王有鹏教授运用“分消走泄法”辨治儿科疾病经验

Professor Wang Youpeng’s Experience in Treating Pediatric Diseases with the “Separating and Draining Method”

摘要: “分消走泄法”系清代温病大家叶天士在《温热论》中针对湿热病邪留连三焦气分证而提出的重要治则，其理论渊源于《黄帝内经》，经历代医家不断丰富，至叶天士而正式确立。王有鹏教授立足东北寒地临床实践三十余载，结合寒地地域特点，系统观察到寒地儿童普遍存在以“湿热体质”为特征的偏颇体质状态，创造性地将分消走泄法从温病领域拓展至儿科各类湿热相关疾病的诊疗之中。王教授强调“辨体–辨病–辨证”相结合的三辨诊疗模式，以温胆汤为基础方，灵活运用合方思想，针对多系统疾病创立系列温胆汤合方，体现了“异病同治”的中医智慧。本文系统梳理分消走泄法的学术源流，总结王有鹏教授运用该法辨治寒地儿科疾病的学术特色与临证经验，以期为中医儿科疾病诊疗提供参考。

Abstract: “Separating and Draining Method” (Fenxiao Zouxie Fa) is an important therapeutic principle proposed by Ye Tianshi, a renowned master of warm diseases (wenbing) in the Qing Dynasty, in his Treatise on Warm Diseases (Wenre Lun), specifically targeting pathogenic damp-heat lingering in the qifen (qi phase) of the Triple Burner (Sanjiao). Its theoretical origins trace back to the Yellow Emperor’s Inner Classic (Huangdi Neijing), and it was gradually enriched by successive physicians until it was formally established by Ye Tianshi. Professor Wang Youpeng, based on over thirty years of clinical practice in the cold region of Northeast China, has systematically observed that children in this region commonly present a constitutional imbalance characterized by a “damp-heat constitution”. Taking into account the regional characteristics, he has creatively extended the application of the Separating and Draining Method from the domain of warm diseases to the diagnosis and treatment of various damp-heat related pediatric disorders. Professor Wang emphasizes a triple-diagnostic model that integrates “constitution differentiation (bian-ti), disease differentiation (bian-bing), and pattern differentiation (bian-zheng)”. Using Wendan Tang (Warm Gallbladder Decoction) as the foundational formula, he flexibly employs the strategy of combined formulas (hefang) and has established a series of Wendan Tang-based modified combinations for multi-system diseases, embodying the wisdom of “treating different diseases with the same method” (yi bing tong zhi). This paper systematically reviews the academic lineage of the Separating and Draining Method and summarizes Professor Wang Youpeng’s academic characteristics and clinical experience in applying this method to differentiate and treat pediatric diseases in cold regions, aiming to provide a reference for pediatric practice in traditional Chinese medicine.