中医杂志

总结布赫教授内外合治儿童功能性便秘的临证经验。认为脾运失职导致三焦失运、肠腑不通是儿童功能性便秘的主要病机，治疗主张以运脾调枢、通腑导滞为法，内外合治，通过中药（常用四君子汤合芍药甘草汤加减）进行内在调理，结合小儿推拿和气交灸的外治疗法，共同健脾助运，使三焦枢机通利，肠腑通畅，则便秘得解。

This paper summarized Professor BU He's clinical experience in the integrative internal and external treatment of pediatric functional constipation. He believes that dysfunction of the spleen in transportation leads to impaired function of the sanjiao(三焦) and intestinal obstruction, which constitutes the core pathogenesis of pediatric functional constipation. The treatment emphasizes regulating the spleen and harmonizing the pivot, as well as unblocking the bowel and eliminating stagnation. An integrated approach combining internal and external therapies is advocated. Internally, Chinese herbal medicine, primarily Modified Sijunzi Decoction and Shaoyao Gancao Decoction(四君子汤合芍药甘草汤加减) is used to regulate the internal organs. Externally, pediatric tuina and moxibustion on qi interlocking are employed. Together, these methods fortify the spleen and facilitate transportation, restoring the smooth function of the sanjiao pivot, and ensuring intestinal patency, thereby relieving constipation.