徐辉甫“釜底抽薪”论治小儿矮小症经验

The Experience of Xu Huifu’s Treatment of Pediatric Dwarfism Based on “Removing the Fuel from the Fire”

摘要: 中医认为矮小症以虚为主，临床多见脾胃虚弱者，可伴有心肝血虚；先天肾气不足者次之，值天癸萌发之际或可见阴虚火旺之证；其病靶在骨髓、筋脉。武汉市第一医院儿科徐辉甫主任治疗矮小症多年，认为小儿为纯阳之体，常心肝有余，在病理上可表现为不寐及情志问题，且心主脉，肝主筋，遂以五脏辨证为基础，自创“釜底抽薪”疗法，通过疏肝宁心，调摄五脏，从心肝入手，用以疏肝宁心、养血柔筋调脉的药物，并注重结合时令，以达到对临床患儿阴平阳秘、茁壮成长的目的。

Abstract: Traditional Chinese medicine holds that pediatric dwarfism is mainly due to deficiency. Clinically, it is more common in patients with the deficiency of stomach and spleen, and may be accompanied with the deficiency of heart, liver and blood. Those with congenital kidney qi deficiency are second, and may present with yin deficiency and hyperactive fire during the period of the sprouting of the Tian Gui or Kidney Essence. The disease targets the bone marrow and tendons. Director Xu Huifu of the Wuhan Integrated Traditional Chinese and Western Medicine Hospital has been treating pediatric dwarfism for many years. He believes that children are pure yang in nature, with abundant heart and liver. Pathologically, this may manifest as insomnia and emotional problems. The heart governs the pulse, and the liver governs the tendons. Therefore, based on the differentiation of the Viscera Theory, he created the “removing the fuel from the fire” method. By soothing the liver and calming the mind, regulating the Viscera, starting from the heart and liver, he uses medicines to soothe the liver, calm the mind, nourish the blood, soften the tendons, and regulate the pulse, and pays attention to the combination of seasonal changes, in order to achieve the goal of balancing yin and yang and promoting healthy growth in clinical patients.