从“五脏相关”理论辨治小儿遗尿

Treating Pediatric Enuresis Based on the Theory of Five Zang Organs Correlation

  • 摘要: 汪受传教授基于“五脏相关”理论,结合小儿“脏腑娇嫩、形气未充”的生理特点与“四不足、三有余”的体质偏颇,认为小儿遗尿以肾阳亏虚、膀胱失约为本,与五脏功能失调密切相关,具体表现为肺肾开阖失司,脾肾精微失养,心肾水火失交,肝肾藏泄失衡。提出“调和五脏、固脬止遗”的治则治法,强调从整体调节五脏盛衰以增强膀胱固摄能力,主张补肺固肾以助气化,健脾助运以资肾精,宁心降火以交肾水,清肝祛热而养阴精,达到调和诸脏而固涩膀胱之目的,从而为小儿遗尿的辨治提供理论依据及实践参考。

     

    Abstract: Based on the “five Zang organs correlation” theory, combined with children’s physiological characteristics of “delicate Zang-Fu organs and incomplete development of form and qi” and the constitutional bias of “four deficiencies and three excesses”, Professor Wang Shouchuan postulates that pediatric enuresis is rooted in kidney-yang deficiency and bladder incontinence, and is closely associated with the dysfunction of the five Zang-organs. Specifically, it manifests as lung-kidney desynchrony of opening-closing, spleen-kidney malnourishment of essential essence, heart-kidney disharmony of water-fire, and liver-kidney imbalance of storage-discharge. Hence, he proposes the therapeutic principle and method of “harmonizing the five Zang organs and consolidating the bladder to stop enuresis”, emphasizing the overall regulation of the five Zang organs to enhance bladder control. He advocates tonifying the lungs and strengthening the kidneys to aid qi transformation, invigorating the spleen to nourish kidney essence, calming the heart and reducing fire to balance kidney water, and clearing the liver and dispelling heat to nourish yin essence, thereby achieving the goal of harmonizing the various organs and consolidating the bladder. This provides a theoretical basis and practical reference for the diagnosis and treatment of pediatric enuresis.

     

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