杨维华

    (湖南省中医药研究院附属医院，湖南 长沙 410006)

    ·针灸推拿·

    五步推拿法辅治小儿腹泻经验

    杨维华

    (湖南省中医药研究院附属医院，湖南 长沙 410006)

    运用五步推拿法加减辅助内服中药治疗小儿腹泻，据证之虚实运用相应的补泻手法，有促进药物吸收、增强疗效、缩短疗程的作用，而且无痛苦，无毒副作用，患儿容易接受，更宜于服药困难的小儿，并举验案五则以证之。

    小儿腹泻；五步推拿法；脾经；大肠经；运土入水；摩腹；七节骨

    〔Abstract〕The modified five-step manipulation was used as supplement of oral Chinese Medicine decoction in treating children diarrhea.Reinforcing and reducing massage were used according to deficiency pattern or excess pattern.The method shows the effect of enhancing drug absorption，increasing curative effects and shortening treatment course，without pain and side effects.The treatment was easily accepted by patients，especially the children that had difficulty in taking medicine.Five cases were presented to show these effects.

    〔Keywords〕children diarrhea；five-step manipulation therapy；spleen meridian；large intestine meridia；moving earth into water；manipulating on the abdomen；acupoint of Qijiegu

    小儿由于脏腑未充，“药物不能多受”(《幼幼集成》)，腹泻则药物吸收更加困难，笔者遵清·陈复正小儿应运用综合疗法，内外兼治之旨，在长期儿科临证实践中逐渐形成对小儿腹泻的五步推拿辅治方法，不仅有促进药物吸收、增强疗效、缩短疗程的作用，而且无痛苦，无毒副作用 ......