杨贤慧 闫永彬

    【摘 要】 结合小儿生理、病理特点，详述小儿湿热便秘的病因病机，论述其临床辨证要点及治疗法则，并列举以“运脾理气，化湿清热”为治则，方用“三仁汤加减”治疗小儿湿热便秘的临床有效案例。文章弥补了小儿湿热便秘临床论著的不足，对促进小儿便秘中医诊疗体系的完善和创新有重要理论和实践意义。

    【关键词】 小儿便秘;三仁汤;湿热

    【中图分类号】R249.2/.7 【文献标志码】 A 【文章编号】1007-8517(2021)14-0092-03

    Abstract：Combined with the physiological and pathological characteristics of children， the etiology and pathogenesis of damp-heat constipation in children are described in detail， and the clinical dialectical points and treatment principles are discussed. The clinical effective cases of "Sanren Decoction" in treating infantile damp-heat constipation are listed in the paper. This paper makes up for the deficiency of clinical treatises on infantile damp-heat constipation， and is expected to promote the improvement and innovation of TCM diagnosis and treatment system of infantile constipation.

    Keywords：Infantile Constipation; Sanren Decoction; Damp Heat

    便秘是指大便秘结不通，排便次数减少或间隔时间延长，或便意频而大便艰涩排出困难的病证[1]，是儿科临床常见的消化系统疾病，属于西医学中“功能性便秘”范畴。近年来，小儿便秘的发病率逐渐升高，有研究[2]显示中国儿童功能性便秘的患病率为3.1%～25.92%。笔者跟师临证时发现，小儿湿热便秘十分常见，但临床论著中较少提及。吾师闫永彬教授治疗小儿湿热便秘经验丰富，现将其学术思想报道如下 ......