujun's"strengthening the spleen and clearing intestine method",and included one typical medical case,providing reference for clinical diagnosis and treatment.

田景升;李咏梅;张玉琴

甘肃中医药大学中医临床学院,甘肃 兰州 730030甘肃中医药大学中医临床学院,甘肃 兰州 730030甘肃省中医院皮肤疮疡科,甘肃 兰州 730050

医药卫生

小儿湿疹皮肤病辨证施治厚土清肠

pediatric eczemadermatological diseasestreatment based on syndrome differentiationstrengthening the spleen and clearing intestine

《光明中医》 2026 (5)

80-83,4

甘肃省名中医李树君临证经验研讨会(No.2024-442)

10.70976/j.issn.1003-8914.2026.05.018

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