〔摘要〕 小儿痫病是小儿常见神志病之一。国医大师刘祖贻认为，脾肾亏虚、心神失养为痫病病机之本，风痰为病机之标。脾虚生痰，痰扰元神；肾阳虚衰，酿生痰浊；肝风夹痰，蒙蔽脑窍；心神失养，神机失用均可导致小儿痫病发生。论治痫病重在攻补兼顾，以补为主。气阳在小儿痫病的治疗中发挥关键作用，刘祖贻教授提出“气阳主用”学术观点，治以健脾助运化、温肾济水火、调肝止风动、养心以开窍。并附验案1则加以阐明。

    〔关键词〕 刘祖贻；小儿痫病；气阳主用；脾肾亏虚；心神失养；风痰

    〔中图分类号〕R272" " " " "〔文献标志码〕A" " " " " 〔文章编号〕doi：10.3969/j.issn.1674-070X.2024.05.001

    National TCM master LIU Zuyi treating pediatric epilepsy based on the principle of \"emphasizing the crucial roles of qi and yang\"

    XIN Feng1， LIU Fang2*， ZHOU Shengqiang2， LIU Zuyi3

    1. Hunan University of Chinese Medicine， Changsha， Hunan 410208， China; 2. The Hospital of Hunan Academy of Chinese Medicine， Changsha， Hunan 410006， China; 3. Hunan Academy of Chinese Medicine， Changsha， Hunan 410006， China

    〔Abstract〕 Pediatric epilepsy is one of the common mental disorders in children. LIU Zuyi， the National TCM master， believes that the deficiency of spleen and kidney and lack of nourishment in the heart spirit are the root pathogenesis of epilepsy， and wind and phlegm are the tip. The spleen deficiency leads to the formation of phlegm which disturbs the original spirit; the kidney yang deficiency results in phlegm turbidity; the liver wind complicated with phlegm blocks the brain and orifices; and lack of nourishment in the heart spirit causes dysfunction of the vital activity ......